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) |