A shortened instrument for literacy screening
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The Rapid Estimate of Adult Literacy in Medicine (REALM-R), a new 8-item instrument designed to rapidly screen patients for potential health literacy problems, was administered to 157 patients. The REALM-R was correlated with Wide Range Achievement Test-Revised (WRAT-R) (.64) and demonstrated a Cronbach’s α of 0.91. The REALM-R identified 26 of 30 persons scoring more than 1 standard deviation below the mean on the WRAT-R, corresponding to a sixth grade reading level. The REALM-R identified a substantial number of people who scored poorly on the WRAT-R, and depending on further studies of validity and reliability, may offer a practical approach to identify patients at risk for health literacy problems in a clinical setting.
Key wordshealth literacy screening reading level
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- 1.Kirsh I, Jungenlut A, Jenjins L. Adult Literacy in America: A First Look at the Findings of the National Adult Literacy Survey. Washington, DC: National Center for Education Statistics, US Department of Education; 1993.Google Scholar
- 10.Murphy PW, Davis TC, Decker B, Arnold C, Jackson RH. Rapid estimate of adult literacy in medicine: using a novel reading recognition test. J Reading. 1993;37:124–30.Google Scholar
- 11.Slosson R. Slosson Oral Reading Tests-Revised. East Aurora, NY: Slosson Educational Publishers; 1990.Google Scholar
- 13.Jastak S, Wilkinson GS. Wide Range Achievement Test—Revised 3. Wilmington, DE: Jastak Associates; 1993.Google Scholar
- 15.Anastasi A. Psychological testing. In: Anastasi A, ed. New York: Macmillan; 1988.Google Scholar
- 16.Doak C, Doak L, Root J. Teaching Patients with Low Literacy Skills. Philadelphia: Lippincott; 1985.Google Scholar