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. Author manuscript; available in PMC: 2014 May 8.
Published in final edited form as: J Nurs Meas. 2009;17(3):195–220. doi: 10.1891/1061-3749.17.3.195

TABLE 7.

Literacy Scores and Selected Demographic Characteristics of Respondents With Most Problems on Both Instruments

Age/Gender Number of
Problem Questions
Grade Level
Attained
REALMa S-TOFHLAb Years Since
Diagnosis
ADDQoL DQOL-B
73/female 10 8 5th 7 6 30
82/female 4 7 3rd 36 0 25–30
64/male 6 4 11th 27 15 12
79/female 4 3 9th 26 5 31
66/male 3 3 10th 7 18 33
REALM Score Interpretationa

Raw Score Grade Range
Equivalent
Literacy Skills

0–18 3rd grade and below Will not be able to read most low-literacy materials …
19–44 4th to 6th grade Will need low-literacy materials with accompanying verbal instructions …
45–60 7th to 8th grade Will struggle with many patient education materials and may be able to pronounce but not fully comprehend the message …
61–66 High school Will be able to read most patient education materials …
S-TOFHLA Functional Health Literacy Levelsb

Score Level Functional Health
Literacy Description

0–16 Inadequate Unable to read and interpret health texts
17–22 Marginal Has difficulty reading and interpreting health texts
23–36 Adequate Can read and interpret most health text
a

REALM score interpretation (Davis et al., 1993).

b

S-TOFHLA Functional Health Literacy Levels (Baker et al., 1999).