Short Test of Functional Literacy ilJ..,Adults STOFHLA...

Short Test of Functional Literacy ilJ..,AdultsSTOFHLA

READINGCOMPREHENSION

HAND PATIENTTHE READING COMPREHENSION PASSAGES TO BECOMPLETED. FOLD BACK THE PAGE OPPOSITE THE TEXT SO THAT THEPATIENTSEES ONLY Tt:tE TEXT.

PREFACETHE READING COMPREHENSION EXERCISE WITH:

"Here are some other medical instructions that you or anybody might see around thehospital. These instructions are in sentences that have some of the words missing.Where a word is missing, a blank line is drawn, and 4 possible words that could go in theblank appear just below it. I want you to figure out which of those 4 words should go inthe blank, which word makes the sentence make sense. When you think you knowwhich one it is, circle the letter in front of that word, and go on to the next one. Whenyou finish the page, turn the page and keep going until you finish all the pages."

STOP AT THE END OF 7 MINUTES

PASSAGE A: X-RAY PREPARATION

PASSAGE B: MEDICAID RIGHTS AND RESPONSIBILITIES

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Sub- Toral

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., .-

PASSAGEA- ...

Al (1) (0)a.b.c.d. I

A2 (1) (0) A3 (1) (0)a. a.b. b.c. c.d. d.

A4 (1) (0) AS (1) (0)a. a.b. b.c. c.d. d.

PASSAGE A

Yourdoctor has sent you to haveaa. stomachb. diabetesc. stitches

d. germs

X-ray.

stomach when you come fora. IS.b. am.c. i£d. it.

Youmust have ana. asthma

b. emptyc. Incestd. anemia

The X-ray will from 1 to 3 to do.a. takeb. viewc. talkd. look

a. bedsb. brainsc. hoursd. diets

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Sub-Total

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A6 (1) (0) A7 (1) (0)a. a.b. b.

-I I C. c.d. d.

A8 (1) (0) A9 (1) (0)a. a.b. b.c. c.d. d.

A10 (1) (0) All (1) (0)a. a.b. b.c. c.d. d.

THE DAY BEFORETHE X-RAY.

For supper have only a

with coffee or tea.

Aftera. minute,b. midnight,c. during,d. before,

anythingata. illb. allc. each

d. any

snack of fruit, and jelly,a. littleb. brothc. attackd. nausea

a. toesb. throatc. toast

d. thigh

, you must not or drink

a. easyb. atec. drankd. eat

until afteryou have the X-ray.a. areb. hasc. hadd. was

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7

Sub-Total

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Al2 (1) (0)a.b.c.d.

Al3 (1) (0) Al4 (1) (0)a. a.b. b.c. c.d. d.

Al5 (1) (0) Al6 (1) (0)a. a.b. b.c. c.d. d.

THE DAY OF THE X-RAY.

Do not eat

a. appoIntment.b. walk-in.c. breakfast.'d. clinic.

Do not , evena. drive,b. drink,c. dress,d. dose,

a. heart.b. breath.c. water.d. cancer.

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If you have any , call the X-ray at 616-4500.a. answers, a. Departmentb. exercises, b. Sprainc. tracts, c. Pharmacyd. questions, d. Toothache

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BI7 (1) (0)...

a.b.c.d.

BI8 (1) (0) BI9 (1) (0)a. a.b. b.c. c.d. d.

.B20 (1) (0)a.b.c.d.

B2I (1) (0) B22 (1) (0)a. a.b. b.c. c.d. d.

.B23 (1) (0)a.b.c.d.--Sub-Total

PASSAGE B

I agree to give correct information to if I can receive Medicaid.a. hairb. saltc. seed. ache

to provide the county information to anyI

a. agreeb. probec. send

d. gain

statements given in this

thea. inflammation

b. religionc. Iron

d. county

a. emphysemab. applicationc. gallbladderd. relationship

to get such proof I

Medicaid I must report any

a. hideb. risk

c. discharged. prove

and hereby give permission to

that for

a. investigateb. entertainc. understandd. establish

in my circumstancesa. changesb. hormonesc. antacids

d. charges

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.,

B24 (1) (0) B25 (1) (0)--a. a.b. b.c. c.d. d.

>1 I B26 (1) (0) B27 (1) (0)a. a.b. b.c. c.d. d.

B28 (1) (0) B29 (1) (0)a. a.b. b.c. c.d. d.

B30 (1) (0)a.b.c.d.

B31 (1) (0) B32 (1) (0)a. a.b. b.c. c.d. d.

Sub-Total

within (10) days of becoming of the change.a. threeb. onec. fived. ten

a. awardb. aware

c. awayd. await

I understand if I DO NOT like the made on mya. thusb. thisc. thatd. than

a. marital

b. occupationc. adultd. decision

case, I have the to a fair hearing. I can a

a. brightb. left

a. requestb. refusec. faild. mend

c. wrongd. right

hearing by writing or the county where I applied.a. countmgb. readingc. callingd. smelling

If you TANF for any family , you will have toa. wCl$hb. want

a. member,b. history,c. weight,d. seatbelt,

c. cover

d. tape

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READING COMPREHENSION I Sub-TotalRAWSCORE

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.....

B33 (1) (0) B34 (1) (0)a. a.b. b.c. c.d. d.

-I

B35 (1) (0) B36 (1) (0)a. a.b. b.c. c.d. d.

a different application form. , we will usea. relaxb. breakc. inhale

d. sign

a. Since,b. Whether,c. However,d. Because,

the on this form to determine youra. lungb. datec. meal

d. pelvic

a. hypoglycemia.b. eligibility.c. osteoporosis.d. schizophrenia.

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Short Test of Functional Health Literacy in Adults (STOFHLA)Joanne R Nurss, Ph.D., Ruth M. Parker,M.D., Mark V.Williams,M.D., & David~ Baker,M.D., M.P.H.

TOFHLA is a measure of the patient's ability to read and understand healthcare information, their functional health literacy. TOFHLA Numeracy assessestheir understanding of prescription labels, appointment slips, and glucosemonitoring. TOFHLA Reading Comprehension assessestheir understandingof health care texts such as preparation for a diagnostic procedure andMedicare Rights & Responsibilities.

Name _M_F

SSN or ID#

Hospital or Health-careSetting

City, State

Short Form Administered: _English _Spanish

STOFHLA - Score

TOFHLA Total Score:

Reading Comprehension Raw Score (0-36)

Functional Health Literacy Level:

o - 16 -- Inadequate Functional Health Literacy

17 -22 -- Marginal Functional Health Literacy

23 -,36 -- AdequateFunctional Health Literacy

July1995@ Emory University

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