Development of a Word Recognition Instrument to Test Health Literacy in Dentistry: The REALD‐30 – A Brief Communication

Journal of Public Health Dentistry - Tập 67 Số 2 - Trang 94-98 - 2007
Jessica Y. Lee1, R. Gary Rozier2, Shoou-Yih D. Lee2, Deborah E. Bender2, Rafael E. Ruiz2
1Department of Pediatric Dentistry, University of North Carolina at Chapel Hill
2Department Health Policy and Administration, University of North Carolina at Chapel Hill

Tóm tắt

AbstractObjective: This study aims to develop and pilot test a dental word recognition instrument.Methods: The development of our instrument was based on the Rapid Estimate of Adult Literacy in Medicine (REALM), an efficient word recognition instrument used to assess health literacy in the medical arena. Our instrument, Rapid Estimate of Adult Literacy in Dentistry (REALD‐30), consisted of 30 common dental words with various degrees of difficulty. It was administered to 202 English‐speaking adults recruited from outpatient medical clinics. We examined the instrument’s internal reliability using Cronbach’s alpha and its validity by correlating the REALD‐30 score to two dental outcomes (perceived dental health status and oral health‐related quality of life) and medical health literacy.Results: REALD‐30 scores were significantly correlated with REALM scores. REALD‐30 was significantly related to perceived dental health status in the bivariate analysis. It also was significantly related to oral health‐related quality of life in a multivariate analysis. In contrast, medical health literacy was not related to either of the dental outcome measures.Conclusions: The new REALD‐30 instrument displays good reliability but only partial validity. Results suggest that dental health literacy may be distinct from medical health literacy and may have an independent effect on dental health outcomes.

Từ khóa


Tài liệu tham khảo

National Health Literacy Survey.Report No. NCES 2001457. Washington (DC): National Center for Educational Statistics;1992.

10.14219/jada.archive.2000.0312

10.1001/jama.281.6.552

Davis TC, 1991, Rapid assessment of literacy levels of adult primary care patients, Fam Med, 23, 433

10.1007/BF02640361

10.1111/j.1752-7325.2005.tb02808.x

10.1111/j.1600-0528.1997.tb00941.x

10.1177/014662168601000307

10.1037/h0047595

BerkmanND DeWaltDA PignoneM.Literacy and health outcomes. Evidence Report/Technology Assessment No 87. AHRQ publications no. 04‐E007‐2. Rockville (MD): Agency for Healthcare Research and Quality;2004.

Thông tin
Thông tin xuất bản

Journal of Public Health Dentistry

Tập 67 Số 2

94-98

Thông tin tác giả