ATTACH YOU WILL FIND HEALTH LITERACY TOOL WHICH IS THE RUBRIC AND APA STYLE.1. Explore the Health Literacy Tool Shed website. This site provides a database of health literacy measures.URL:https://healthliteracy.bu.edu/Welcome to the Health Literacy Tool Shed! This website helps you:Learn about health literacy measurement toolsFind tools that meet your needsInclusion CriteriaThis website includes tools (measures, instruments, and items) that:Measure an individual’s health literacy.Are published in peer-reviewed journals — the published articles describe the measure and its development process, along with the report validation procedures that include at least 100 participants.We did not exclude tools on the basis of accessibility, so some tools may require payment or author permission.1The number of available tools to assess an individual’s health literacy has increased during the past decade. There are more than 100 tools available on this site, and we review the Tool Shed quarterly so we can continue to add measures that meet our criteria. Please let us know if you have suggestions to improve the Tool Shed, such as adding tools or more information on the listed measures. To make a suggestion, you can use the Contact Us web form.Michael Paasche-Orlow, MD, MA, MPH, the lead academic partner for this project, will incorporate your suggestions in future site updates.Note: Some of the health literacy tools that are not included assess the complexity of the health care system, provider communication skills, or other facets of organizations or materials. We hope to include tools of this nature in the future.Current Limitations and Considerations in Tool SelectionInstrument validation is an ongoing process. The Tool Shed includes the most common type of validation information available in research published to date. However, before selecting a tool, we suggest you contact the author(s) of the tool (identified in the Tool Shed), or read the full paper and contact the corresponding author.Authors: If your contact information is inaccurate or is not listed, please send us your current contact information so others can reach out to you. This helps everyone learn from — and expand on — your work.When selecting a tool for your project, please keep these limitations in mind:Despite the overall large number of tools, there may be only a few instruments to assess some of the health literacy’s conceptual domains. Similarly, some health literacy domains are assessed by a few (or sometimes only one) item.The validation evidence presented for multiple tools focuses on concurrent validity, which is commonly reported in journals. Construct validity is less frequently reported. The prominence of a few measures as the basis of concurrent validity (i.e., TOFHLA and REALM) has led to something of an interdependent validation churn.While tools (measures) based upon self-reports are easier to administer, they lack firm empirical grounding. For example, some participants do not have accurate insight into their own skill level. Accordingly, user caution is suggested when using such tools to assess individual care or services. Also, while contemporary test item and scale development methods remedy some of the problems inherent in classical test theory, only a small but growing number of tools are based on these methods. To view these tools, please filter the list by ‘Modern Approach for Tool Development.’Opportunities for Future ResearchIn developing the Tool Shed, we found gaps within some health literacy measures. We suggest future researchers close these gaps by:Aligning health literacy measurement with theory and conceptual modelsDeveloping methods of objective measurement that approximate the convenience of self-report measuresConducting a comparative assessment of self-reported and objective measuresAbout the Health Literacy Tool Shed TeamThis project is a collaboration among:CommunicateHealth, Inc.Boston University (Lead contact: Michael Paasche-Orlow, MD, MA, MPH)RTI International (Lead contact: Lauren McCormack, Ph.D., MSPH)Funding is provided by the National Institutes of Health’s National Library of Medicine (Lead contact: Robert A. Logan, Ph.D.).About Health LiteracyIn the U.S., health literacy is often defined as “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (Health Literacy: A Prescription to End Confusion, Institute of Medicine, 2004). However, the field of health literacy is evolving, and a number of different definitions of health literacy are currently in use (Berkman, et al., 2010; Sorenson, et al., 2012).More recent definitions focus on specific skills needed to navigate the health care system and on the importance of clear communication between health care providers and their patients. Health care providers and patients both play important roles in health literacy, but most measures focus on an individual’s health literacy level. More recently, the Vanderbilt Center for Effective Health Communication has published an assessment process for measuring health literacy at the organizational level.Recommended ReferencesNIH Office of Communications and Public Liaison (OCPL) — Clear CommunicationThis page provides information on NIH communication initiatives, including a resource library of health literacy research and NIH educational products.NIH Office of Behavioral and Social Sciences Research (OBSSR) — Health LiteracyLearn more about existing health literacy research supported by NIH, as well as funding opportunities and topics of interest for future research.HHS Office of Disease Prevention and Health Promotion — Health Literacy OnlineUse this research-based guide to learn how to design health websites and other digital health information tools for all users, including those with limited literacy or health literacy skills.National Library of Medicine — Medline Plus: Health LiteracyAbout 9 out of 10 American adults have some problems with health literacy. This page provides links to consumer resources, multimedia, and research information.National Library of Medicine — Health Services and Sciences Research Resources (HSRR)This searchable database provides information about research datasets, instruments/indices, and software for use in health services research, the behavioral and social sciences, and public health.National Library of Medicine — PubMed Health Literacy SearchPubMed provides a curated gateway to search health literacy literature, as well as a library of links to relevant resources for health literacy research.National Network of Libraries of Medicine: Health LiteracyThis page addresses key health literacy topics, including the economic impact of low health literacy, initiatives to improve patient communication, and the role of librarians in consumer health initiatives.Agency for Healthcare Research & Quality — Literacy and Health OutcomesThis page summarizes the results of a systematic review outlining the relationship between health literacy and health outcomes, as well as interventions to mitigate the effects of low health literacy on health outcomes.Agency for Healthcare Research & Quality — Health Literacy Universal Precautions Toolkit, 2nd editionThis toolkit can help primary health care practices reduce the complexity of health care, increase patient understanding of health information, and enhance support for patients at all health literacy levels.Centers for Disease Control & Prevention (CDC) — Health LiteracyThis page provides information and tools to improve health literacy and public health for organizations that interact and communicate with people about health.Journal of the American Medical Association (JAMA) — Patient Page: Health LiteracyThis page provides tips for patients on self-advocacy at doctor visits and on identifying reliable health information online.References:Berkman, N.D., Davis, T.C., & McCormack, L. (2010). Health literacy: What is it? Journal of Health Communication, 15(S2), 9-19.Sorensen, K., Broucke S.V., Fullam, J., Doyle, G., Pelikan J., Slonska, A., & Brand, H., HLS-EU Consortium Health Literacy Project European (2012).Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12:80, doi:10:1186/1471-2458-12-80.1 Access to the instruments and costs may vary as mandated by the investigator(s) or publisher. The Tool Shed is not responsible for individuals or organizations that charge for the use of health literacy tools or if rates have changed since being posted on this site.Boston UniversitySite Last Updated On: November 3, 2019CommunicateHealth, Inc2. Read “Health Literacy Measurement Tools (Revised),” located on the Agency for Healthcare Research and Quality (AHRQ) website.URL:https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy/index.htmlResearch health literacy assessment tools and select one with which to complete a self-assessment. In a narrative of 750-1,000 words, include the following:A description of the health literacy assessment tool you selected, including your rationale for selecting it, its applicability, strengths, and limitations.A summary of the findings of your self-assessment, including ease of use, and overall experience.An outline of how your results can help in understanding, assessing, and improving health literacy for others.A description of one evidence-based strategy for the development of health messages that would be beneficial for those with low health literacy.Incorporate three to five resources to support your written narrative.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
