Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease?
Background: Limited health literacy is common among persons infected with HIV and has been linked to poor mental and physical health outcomes, but there are no well-validated screening measures of health literacy in this vulnerable clinical population. The present study evaluates the usefulness of t...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-11-01
|
| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325957417729753 |
| _version_ | 1819206363536949248 |
|---|---|
| author | Victoria M. Kordovski MA Steven Paul Woods PsyD Gunes Avci PhD Marizela Verduzco BA Erin E. Morgan PhD |
| author_facet | Victoria M. Kordovski MA Steven Paul Woods PsyD Gunes Avci PhD Marizela Verduzco BA Erin E. Morgan PhD |
| author_sort | Victoria M. Kordovski MA |
| collection | DOAJ |
| description | Background: Limited health literacy is common among persons infected with HIV and has been linked to poor mental and physical health outcomes, but there are no well-validated screening measures of health literacy in this vulnerable clinical population. The present study evaluates the usefulness of the Newest Vital Sign (NVS) as a brief measure of health literacy in HIV disease. Methods: Seventy-eight HIV+ adults were administered the NVS, Rapid Estimate of Adult Literacy in Medicine (REALM), and Single Item Literacy Screener (SILS). Main criterion variables included plasma HIV viral load, medication management capacity, self-efficacy for medication management, and perceived relationships with healthcare providers. Results: The NVS showed good internal consistency and moderate correlations with the REALM and SILS. Rates of limited health literacy were highest on the NVS (30.3%) as compared to SILS (6.6%) and REALM (9.2%). A series of regressions controlling for education showed that the NVS was incrementally predictive of viral load, medication management capacity and self-efficacy, and relationships with healthcare providers, above and beyond the REALM and SILS. Conclusion: The NVS shows evidence of reliability, convergent validity, and incremental criterion-related validity and thus may serve as useful screening tool for assessing health literacy in HIV disease. |
| first_indexed | 2024-12-23T05:06:25Z |
| format | Article |
| id | doaj.art-3e677d863f584c28a05581a673403f1b |
| institution | Directory Open Access Journal |
| issn | 2325-9574 2325-9582 |
| language | English |
| last_indexed | 2024-12-23T05:06:25Z |
| publishDate | 2017-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-3e677d863f584c28a05581a673403f1b2022-12-21T17:59:04ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95742325-95822017-11-011610.1177/2325957417729753Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease?Victoria M. Kordovski MA0Steven Paul Woods PsyD1Gunes Avci PhD2Marizela Verduzco BA3Erin E. Morgan PhD4 Department of Psychology, University of Houston, Houston, TX, USA Department of Psychiatry, University of California–San Diego, San Diego, CA, USA Department of Psychology, University of Houston, Houston, TX, USA Department of Psychiatry, University of California–San Diego, San Diego, CA, USA Department of Psychiatry, University of California–San Diego, San Diego, CA, USABackground: Limited health literacy is common among persons infected with HIV and has been linked to poor mental and physical health outcomes, but there are no well-validated screening measures of health literacy in this vulnerable clinical population. The present study evaluates the usefulness of the Newest Vital Sign (NVS) as a brief measure of health literacy in HIV disease. Methods: Seventy-eight HIV+ adults were administered the NVS, Rapid Estimate of Adult Literacy in Medicine (REALM), and Single Item Literacy Screener (SILS). Main criterion variables included plasma HIV viral load, medication management capacity, self-efficacy for medication management, and perceived relationships with healthcare providers. Results: The NVS showed good internal consistency and moderate correlations with the REALM and SILS. Rates of limited health literacy were highest on the NVS (30.3%) as compared to SILS (6.6%) and REALM (9.2%). A series of regressions controlling for education showed that the NVS was incrementally predictive of viral load, medication management capacity and self-efficacy, and relationships with healthcare providers, above and beyond the REALM and SILS. Conclusion: The NVS shows evidence of reliability, convergent validity, and incremental criterion-related validity and thus may serve as useful screening tool for assessing health literacy in HIV disease.https://doi.org/10.1177/2325957417729753 |
| spellingShingle | Victoria M. Kordovski MA Steven Paul Woods PsyD Gunes Avci PhD Marizela Verduzco BA Erin E. Morgan PhD Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease? Journal of the International Association of Providers of AIDS Care |
| title | Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease? |
| title_full | Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease? |
| title_fullStr | Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease? |
| title_full_unstemmed | Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease? |
| title_short | Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease? |
| title_sort | is the newest vital sign a useful measure of health literacy in hiv disease |
| url | https://doi.org/10.1177/2325957417729753 |
| work_keys_str_mv | AT victoriamkordovskima isthenewestvitalsignausefulmeasureofhealthliteracyinhivdisease AT stevenpaulwoodspsyd isthenewestvitalsignausefulmeasureofhealthliteracyinhivdisease AT gunesavciphd isthenewestvitalsignausefulmeasureofhealthliteracyinhivdisease AT marizelaverduzcoba isthenewestvitalsignausefulmeasureofhealthliteracyinhivdisease AT erinemorganphd isthenewestvitalsignausefulmeasureofhealthliteracyinhivdisease |