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Numeracy Understanding in Medicine Instrument

Characteristics

Domains assessed: Numeracy
Specific context: Health Promotion
Validation sample population age: Adults: 18 to 64 years
Modes of administration in validation study : Face-to-face, Paper and pencil
Assessment: Objective

Psychometrics

Number of items: 20
Sample size in validation study: 1000
Language of validated version: English

Main article reference

Schapira, M.M., Walker, C.M., Cappaert, K.J., Ganschow, P.S., Fletcher, K.E., McGinley, E.L., Del Pozo, S., Schauer, C., Tarima, S., & Jacobs, E.A. (2012). The numeracy understanding in medicine instrument: a measure of health numeracy developed using item response theory. Med Decis Making, 32(6):851-65.

Link to article

Corresponding author

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Marilyn Schapira
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Department of Medicine, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Drive, Philadelphia, PA, United States of America
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Description

Examines ability to communicate, and participate in one's health and medical decisions

Year Measure first Published: 2012

About This Measure

Categorical scoring: No
Scoring categories: Sum score
Modern Approach for Tool Development: Yes

About the Validation of this Measure

Country where validated: United States of America
Content validity: Expert panel included in development process (bilingual clinicians, expertise in patient-physician communication, health print and numeracy, adult education, cross-cultural survey research). Items were cognitively tested.
Criterion validity: Performance on the NUMi was strongly correlated with the Wide Range Achievement Test–Arithmetic (0.73, P<0.001), the Lipkus Expanded Numeracy Scale (0.69, P< 0.001), the Medical Data Interpretation Test (0.75, P< 0.001), and the Wonderlic Cognitive Ability Test (0.82, P<0.001). Performance was moderately correlated to the Short Test of Functional Health Literacy (0.43, P <0.001).
Reliability (Cronbach Alpha): 0.86
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