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Abbreviated version of the Test of Functional Health Literacy in Adults

Characteristics

Domains assessed: Prose: Comprehension
Specific context: General
Validation sample population age: Adults: 18 to 64 years
Modes of administration in validation study: Paper and pencil

Psychometrics

Number of items: 40
Sample size in validation study: 211
Language of validated version: English

Main article reference

Baker, D.W., Williams, M.V., Parker, R.M., Gazmararian, J.A., Nurss, J. (1999). Development of a brief test to measure functional health literacy. Patient Educ Couns, 38(1):33-42.

Link to article

Corresponding author

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David Baker
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Department of Medicine, Department of Epidemiology and Biostatistics, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, United States of America
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Description

Shortened version of the TOFHLA, with 36 comprehension questions and 4 numeric calculations, shortened

Year Measure first Published: 1999

About This Measure

Scoring categories: Possible range: 0-100 (2 points for each numeracy score, 7 points for each comprehension score) with 0-53: inadequate HL, 54-66: marginal HL, and 67-100: adequate HL

About the Validation of this Measure

Country where validated: United States of America
Content validity: Measure of patients' ability to read the materials they are likely to encounter in the health care setting. This is a shortened version of the TOFHLA by reducing the TOFHLA from 17 numeracy items and 3 prose passages to 4 numeracy items and 2 prose passages.
Reliability notes: Internal consistency: α = 0.68 for numeracy items, α = 0.97 for cloze passages
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