Health literacy assessment of the STOFHLA: paper versus electronic administration continuation study

dc.contributor.authorChesser, Amy K.
dc.contributor.authorWoods, Nikki Keene
dc.contributor.authorWipperman, Jennifer
dc.contributor.authorWilson, Rachel
dc.contributor.authorDong, Frank
dc.date.accessioned2014-03-10T15:28:32Z
dc.date.available2014-03-10T15:28:32Z
dc.date.issued2014-02
dc.descriptionClick on the DOI link to access the article (may not be free).en_US
dc.description.abstractLow health literacy is associated with poor health outcomes. Research is needed to understand the mechanisms and pathways of its effects. Computer-based assessment tools may improve efficiency and cost-effectiveness of health literacy research. The objective of this preliminary study was to assess if administration of the Short Test of Functional Health Literacy in Adults (STOFHLA) through a computer-based medium was comparable to the paper-based test in terms of accuracy and time to completion. A randomized, crossover design was used to compare computer versus paper format of the STOFHLA at a Midwestern family medicine residency program. Eighty participants were initially randomized to either computer (n = 42) or paper (n = 38) format of the STOFHLA. After a 30-day washout period, participants returned to complete the other version of the STOFHLA. Data analysis revealed no significant difference between paper- and computer-based surveys (p = .9401; N = 57). The majority of participants showed adequate health literacy via paper- and computer-based surveys (100% and 97% of participants, respectively). Electronic administration of STOFHLA results were equivalent to the paper administration results for evaluation of adult health literacy. Future investigations should focus on expanded populations in multiple health care settings and validation of other health literacy screening tools in a clinical setting.en_US
dc.identifier.citationChesser, Amy K.; Woods, Nikki Keene; Wipperman, Jennifer; Wilson, Rachel; Dong, Frank. 2014. Health literacy assessment of the STOFHLA: paper versus electronic administration continuation study. Health Education & Behavior, vol. 41:no. 1:ppg. 19-24en_US
dc.identifier.issn1090-1981
dc.identifier.otherWOS:000330626000004
dc.identifier.urihttp://dx.doi.org/10.1177/1090198113477422
dc.identifier.urihttp://hdl.handle.net/10057/7098
dc.language.isoen_USen_US
dc.publisherSociety for Public Health Educationen_US
dc.relation.ispartofseriesHealth Education & Behavior;v.41:no.1
dc.subjectEvaluationen_US
dc.subjectHealth literacyen_US
dc.subjectPrimary careen_US
dc.subjectRapid assessmenten_US
dc.subjectScreeningen_US
dc.titleHealth literacy assessment of the STOFHLA: paper versus electronic administration continuation studyen_US
dc.typeArticleen_US
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