Validation of a Single Question Health Literacy Screening Tool for Older Adults

Objectives: Health Literacy skills are important for people of all ages. Older adults have the lowest health literacy rates. The purpose of this study was to assess health literacy rates and validate the use of a screening tool with older adults. Methods: Participants included a convenience sample, age 65 years or older, English speaking with corrected vision of 20/100 or better and typical cognitive skills. Participants completed the 36-item Short Test of Functional Health Literacy Assessment (STOFHLA) and a single item screening (SIS) tool. Results of STOFHLA and SIS were compared using nonparametric statistics. Results: Of the 64 participants, 94% had adequate scores on the STOFHLA, while 64% self-reported confidence in filling out medical forms, p = .006, χ 2 = 7.606, df (1). Conclusion: Results suggest that use of health literacy screening tools for older adults may be of value. Additional studies are needed to expand the study sample and validate the findings of this study

Health Literacy and Older Adults

Objective: The objective of this review was to assess published literature relating to health literacy and older adults. Method: The current review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses. Results: Eight articles met inclusion criteria. All studies were conducted in urban settings in the United States. Study sample size ranged from 33 to 3,000 participants. Two studies evaluated health-related outcomes and reported significant associations between low health literacy and poorer health outcomes. Two other studies investigated the impact of health literacy on medication management, reporting mixed findings. Discussion: The findings of this review highlight the importance of working to improve health care strategies for older adults with low health literacy and highlight the need for a standardized and validated clinical health literacy screening tool for older adults

Prescribing Information Therapy

Background : Recently, experts have included information therapy (Ix) as a method for increasing clinician-patient communication, patient adherence, patient understanding of diagnosis and treatment options, and reduction in hospitalizations. Methods : This study, a secondary, retrospective analysis of survey data, independently examined participating patient perceptions of an Ix program between two Mid-western employers. Surveys were administered through the online platform from January 1, 2006 through December 31, 2009 for Employer 1 (N = 4105) and from June 1, 2007 through December 31, 2009 for Employer 2 (N = 8123). Results : Preliminary findings indicate the majority of patients were adherent to recommended treatment(s) and highly rated their physician’s performance. Additionally, patients indicated that their physician’s access to their questionnaire responses motivated them to improve their health literacy and change their health behaviors. Secondary data analysis indicated a positive relationship between prescribed Ix and self-reported health literacy. Conclusion : As Web-based Ix increases in frequency, the evaluation of patient and clinician communication is important and should be expanded to increase the benefits for both patients and clinicians