Abbreviated versions of the shortened assessment of health literacy for adult emergency department patients: Derivation and testing
We aimed to derive and test abbreviated versions of the Shortened Assessment of Health Literacy-Spanish and English (SAHL-S&E) that accurately identify English- or Spanish-speaking lower health literacy adult emergency department (ED) patients. Recursive partitioning of the SAHL-S&E was used...
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| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Cogent Public Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/2331205X.2021.2024698 |
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| author | Roland C. Merchant Sarah J. Marks Melissa A. Clark Michael P. Carey Tao Liu |
| author_facet | Roland C. Merchant Sarah J. Marks Melissa A. Clark Michael P. Carey Tao Liu |
| author_sort | Roland C. Merchant |
| collection | DOAJ |
| description | We aimed to derive and test abbreviated versions of the Shortened Assessment of Health Literacy-Spanish and English (SAHL-S&E) that accurately identify English- or Spanish-speaking lower health literacy adult emergency department (ED) patients. Recursive partitioning of the SAHL-S&E was used to derive four abbreviated versions of the SAHL-S&E by mode of administration (self-administered or staff-administered) and language (English or Spanish). Test performance characteristics of the four abbreviated versions of the SAHL-S&E in distinguishing persons with lower health literacy from those with higher health literacy were assessed against the original full version of the SAHL-S&E. The test performance characteristics of the self-administered English abbreviated SAHL-S&E were: AUC 0.84 (0.79, 0.89), sensitivity 0.84 (0.76, 0.91), and specificity 0.68 (0.61, 0.75); and for the self-administered Spanish version were: AUC 0.88 (0.85, 0.92), sensitivity 0.88 (0.82, 0.93), and specificity 0.78 (0.73, 0.83). For the staff-administered English version, the performance characteristics were: AUC 0.94 (0.91, 0.96), sensitivity 0.98 (0.95, 1.00), and specificity 0.74 (0.69, 0.80), and for the staff-administered Spanish version were AUC 0.89 (0.85, 0.92), sensitivity 0.89 (0.84, 0.94), and specificity 0.80 (0.75, 0.85). Although the four abbreviated versions of the SAHL-S&E performed well they differed by content, length, language and how they are administered, which could add complexity in their routine administration in emergency medicine practice. |
| format | Article |
| id | doaj-art-bcb0c10e30df445494f9082f5c571ab1 |
| institution | Kabale University |
| issn | 2770-7571 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Cogent Public Health |
| spelling | doaj-art-bcb0c10e30df445494f9082f5c571ab12024-11-19T05:34:04ZengTaylor & Francis GroupCogent Public Health2770-75712022-12-019110.1080/2331205X.2021.2024698Abbreviated versions of the shortened assessment of health literacy for adult emergency department patients: Derivation and testingRoland C. Merchant0Sarah J. Marks1Melissa A. Clark2Michael P. Carey3Tao Liu4Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical SchoolDepartment of Health Services Policy and Practice, School of Public Health, and Department of Obstetrics and Gynecology, Alpert Medical School, Brown UniversityDepartment of Health Services Policy and Practice, School of Public Health, and Department of Obstetrics and Gynecology, Alpert Medical School, Brown UniversityCenters for Behavioral and Preventive Medicine, the Miriam Hospital, Department of Behavioral and Social Sciences, School of Public Health, and Department of Psychiatry and Human Behavior, Alpert Medical School, Brown UniversityDepartment of Biostatistics, Center for Statistical Sciences, Brown University School of Public HealthWe aimed to derive and test abbreviated versions of the Shortened Assessment of Health Literacy-Spanish and English (SAHL-S&E) that accurately identify English- or Spanish-speaking lower health literacy adult emergency department (ED) patients. Recursive partitioning of the SAHL-S&E was used to derive four abbreviated versions of the SAHL-S&E by mode of administration (self-administered or staff-administered) and language (English or Spanish). Test performance characteristics of the four abbreviated versions of the SAHL-S&E in distinguishing persons with lower health literacy from those with higher health literacy were assessed against the original full version of the SAHL-S&E. The test performance characteristics of the self-administered English abbreviated SAHL-S&E were: AUC 0.84 (0.79, 0.89), sensitivity 0.84 (0.76, 0.91), and specificity 0.68 (0.61, 0.75); and for the self-administered Spanish version were: AUC 0.88 (0.85, 0.92), sensitivity 0.88 (0.82, 0.93), and specificity 0.78 (0.73, 0.83). For the staff-administered English version, the performance characteristics were: AUC 0.94 (0.91, 0.96), sensitivity 0.98 (0.95, 1.00), and specificity 0.74 (0.69, 0.80), and for the staff-administered Spanish version were AUC 0.89 (0.85, 0.92), sensitivity 0.89 (0.84, 0.94), and specificity 0.80 (0.75, 0.85). Although the four abbreviated versions of the SAHL-S&E performed well they differed by content, length, language and how they are administered, which could add complexity in their routine administration in emergency medicine practice.https://www.tandfonline.com/doi/10.1080/2331205X.2021.2024698emergency medicinehealth literacyadultmass screening |
| spellingShingle | Roland C. Merchant Sarah J. Marks Melissa A. Clark Michael P. Carey Tao Liu Abbreviated versions of the shortened assessment of health literacy for adult emergency department patients: Derivation and testing Cogent Public Health emergency medicine health literacy adult mass screening |
| title | Abbreviated versions of the shortened assessment of health literacy for adult emergency department patients: Derivation and testing |
| title_full | Abbreviated versions of the shortened assessment of health literacy for adult emergency department patients: Derivation and testing |
| title_fullStr | Abbreviated versions of the shortened assessment of health literacy for adult emergency department patients: Derivation and testing |
| title_full_unstemmed | Abbreviated versions of the shortened assessment of health literacy for adult emergency department patients: Derivation and testing |
| title_short | Abbreviated versions of the shortened assessment of health literacy for adult emergency department patients: Derivation and testing |
| title_sort | abbreviated versions of the shortened assessment of health literacy for adult emergency department patients derivation and testing |
| topic | emergency medicine health literacy adult mass screening |
| url | https://www.tandfonline.com/doi/10.1080/2331205X.2021.2024698 |
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