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J Gen Intern Med. 2003 Dec;18(12):1036-8.

A shortened instrument for literacy screening.

Author information

  • 1Department of Internal Medicine, Louisiana State University Health Science Center, Shreveport, LA 71130-3932, USA. pbassi@lsuhsc.edu

Abstract

The Rapid Estimate of Adult Literacy in Medicine (REALM-R), a new 8-item instrument designed to rapidly screen patients for potential health literacy problems, was administered to 157 patients. The REALM-R was correlated with Wide Range Achievement Test-Revised (WRAT-R) (.64) and demonstrated a Cronbach's alpha of 0.91. The REALM-R identified 26 of 30 persons scoring more than 1 standard deviation below the mean on the WRAT-R, corresponding to a sixth grade reading level. The REALM-R identified a substantial number of people who scored poorly on the WRAT-R, and depending on further studies of validity and reliability, may offer a practical approach to identify patients at risk for health literacy problems in a clinical setting.

PMID:
14687263
[PubMed - indexed for MEDLINE]
PMCID:
PMC1494969
Free PMC Article

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