title: The S-TOFHLA as a measure of functional literacy in patients with mild Alzheimer's disease or mild cognitive impairment.
abstract: In developing countries, education levels vary dramatically, and the number of years of schooling does not always correlate with the true level of educational competency. This study was designed to verify the accuracy of the Short-Test of Functional Health Literacy in Adults (S-TOFHLA) in individuals with mild cognitive impairment (MCI) and mild Alzheimer's disease (AD), when compared with healthy controls (HCs), in order to assess its utility as a measure of functional literacy. One hundred forty-eight subjects were divided into three groups: HC (n = 61), MCI patients (n = 42), and AD patients (n = 45). The S-TOFHLA does not seem to be suitable as an instrument to measure functional literacy for patients with advanced cognitive impairment, but proved to be appropriate in both the HC group and MCI patients in numeracy and prove to be useful as an adjuvant to estimate IQ, reading ability, and premorbid IQ, as an indicator of cognitive reserve.
authors: Behavioral and Cognitive Neurology Unit, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
authors: Maira Okada
authors: MO
authors: de Oliveira
authors: Ricardo
authors: R
authors: Nitrini
authors: Sonia Maria Dozzi
authors: SM
authors: Brucki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000523:psychology*; D001938:Brazil; D060825:Cognitive Dysfunction / Q000523:psychology*; D005260:Female; D057220:Health Literacy; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests
keywords: Alzheimer's disease; Health literacy; Intelligence; Mild cognitive impairment; S-TOFHLA