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. 2022 Oct 19;35(1):61–71. doi: 10.1007/s40520-022-02271-0

Table 1.

Measurement tools used for the assessment of caregivers’ health literacy

Characteristics Newest Vital Sign (NVS)22 Short form of Test of Functional Health Literacy in Adults (S-TOFHLA)22
Skills assessed Literacy, comprehension, numeracy, application/function, evaluation skills Literacy, comprehension, numeracy evaluation skills
N items 7 40
Time to be administered 5 min 12 min
Administration mode Face-to-face interview Self-administered (paper and pencil) with the support of the interviewer
Description It is based on the information presented on a nutritional label, printed on a separated sheet, that the caregiver consults during the test administration, and on 7 questions whose answers have to be deduced from the nutritional label It is divided into two sections. The first one includes four verbal numeracy questions, requiring interpretation of medication instructions, medical test results and an appointment date. The second section includes 36 close-type items regarding the preparation for a radiological examination (passage A) and a health administrative rights management section (passage B)
Scoring and classification The final score is calculated as the number of correct answers (from 0 to 6) and classifies the subjects into one of three categories: high likelihood of limited HL (score: 0–1); possibility of limited HL (score: 2–3); and adequate HL (score: 4–6) To each item of the numeracy section, a score of 7 was assessed for correct answer, giving a total of a maximum potential score of 28. For the second section, a score of 2 was assigned to each correct answer, reaching a maximum potential score of 72. The final score was calculated by summing the partial scores of the two sections, and ranged from 0 to 100. According to the final score, three levels of HL were identified: inadequate (0–53), marginal (54–66) and adequate (67–100)