Adaptation of the Rapid Estimate of Adult Litera cy in Medicine Revised (REALM -R) to the South African context: Part 1

Health SA Gesondheid

Field Value
Title Adaptation of the Rapid Estimate of Adult Litera cy in Medicine Revised (REALM -R) to the South African context: Part 1
Creator Wasserman, Zelda Wright, Susanna C.D. Maja, Todd Mavis
Subject Health promotion Delphi technique; health literacy; literacy; patients; REALM-R; Tshwane
Description Literacy levels are increasingly important in health care because professional nurses and other health care professionals often use written health education materials as a major component in patient education. In South Africa, no current instrument is available to assess the literacy levels of patients in the primary health care setting, though several instruments have been developed and validated internationally. The purpose of this paper was to adapt and validate the Rapid Estimate of Adult Literacy in Medicine Revised (REALM-R) to the South African context. The REALM-R is a short instrument that is designed to rapidly screen clients in the primary health care setting for low health literacy. A modified Delphi-technique was used to measure the judgement of a group of experts for the purpose of making a decision. Eight experts in the field of Nursing Science were selected purposively to obtain the most reliable consensus. Data was collected by means of a selfreport whereby participants responded to a series of questions posed by the researcher. Descriptive statistics was used for analysing data. The REALM-R was adapted to the South African context to ensure that the literacy level of South African clients is measured with an appropriate instrument.OpsommingGeletterdheidsvlakke word toenemend belangrik in gesondheidsorg aangesien geregistreerde verpleegkundiges en ander gesondheidswerkers dikwels geskrewe gesondheidopvoedkundige materiaal gebruik. Op die oomblik in Suid-Afrika is daar geen geletterdheidsvlaksinstrument beskikbaar om pasiënte in primêre gesondheidsorg se geletterdheid te toets nie. Daar bestaan wel gevalideerde internasionale instrumente. Die doel van die studie was om die REALM-R, ‘n internasionaal gevalideerde mediese geletterdheidsinstrument, aan te pas en te valideer om in die Suid-Afrikaanse konteks gebruik te kan word. Die REALM-R is ‘n kort geletterdheidsinstrument wat ontwikkel was om primêre sorg pasiênte wat moontlik lae geletterdheidsvaardigheid het, te kansif. ‘n Aangepasde Delphi-tegniek is gebruik om die oordeel van ‘n groep kundiges in te win. Agt kundiges in verpleegwetenskappe is doelgerig gekies ten einde ‘n betroubare ooreenkoms te verkry.Data is deur middel van self-raportering ingewin deurdat die deelnemers op vrae, gestel deur die navorser, geantwoord het. Beskrywende statistiek is gebruik om die data te ontleed. Die REALM-R is aangepas vir die Suid-Afrikaanse konteks ten einde ‘n geskikte instrument beskikbaar te stel om die geletterdheidsvaardigheid van primêre sorg pasiente vinnig en akkuraat te kan meet.
Publisher AOSIS Publishing
Contributor Evidence-based health promotion in the community niche area, Tshwane University of Technology
Date 2010-09-02
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Delphi technique
Format text/html text/xml application/pdf
Identifier 10.4102/hsag.v15i1.468
Source Health SA Gesondheid; Vol 15, No 1 (2010); 5 pages 2071-9736 1025-9848
Language eng
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Coverage Tshwane; Gauteng 2007-2008 Registered professional nurses with expertise in health promotion and primary care
Rights Copyright (c) 2010 Zelda Wasserman, Susanna C.D. Wright, Todd Mavis Maja