Literature DB >> 15951456

Can patients interpret health information? An assessment of the medical data interpretation test.

Lisa M Schwartz1, Steven Woloshin, H Gilbert Welch.   

Abstract

OBJECTIVE: To establish the reliability/validity of an 18-item test of patients' medical data interpretation skills.
DESIGN: Survey with retest after 2 weeks. Subjects. 178 people recruited from advertisements in local newspapers, an outpatient clinic, and a hospital open house.
RESULTS: The percentage of correct answers to individual items ranged from 20% to 87%, and medical data interpretation test scores (on a 0- 100 scale) were normally distributed (median 61.1, mean 61.0, range 6-94). Reliability was good (test-retest correlation=0.67, Cronbach's alpha=0.71). Construct validity was supported in several ways. Higher scores were found among people with highest versus lowest numeracy (71 v. 36, P<0.001), highest quantitative literacy (65 v. 28, P<0.001), and highest education (69 v. 42, P=0.004). Scores for 15 physician experts also completing the survey were significantly higher than participants with other postgraduate degrees (mean score 89 v. 69, P<0.001).
CONCLUSION: The medical data interpretation test is a reliable and valid measure of the ability to interpret medical statistics.

Entities:  

Mesh:

Year:  2005        PMID: 15951456     DOI: 10.1177/0272989X05276860

Source DB:  PubMed          Journal:  Med Decis Making        ISSN: 0272-989X            Impact factor:   2.583


  31 in total

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Review 2.  State of the science of health literacy measures: Validity implications for minority populations.

Authors:  Tam H Nguyen; Hyunjeong Park; Hae-Ra Han; Kitty S Chan; Michael K Paasche-Orlow; Jolie Haun; Miyong T Kim
Journal:  Patient Educ Couns       Date:  2015-07-29

Review 3.  Rethinking health numeracy: a multidisciplinary literature review.

Authors:  Jessica S Ancker; David Kaufman
Journal:  J Am Med Inform Assoc       Date:  2007-08-21       Impact factor: 4.497

4.  Patients and medical statistics. Interest, confidence, and ability.

Authors:  Steven Woloshin; Lisa M Schwartz; H Gilbert Welch
Journal:  J Gen Intern Med       Date:  2005-11       Impact factor: 5.128

5.  Numeracy and Interpretation of Prognostic Estimates in Intracerebral Hemorrhage Among Surrogate Decision Makers in the Neurologic ICU.

Authors:  Nikita Leiter; Melissa Motta; Robert M Reed; Temitope Adeyeye; Debra L Wiegand; Nirav G Shah; Avelino C Verceles; Giora Netzer
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6.  Explanations for side effect aversion in preventive medical treatment decisions.

Authors:  Erika A Waters; Neil D Weinstein; Graham A Colditz; Karen Emmons
Journal:  Health Psychol       Date:  2009-03       Impact factor: 4.267

7.  A framework for health numeracy: how patients use quantitative skills in health care.

Authors:  Marilyn M Schapira; Kathlyn E Fletcher; Mary Ann Gilligan; Toni K King; Purushottam W Laud; B Alexendra Matthews; Joan M Neuner; Elisabeth Hayes
Journal:  J Health Commun       Date:  2008 Jul-Aug

8.  Evaluating existing measures of health numeracy using item response theory.

Authors:  Marilyn M Schapira; Cindy M Walker; Sonya K Sedivy
Journal:  Patient Educ Couns       Date:  2009-05-13

Review 9.  Clinical implications of numeracy: theory and practice.

Authors:  Wendy Nelson; Valerie F Reyna; Angela Fagerlin; Isaac Lipkus; Ellen Peters
Journal:  Ann Behav Med       Date:  2008-08-02

10.  What is my cancer risk? How internet-based cancer risk assessment tools communicate individualized risk estimates to the public: content analysis.

Authors:  Erika A Waters; Helen W Sullivan; Wendy Nelson; Bradford W Hesse
Journal:  J Med Internet Res       Date:  2009-07-31       Impact factor: 5.428

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