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test item is counted when there is both correct pronunciation and accurate as- sociation, and this is worth one point. A test item is given a zero if the patient pro- nounces the word correctly but cannot as- sociate it with the appropriate healthcare
term, or vice versa, or if they answer that they don’t know. When the test is finished the healthcare professional sums up the total points, to a maximum of 18. A score less than 14 suggests the patient has low health literacy (AHRQ, 2019).
Stem
Key or Distracter
Don’t Know
1. Kidney
__ urine __ work
__ fever
__ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know __ don’t know
2. Occupation 3. Medication
__ education __ treatment
__ instrument
4. Nutrition
__ healthy
__ soda
5. Miscarriage
__ loss __ plant
__ marriage
6. Infection
__ virus
7. Alcoholism __ addiction
__ recreation __ childhood
8. Pregnancy
__ birth __ dizzy __ sleep
9. Seizure
__ calm
10. Dose
__ amount __ harmony
11. Hormones 12. Abnormal 13. Directed 14. Nerves
__ growth __ different __ instruction
__ similar
__ decision __ anxiety
__ bored
15. Constipation __ blocked
__ loose
16. Diagnosis
__ evaluation
__ recovery
17. Hemorrhoids
__ veins
__ heart
18. Syphilis
__ contraception __ condom
Note: From Agency for Healthcare Research and Quality. (2019). Health literacy measurement tools. https://www.ahrq.gov/ health-literacy/research/tools/index.html#short
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