On the Validity of the Shortened Rapid Estimate of Adult Literacy in Medicine (REALM) Scale as a Measure of Health Literacy

被引:45
|
作者
Dumenci, Levent [1 ]
Matsuyama, Robin K. [1 ]
Kuhn, Laura [1 ]
Perera, Robert A. [1 ]
Siminoff, Laura A. [1 ]
机构
[1] Virginia Commonwealth Univ, Richmond, VA 23284 USA
关键词
D O I
10.1080/19312458.2013.789839
中图分类号
G2 [信息与知识传播];
学科分类号
05 ; 0503 ;
摘要
Originally developed to measure the literacy level of patients, the Rapid Estimate of Adult Literacy in Medicine (REALM) scale is one of the most widely used instruments to measure the construct of health literacy. This article critically examines the validity of the REALM as a measure of health literacy. Logical analysis of content coverage led to the conclusion that scores on the REALM should not be used to make inferences about a person's level of health literacy. Rather, the REALM should be used to make inferences about the ability of a person to read and pronounce health related terms. Evidence from an analysis of a sample of 1,037 respondents to the REALM with a cancer diagnosis supports the quality of the REALM as a measure of reading and pronunciation ability. Other uses of the REALM in health literacy research are discussed.
引用
收藏
页码:134 / 143
页数:10
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