Assessment of health literacy skills in family doctors' patients by two brief, self-administered Italian measures

Luigi Roberto Biasio, Chiara Lorini, Giovanni Abbattista, Elena Bozzola, Paola De Castro, Maurella Della Seta, Alberto Villani, Guglielmo Bonaccorsi

Research output: Contribution to journalArticle

Abstract

Health Literacy (HL) is an important health determinant: low HL skills result in less healthy choices, riskier behavior, poorer health, less self-management and more hospitalization. An observational study was conducted in a selected population, attending the waiting rooms of family general practitioners, with the aim of assessing HL capabilities through the administration of two HL screeners (IMETER and SILS-IT), and comparing the two measures. An anonymous questionnaire was administered, consisting of the Italian versions of the two tests on a single sheet. Demographic data, as well as concomitant chronic diseases and vaccines received, were also collected. HL skills were measured by the scores observed at both tests, and by the frequency of subjects with low HL levels according to the respective cut-off values. Overall, 305 questionnaires were collected and analyzed. Regarding IMETER, the observed frequency of subjects with low HL skills was 25.2% and the mean score and mean adjusted-score (26.3 ± 8.8 and 23.2 ± 9.4, respectively) were lower than those observed in previous studies. Similarly, at SILS-IT the percentage of subjects with low skills (49.9%) was higher than observed previously. IMETER showed high internal consistency (Cronbach's alpha > 0.9). The two measures were significantly correlated, although with a low Spearman's coefficient, and IMETER did not provide significant information about the probability to predict low HL according to SILS-IT. These results are explainable by the differences in assessment and domains between the two tests, both reliable and suitable to screen patients with low functional HL.

Original languageEnglish
Pages (from-to)214-222
Number of pages9
JournalAnnali dell'Istituto Superiore di Sanita
Volume54
Issue number3
DOIs
Publication statusPublished - Oct 5 2018

Fingerprint

Health Literacy
Choice Behavior
Health
Self Care
General Practitioners
Observational Studies
Hospitalization
Chronic Disease
Vaccines
Demography

Cite this

Assessment of health literacy skills in family doctors' patients by two brief, self-administered Italian measures. / Biasio, Luigi Roberto; Lorini, Chiara; Abbattista, Giovanni; Bozzola, Elena; De Castro, Paola; Della Seta, Maurella; Villani, Alberto; Bonaccorsi, Guglielmo.

In: Annali dell'Istituto Superiore di Sanita, Vol. 54, No. 3, 05.10.2018, p. 214-222.

Research output: Contribution to journalArticle

Biasio, Luigi Roberto ; Lorini, Chiara ; Abbattista, Giovanni ; Bozzola, Elena ; De Castro, Paola ; Della Seta, Maurella ; Villani, Alberto ; Bonaccorsi, Guglielmo. / Assessment of health literacy skills in family doctors' patients by two brief, self-administered Italian measures. In: Annali dell'Istituto Superiore di Sanita. 2018 ; Vol. 54, No. 3. pp. 214-222.
@article{aa5fff2374ac4eceb51bde31fe752861,
title = "Assessment of health literacy skills in family doctors' patients by two brief, self-administered Italian measures",
abstract = "Health Literacy (HL) is an important health determinant: low HL skills result in less healthy choices, riskier behavior, poorer health, less self-management and more hospitalization. An observational study was conducted in a selected population, attending the waiting rooms of family general practitioners, with the aim of assessing HL capabilities through the administration of two HL screeners (IMETER and SILS-IT), and comparing the two measures. An anonymous questionnaire was administered, consisting of the Italian versions of the two tests on a single sheet. Demographic data, as well as concomitant chronic diseases and vaccines received, were also collected. HL skills were measured by the scores observed at both tests, and by the frequency of subjects with low HL levels according to the respective cut-off values. Overall, 305 questionnaires were collected and analyzed. Regarding IMETER, the observed frequency of subjects with low HL skills was 25.2{\%} and the mean score and mean adjusted-score (26.3 ± 8.8 and 23.2 ± 9.4, respectively) were lower than those observed in previous studies. Similarly, at SILS-IT the percentage of subjects with low skills (49.9{\%}) was higher than observed previously. IMETER showed high internal consistency (Cronbach's alpha > 0.9). The two measures were significantly correlated, although with a low Spearman's coefficient, and IMETER did not provide significant information about the probability to predict low HL according to SILS-IT. These results are explainable by the differences in assessment and domains between the two tests, both reliable and suitable to screen patients with low functional HL.",
author = "Biasio, {Luigi Roberto} and Chiara Lorini and Giovanni Abbattista and Elena Bozzola and {De Castro}, Paola and {Della Seta}, Maurella and Alberto Villani and Guglielmo Bonaccorsi",
year = "2018",
month = "10",
day = "5",
doi = "10.4415/ANN_18_03_08",
language = "English",
volume = "54",
pages = "214--222",
journal = "Annali dell'Istituto Superiore di Sanita",
issn = "0021-2571",
publisher = "Istituto Superiore di Sanita",
number = "3",

}

TY - JOUR

T1 - Assessment of health literacy skills in family doctors' patients by two brief, self-administered Italian measures

AU - Biasio, Luigi Roberto

AU - Lorini, Chiara

AU - Abbattista, Giovanni

AU - Bozzola, Elena

AU - De Castro, Paola

AU - Della Seta, Maurella

AU - Villani, Alberto

AU - Bonaccorsi, Guglielmo

PY - 2018/10/5

Y1 - 2018/10/5

N2 - Health Literacy (HL) is an important health determinant: low HL skills result in less healthy choices, riskier behavior, poorer health, less self-management and more hospitalization. An observational study was conducted in a selected population, attending the waiting rooms of family general practitioners, with the aim of assessing HL capabilities through the administration of two HL screeners (IMETER and SILS-IT), and comparing the two measures. An anonymous questionnaire was administered, consisting of the Italian versions of the two tests on a single sheet. Demographic data, as well as concomitant chronic diseases and vaccines received, were also collected. HL skills were measured by the scores observed at both tests, and by the frequency of subjects with low HL levels according to the respective cut-off values. Overall, 305 questionnaires were collected and analyzed. Regarding IMETER, the observed frequency of subjects with low HL skills was 25.2% and the mean score and mean adjusted-score (26.3 ± 8.8 and 23.2 ± 9.4, respectively) were lower than those observed in previous studies. Similarly, at SILS-IT the percentage of subjects with low skills (49.9%) was higher than observed previously. IMETER showed high internal consistency (Cronbach's alpha > 0.9). The two measures were significantly correlated, although with a low Spearman's coefficient, and IMETER did not provide significant information about the probability to predict low HL according to SILS-IT. These results are explainable by the differences in assessment and domains between the two tests, both reliable and suitable to screen patients with low functional HL.

AB - Health Literacy (HL) is an important health determinant: low HL skills result in less healthy choices, riskier behavior, poorer health, less self-management and more hospitalization. An observational study was conducted in a selected population, attending the waiting rooms of family general practitioners, with the aim of assessing HL capabilities through the administration of two HL screeners (IMETER and SILS-IT), and comparing the two measures. An anonymous questionnaire was administered, consisting of the Italian versions of the two tests on a single sheet. Demographic data, as well as concomitant chronic diseases and vaccines received, were also collected. HL skills were measured by the scores observed at both tests, and by the frequency of subjects with low HL levels according to the respective cut-off values. Overall, 305 questionnaires were collected and analyzed. Regarding IMETER, the observed frequency of subjects with low HL skills was 25.2% and the mean score and mean adjusted-score (26.3 ± 8.8 and 23.2 ± 9.4, respectively) were lower than those observed in previous studies. Similarly, at SILS-IT the percentage of subjects with low skills (49.9%) was higher than observed previously. IMETER showed high internal consistency (Cronbach's alpha > 0.9). The two measures were significantly correlated, although with a low Spearman's coefficient, and IMETER did not provide significant information about the probability to predict low HL according to SILS-IT. These results are explainable by the differences in assessment and domains between the two tests, both reliable and suitable to screen patients with low functional HL.

U2 - 10.4415/ANN_18_03_08

DO - 10.4415/ANN_18_03_08

M3 - Article

C2 - 30284548

VL - 54

SP - 214

EP - 222

JO - Annali dell'Istituto Superiore di Sanita

JF - Annali dell'Istituto Superiore di Sanita

SN - 0021-2571

IS - 3

ER -