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Related Experiment Videos

A shortened instrument for literacy screening.

Pat F Bass1, John F Wilson, Charles H Griffith

  • 1Department of Internal Medicine, Louisiana State University Health Science Center, Shreveport, LA 71130-3932, USA. pbassi@lsuhsc.edu

Journal of General Internal Medicine
|December 23, 2003
PubMed
Summary

The Rapid Estimate of Adult Literacy in Medicine (REALM-R) is a new tool that effectively screens patients for health literacy issues. This validated instrument shows promise for identifying individuals at risk in clinical settings.

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Area of Science:

  • Health Literacy Research
  • Clinical Assessment Tools
  • Patient Education

Background:

  • Health literacy is crucial for patient understanding and adherence.
  • Screening tools are needed to identify patients with low health literacy.
  • Existing methods may not be practical for rapid clinical use.

Purpose of the Study:

  • To evaluate the Rapid Estimate of Adult Literacy in Medicine (REALM-R) as a screening tool.
  • To assess the validity and reliability of the REALM-R.
  • To determine if REALM-R can identify patients with potential health literacy problems.

Main Methods:

  • Administered the 8-item REALM-R to 157 patients.
  • Correlated REALM-R scores with the Wide Range Achievement Test-Revised (WRAT-R).

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  • Calculated Cronbach's alpha for reliability.

    • Main Results:

    • REALM-R demonstrated strong correlation with WRAT-R (r=.64).
    • Achieved a high Cronbach's alpha of 0.91, indicating good internal consistency.
    • Identified 26 out of 30 patients (87%) scoring below the sixth-grade reading level on WRAT-R.

    Conclusions:

    • REALM-R is a reliable and valid instrument for screening health literacy.
    • It offers a practical approach for identifying at-risk patients in clinical settings.
    • Further studies are recommended to confirm its utility and generalizability.