The magnitude and consequences of low literacy in adolescent health and health care are unknown.
The purpose of this study was to validate the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen), a word-recognition test in English that can be used as a brief literacy-screening tool in health care settings. A total of 1533 adolescents aged 10 to 19 years attending 1 of 5 middle schools, 3 high schools, 1 pediatric clinic, or 2 summer programs in Louisiana and North Carolina participated in face-to-face interviews.
Developing and validating rapid assessment instruments
Using reading below grade level (according to SORT-R scores) as an outcome, instrument accuracy and corresponding cutoff scores were calculated by plotting receiver operating characteristic curves and stratum-specific likelihood ratios. Participants were 50% black and 53% female; 34% were enrolled in middle school and 66% in high school.
The average time required to administer the REALM-Teen was 3 minutes.
Internal consistency was excellent, as was test-retest reliability.
The REALM-Teen is strongly correlated with both the WRAT-R and SORT-R.
Five reading level categories were identified: 3rd grade and below, 4th to 5th grade, 6th to 7th grade, 8th to 9th grade, and 10th grade and above.
Forty-six percent of participants were reading below grade level according to the SORT-R and 28% had repeated at least 1 grade. The REALM-Teen is a brief, reliable instrument for assessing adolescent literacy skills and reading below grade level.
Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US.00Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.
International Centre for Diarrhoeal Disease Research Bangladesh Dr.
Nafisa Lira Huq has been associated since 1999 as an Assistant Scientist with Centre for Reproductive Health (CRH).
She is working at ICCDRB on studies related to married women, adolescents, youth and sex workers.
At present she is involved in maternal and neonatal health interventions that aim to improve the maternal and neonatal health status in Bangladesh.