AIDS and Behavior

, Volume 14, Issue 1, pp 181–188

Health Literacy in the Context of HIV Treatment: Introducing the Brief Estimate of Health Knowledge and Action (BEHKA)—HIV Version

  • Chandra Y. Osborn
  • Terry C. Davis
  • Stacy Cooper Bailey
  • Michael S. Wolf
Original Paper

DOI: 10.1007/s10461-008-9484-z

Cite this article as:
Osborn, C.Y., Davis, T.C., Bailey, S.C. et al. AIDS Behav (2010) 14: 181. doi:10.1007/s10461-008-9484-z

Abstract

A brief, 8-item assessment of HIV treatment knowledge and action was developed and evaluated. Patients with HIV were interviewed in 2001 at infectious disease clinics in Shreveport, LA and Chicago, IL. Analyses on demographics, self-reported medication adherence, and responses to the Rapid Estimate of Adult Literacy in Medicine (REALM) and new, Brief Estimate of Health Knowledge and Action—HIV version (BEHKA-HIV) were performed in 2007. The BEHKA-HIV demonstrated high internal consistency, and construct validity. Lower scores on the BEHKA-HIV were independently associated with poorer rates of HIV medication adherence, scores 4–5 out of 8, AOR 2.6 (95% CI 1.9–3.6), and scores 0–3, AOR 11.4 (95% CI 8.2–15.9), as were the lowest scores on the REALM, AOR 3.3 (95% CI 1.3–8.7). The BEHKA-HIV is a psychometrically sound tool for assessing health knowledge and action regarding HIV treatment, and predicting non-adherence to HIV medications.

Keywords

HIV Health literacy Adherence Knowledge  BEHKA 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Chandra Y. Osborn
    • 1
  • Terry C. Davis
    • 2
  • Stacy Cooper Bailey
    • 3
  • Michael S. Wolf
    • 3
  1. 1.Division of General Internal Medicine and Public Health, Center for Health Services ResearchVanderbilt University School of MedicineNashvilleUSA
  2. 2.Louisiana State University Health Sciences CenterShreveportUSA
  3. 3.Health Literacy and Learning Program, Institute for Healthcare StudiesFeinberg School of Medicine at Northwestern UniversityChicagoUSA

Personalised recommendations