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Research ArticleOriginal Research

Estimating Health Literacy in Family Medicine Clinics in Metropolitan Detroit: A MetroNet Study

Kendra L. Schwartz, Monina Bartoces, Kimberly Campbell-Voytal, Patricia West, Joseph Monsur, Ashleigh Sartor and Anne Victoria Neale
The Journal of the American Board of Family Medicine September 2013, 26 (5) 566-570; DOI: https://doi.org/10.3122/jabfm.2013.05.130052
Kendra L. Schwartz
the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
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Monina Bartoces
the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
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Kimberly Campbell-Voytal
the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
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Patricia West
the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
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Joseph Monsur
the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
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Ashleigh Sartor
the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
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Anne Victoria Neale
the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
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Abstract

Objective: Assessing health literacy during the clinical encounter is difficult. Many established instruments are lengthy and not practical for use in a busy practice setting. Our objective was to compare the performance of 3 health literacy screening questions against the Short Test of Functional Health Literacy for Adults (S-TOFHLA) in an urban, ethnically diverse primary care practice-based research network.

Methods: A convenience sample of patients in clinics in the Detroit area were recruited to complete a questionnaire that included the S-TOFHLA and 3 items similar to the Chew screening questions. Area under the receiver operating characteristic (AUROC) curves compared the test characteristics of the screening questions to the S-TOFHLA.

Results: The participation rate was 92% (N = 599). Most participants were women (65%) and African American (51%); 51.8% had a household annual income of <$20,000. Almost all (96.7%) had an adequate score on the S-TOFHLA. The screening question with the largest AUROC (0.83; 95% CI, 0.70–0.95) was “How often do you have someone help you read instructions, pamphlets or other written materials from your doctor or pharmacy?”; the AUROC for all 3 questions was 0.90 (95% CI, 0.85–0.95).

Conclusions: Self-administration of the 3 screening questions demonstrated high performance compared with the 36-item S-TOFHLA interview instrument. These screening questions should help providers identify patients who may need extra support to follow health prescriptions.

  • Health Literacy
  • Primary Health Care
  • Urban Health Services
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The Journal of the American Board of Family     Medicine: 26 (5)
The Journal of the American Board of Family Medicine
Vol. 26, Issue 5
September-October 2013
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Estimating Health Literacy in Family Medicine Clinics in Metropolitan Detroit: A MetroNet Study
Kendra L. Schwartz, Monina Bartoces, Kimberly Campbell-Voytal, Patricia West, Joseph Monsur, Ashleigh Sartor, Anne Victoria Neale
The Journal of the American Board of Family Medicine Sep 2013, 26 (5) 566-570; DOI: 10.3122/jabfm.2013.05.130052

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Estimating Health Literacy in Family Medicine Clinics in Metropolitan Detroit: A MetroNet Study
Kendra L. Schwartz, Monina Bartoces, Kimberly Campbell-Voytal, Patricia West, Joseph Monsur, Ashleigh Sartor, Anne Victoria Neale
The Journal of the American Board of Family Medicine Sep 2013, 26 (5) 566-570; DOI: 10.3122/jabfm.2013.05.130052
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