title: Development and validation of a brief computer-administered HIV-Related Health Literacy Scale (HIV-HL).
abstract: Health literacy is related to a number of health status variables and has been associated with medication adherence in persons treated for HIV infection. Currently-available measures of health literacy require lengthy administration or have content or format limitations. In this paper we report the preliminary development and validation of a brief computer-administered health literacy test that includes content focused on medication adherence as well as questions based on a video simulation of an HIV-related clinical encounter. The measure shows significant relations with other measures of health literacy, HIV-related knowledge, and electronically-measured medication adherence. We also present receiver operating characteristic analyses that provide estimates of various scores' sensitivities and specificities so that the HIV-Related Health Literacy Scale can be used as a screening measure.
authors.affiliation: Department of Psychiatry and Behavioral Medicine, Nova Southeastern University, Fort Lauderdale, FL 33328, USA. ro71@nova.edu
authors.forename: Raymond L
authors.initials: RL
authors.lastname: Ownby
authors.forename: Drenna
authors.initials: D
authors.lastname: Waldrop-Valverde
authors.forename: Patrick
authors.initials: P
authors.lastname: Hardigan
authors.forename: Joshua
authors.initials: J
authors.lastname: Caballero
authors.forename: Robin
authors.initials: R
authors.lastname: Jacobs
authors.forename: Amarilis
authors.initials: A
authors.lastname: Acevedo
mesh_terms: D019380:Anti-HIV Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology*; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D036301:Qualitative Research; D012372:ROC Curve; D011795:Surveys and Questionnaires; D019562:Viral Load; D016903:Drug Monitoring
chemical_list: D019380:Anti-HIV Agents