In Person: Short Test of Functional Health Literacy in ...ssc.wisc.edu/wlsresearch/documentation/waves/codebooks/kstof.pdf · The Short Test of Functional Health Literacy in Adults

In Person: Short Test of Functional Health Literacy in Adults

(STOFHLA)

KSTOF Short Test of Functional Health Literacy in Adults (STOFHLA) Module

OVERVIEW

The Short Test of Functional Health Literacy in Adults (STOFHLA) Module is new

to the 2011 collection wave. At its core is a reading comprehension assessment

known as the "Short Test of Functional Health Literacy in Adults (STOFHLA)."

Although an abridged version of the "Test of Functional Health Literacy in

Adults (TOFHLA)," STOFHLA is likewise premised on the notion that successfully

navigating the health care system requires a level of literacy greater than

what is typically acquired in the conventional classroom. When being assessed,

patients are asked to read and complete passages that might be found in health

care settings by inserting missing words at selected intervals. More

specifically, they are prompted to choose the correct word from a list of four

possibilities at each place where a word has been removed from the text. Two

generic passages are used: the first, which has sixteen missing words, is a set

of instructions disseminated to patients prior to an upper GI series (X-ray

examination) while the second, which has twenty missing words, comes from the

patient rights and responsibilities section of a Medicaid application form.

Possessing discrepant levels of intelligiblity, the first passage is at a 4th

grade reading level (4.3 on the Gunning Fog index) while the second is at a

10th grade level (10.4 on the Gunning Fog index). Note that although the

STOFHLA is a timed assessment to which seven minutes are allotted for

completion, the patient is never told as much and simply asked to stop if they

haven’t finished after seven minutes. Functional health literacy scores are

computed as the sum of patients’ correct answers to the thirty-six total items

comprising the STOFHLA. It is recommended that scores be interpreted as

follows:

STOFHLA Score Functional Health Literacy Level

0-16 Inadequate: unable to read and interpret health texts.

17-22 Marginal: has difficulty reading and interpreting

health texts.

23-36 Adequate: can read and interpret most health texts.

If the patient scores at the marginal or inadequate levels of functional health

literacy, it is unlikely that they will be able to read and understand health

care instructions. Such patients are at increased risk for improperly taking

medications and failing to satisfy the tenets of prescribed diets or treatment

regimens; health care providers must make modifications to normal operating

procedures if they wish to accommodate the needs of patients such as these.

Within the context of the CAPI interview, the STOFHLA was administered to

participants just as it would have been if they were visiting a doctor’s

office: participants were given a booklet containing the two health care

passages and instructed to fill it out by hand, indicating which possibility

they believed made the most sense at each missing word by marking an "X" in the

selection box alongside one of the four answer choices. If the participant had

not completed the task after seven minutes, they were instructed to stop. A

functional health literacy score was computed for all participants who agreed

- 1 -

Wisconsin Longitudinal Study Codebook

to be assessed. For a sample version of the STOFHLA replicating the passages,

missing words, and answer possibilities used during the CAPI interview, please

visit http://www.nmmra.org/resources/Physician/152_1485.pdf.

BRIEF VARIABLE DESCRIPTIONS

Variable ranges reference dataset/codebook order and are not necessarily

alphabetical.

_____________________________________________________________________

KSTOSTAT-KSTOREL: Module-Level Status Variables

KI800RE: Random 8% Sub-Sampling Flag Dictating

Whether STOFHLA Administered to Participant

KI800REA: Flag for Outcome of STOFHLA Assessment

KI800RED: Number of STOFHLA Items Attempted If

Participant Completed the Assessment

KI874RE: Functional Health Literacy Level: Assessment

Completed and all STOFHLA Items Attempted

KI875RE: Functional Health Literacy Level: Assessment

Completed

KI801RE-KI816RE: Indicators for How Participant Answered

Each STOFHLA Item in Passage #1

KI817RE-KI836RE: Indicators for How Participant Answered

Each STOFHLA Item in Passage #2

KI837RE-KI852RE: Summary of How Participant’s Answer to Each

STOFHLA Item in Passage #1 Was Scored

KI853RE-KI872RE: Summary of How Participant’s Answer to Each

STOFHLA Item in Passage #2 Was Scored

kstostat: Was the Short Test of Functional Health Literacy in Adults

(STOFHLA) Module completed by Participant alone, with help, or by

proxy?

Data source: Sibling Participant or Proxy Collected in: 2011 Mode: In person & telephone

Source variables: y_stoflag, y_stoproxy1, y_stohelp0, capiproxy, y_proxy, y_ivwloc

- 2 -


Frequencies

Value Label Male Female Total

. System missing - NR 2736 2510 5246

-30 NOT PART OF MOSAQ 72 63 135

-28 NOT ASKED OF PARTICIPANT OVER TELEPHONE 2 2 4

-2Inappropriate

Inap, not in sample (y_stoflag != 1)1496 1644 3140

1 R COMPLETED ALONE 112 118 230

2R COMPLETED ALONE WITH SOMEONE ELSE IN THE

ROOM15 4 19

3 R RECEIVED A LITTLE HELP 3 0 3

4 R RECEIVED A LOT OF HELP 1 0 1

Note: For many cases a participant’s spouse or other family member was present during the interview.

This sometimes resulted in the participant relying on the other person for help in answering some or many

of the questions. At the end of each module the interviewer indicated the amount of help the participant

received and who provided that help. That assessment is covered by codes 1 through 5. Additionally, a

code of 7 indicates that the entire interview was administered to a proxy while a code of 6 indicates that

this particular module was answered by a proxy but other modules were answered by the participant.

kstorel: Relationship of Short Test of Functional Health Literacy in

Adults (STOFHLA) Module helper or proxy to Participant.


Source variables: kstostat, y_stoproxy1, y_stohelp0, y_stohelp1, y_stohelp2_hfn, y_stohelp3,

y_h1fn-y_h4fn, y_pfn, prxyfnam, y_p1fn-y_p5fn, y_prel, prxyrel, y_p1rel-y_p5rel

- 3 -


Frequencies





-2Inappropriate

Inap, not in sample (y_stoflag != 1) or kstostat=1,2,-31623 1766 3389

0 SPOUSE 3 0 3

48 SON 1 0 1

Note: If this module was administered via proxy or if the participant received help answering the questions

in this module then we record the relationship of the proxy/helper to the participant. Although most

participants relied on only one helper or proxy for the interview, some had more than one. Thus the value

of the relationship code may vary across the modules.

ki800re: Summary of whether Participant belonged to the 8%

sub-sample randomly selected to be assessed using the STOFHLA.


Source variables: y_stoflag

Frequencies




1 IN 8% RANDOM SUB-SAMPLE 133 124 257

2 NOT IN 8% RANDOM SUB-SAMPLE 1496 1644 3140

ki800rea: Flag for outcome of the STOFHLA assessment.


Source variables: ki800re, y_STOFHintro, y_STOFHLA_1, y_STOFHnot, ki801re-ki836re

- 4 -


Frequencies





-2INAPPROPRIATE

INAPPROPRIATE (KI800RE != 1)1496 1644 3140

1 COMPLETED, ATTEMPTED ALL STOFHLA ITEMS 115 103 218

2COMPLETED, DID NOT ATTEMPT ALL STOFHLA

ITEMS12 15 27

4DID NOT COMPLETE, QUIT BEFORE 7 MINUTES HAD

ELAPSED3 2 5

6PARTICIPANT COULD NOT SEE WELL ENOUGH TO BE

ASSESSED0 1 1

7PARTICIPANT REFUSED ASSESSMENT IN ITS

ENTIRETY1 1 2

Note: The participant was considered to have completed the STOFHLA assessment if they responded to as

many items as they were able to within a validly administered seven-minute time limit. While many

participants marked an answer - whether correct or incorrect - at each of the thirty-six STOFHLA items,

others were unable to respond to all items within the time frame. If the participant left all of the selection

boxes alongside a missing word’s four answer possibilities unmarked (or if they marked multiple boxes),

they were deemed not to have attempted responding to that STOFHLA item regardless of whether they

simply ran out of time or were legitimately confounded by it. If we have no record of how the participant

responded to one or more STOFHLA items (e.g. we don’t even know if they attempted the item or not),

the assessment was deemed to have been administered or documented incorrectly and this variable has

been assigned a value of "5." If the participant was unable to see well enough to read the the STOFHLA

passages provided to them for the assessment, it was not administered and this variable has been assigned

a value of "6."

Note: If the participant had not finished the STOFHLA assessment after 420 seconds (seven minutes), the

interviewer was instructed not to inform them that time was up but to say, "Thank you. That gives us

exactly what we need. Now we will go to the next question." If the participant voiced a desire to quit the

assessment before seven minutes had elapsed and the interviewer suspected the involvement of a literacy

issue, the interviewer was instructed to say, "You can stop if you want to, but the information you can give

us is very special and valued highly by us. Would you like to keep trying?" All participants who opted to

quit the assessment before seven minutes had elapsed were assigned a value of "4" on this variable.

- 5 -


ki800red: Number of STOFHLA items attempted if Participant

completed the STOFHLA assessment.


Source variables: ki800rea, ki801re-ki836re

Frequencies





-2INAPPROPRIATE

INAPPROPRIATE (KI800REA != 1 OR 2)1500 1648 3148

17 0 2 2

19 2 0 2

23 0 2 2

24 1 0 1

26 1 0 1

28 0 1 1

29 1 0 1

30 1 1 2

33 0 1 1

34 2 1 3

35 4 7 11

36 ALL STOFHLA ITEMS ATTEMPTED 115 103 218

Note: The STOFHLA assessment includes a total of thirty-six missing words or "items" and the

participant was considered to have attempted an item if they marked a selection box corresponding to one

of the four answer possibilities for that missing word. If the participant left all of the selection boxes

alongside a missing word’s four answer possibilities unmarked (or if they marked multiple boxes), they

were deemed not to have attempted responding to that STOFHLA item regardless of whether they simply

ran out of time or were legitimately confounded by it (see KI800REA for more information on assessment

timing and completion, as well as all possible outcome codes).

- 6 -


ki874re: Functional Health Literacy Level if Participant completed the

STOFHLA assessment and attempted all items.



Frequencies





-2INAPPROPRIATE

INAPPROPRIATE (KI800REA != 1)1512 1663 3175

23 -

36

ADEQUATE, CAN READ/INTERPRET MOST HEALTH

TEXTS115 103 218

Note: Functional health literacy levels are computed by taking the sum of all correctly answered

STOFHLA items. This variable only captures functional health literacy levels for participants who

attempted to answer all thirty-six STOFHLA items; for functional health literacy levels that include

participants who completed the assessment but did not attempt all items, see KI875RE. For the number of

attempted STOFHLA items and more information on the meaning of an answer attempt, see KI800RED.

For all possible STOFHLA outcome codes, see KI800REA.

ki875re: Functional Health Literacy Level if Participant completed the

STOFHLA assessment.



- 7 -


Frequencies





-2INAPPROPRIATE

INAPPROPRIATE (KI800REA != 1 OR 2)1500 1648 3148

0 - 16INADEQUATE, UNABLE TO READ/INTERPRET

HEALTH TEXTS0 2 2

17 -

22

MARGINAL, HAS DIFFICULTY

READING/INTERPRETING HEALTH TEXTS2 2 4

23 -

36

ADEQUATE, CAN READ/INTERPRET MOST HEALTH

TEXTS125 114 239

Note: Functional health literacy levels are computed by taking the sum of all correctly answered

STOFHLA items. This variable includes participants who completed the assessment but did not attempt to

answer all thirty-six items; for functional health literacy levels exclusive to participants who attempted to

answer all STOFHLA items, see KI874RE. For the number of attempted STOFHLA items and more

information on the meaning of an answer attempt, see KI800RED. For all possible STOFHLA outcome

codes, see KI800REA.

ki801re: Participant’s answer to STOFHLA item #A1-a: ’Your doctor

has sent you to have a ___ X-ray.’


Source variables: ki800rea, y_MIA1_a

- 8 -


Frequencies




-29 LEFT BLANK ON STOFHLA 3 0 3


-4 NOT ASCERTAINED 0 1 1

-2INAPPROPRIATE

INAPPROPRIATE (KI800REA != 1,2,3,4, OR 5)1497 1646 3143

1 stomach 124 115 239

2 diabetes 2 2 4

3 stitches 1 1 2

4 germs 0 1 1

Note: The correct answer is "stomach" (1). If the participant did not mark a selection box next to one of

the four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See

KI837RE for the scoring applied to the participant’s answer.

ki802re: Participant’s answer to STOFHLA item #A1-b: ’You must have

an ___ stomach’


Source variables: ki800rea, y_MIA1_b

- 9 -


Frequencies







-2INAPPROPRIATE


1 asthma 0 1 1

2 empty 125 117 242

4 anemia 4 1 5

Note: The correct answer is "empty" (2). If the participant did not mark a selection box next to one of the

four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See KI838RE

for the scoring applied to the participant’s answer.

ki803re: Participant’s answer to STOFHLA item #A1-c: ’when you come

for ___.’


Source variables: ki800rea, y_MIA1_c

- 10 -


Frequencies







-2INAPPROPRIATE


1 is 1 1 2

3 if 0 1 1

4 it 127 112 239

Note: The correct answer is "it" (4). If the participant did not mark a selection box next to one of the four

answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See KI839RE for the

scoring applied to the participant’s answer.

ki804re: Participant’s answer to STOFHLA item #A1-d: ’The X-ray will

___ from 1 to 3’


Source variables: ki800rea, y_MIA1_d

- 11 -


Frequencies







-2INAPPROPRIATE


1 take 121 110 231

2 view 5 7 12

4 look 3 1 4

Note: The correct answer is "take" (1). If the participant did not mark a selection box next to one of the



ki805re: Participant’s answer to STOFHLA item #A1-e: ’___ hours to

do.’


Source variables: ki800rea, y_MIA1_e

- 12 -


Frequencies







-2INAPPROPRIATE


3 hours 125 112 237

4 diets 4 6 10

Note: The correct answer is "hours" (3). If the participant did not mark a selection box next to one of the



ki806re: Participant’s answer to STOFHLA item #A2-a: ’The day before

the X-ray, for supper have only a ___’



- 13 -


Frequencies







-2INAPPROPRIATE


1 little 99 100 199

2 broth 28 19 47

3 attack 1 0 1

Note: The correct answer is "little" (1). If the participant did not mark a selection box next to one of the



ki807re: Participant’s answer to STOFHLA item #A2-b: ’snack of fruit,

___, and jelly, with coffee or tea.’



- 14 -


Frequencies







-2INAPPROPRIATE


2 throat 3 3 6

3 toast 125 116 241

Note: The correct answer is "toast" (3). If the participant did not mark a selection box next to one of the



ki808re: Participant’s answer to STOFHLA item #A2-c: ’After ___, you

must not’



- 15 -


Frequencies







-2INAPPROPRIATE


1 minute 1 2 3

2 midnight 126 117 243

4 before 1 0 1

Note: The correct answer is "midnight" (2). If the participant did not mark a selection box next to one of



ki809re: Participant’s answer to STOFHLA item #A2-d: ’___ or drink

anything’



- 16 -


Frequencies







-2INAPPROPRIATE


2 ate 2 1 3

4 eat 124 118 242

Note: The correct answer is "eat" (4). If the participant did not mark a selection box next to one of the four



ki810re: Participant’s answer to STOFHLA item #A2-e: ’at ___ until’



Frequencies







-2INAPPROPRIATE


2 all 121 117 238

4 any 4 2 6

- 17 -


Note: The correct answer is "all" (2). If the participant did not mark a selection box next to one of the four



ki811re: Participant’s answer to STOFHLA item #A2-f: ’after you have

___ the X-ray.’


Source variables: ki800rea, y_MIA2_f

Frequencies







-2INAPPROPRIATE


1 are 1 0 1

2 has 0 1 1

3 had 127 118 245

Note: The correct answer is "had" (3). If the participant did not mark a selection box next to one of the



ki812re: Participant’s answer to STOFHLA item #A3-a: ’The day of the

X-ray, do not eat ___.’



- 18 -


Frequencies







-2INAPPROPRIATE


1 appointment 0 2 2

2 walk-in 1 0 1

3 breakfast 126 116 242

Note: The correct answer is "breakfast" (3). If the participant did not mark a selection box next to one of



ki813re: Participant’s answer to STOFHLA item #A3-b: ’Do not ___,’



Frequencies







-2INAPPROPRIATE


1 drive 3 4 7

2 drink 123 114 237

- 19 -


Note: The correct answer is "drink" (2). If the participant did not mark a selection box next to one of the



ki814re: Participant’s answer to STOFHLA item #A3-c: ’even ___.’



Frequencies







-2INAPPROPRIATE


3 water 126 118 244

Note: The correct answer is "water" (3). If the participant did not mark a selection box next to one of the



ki815re: Participant’s answer to STOFHLA item #A3-d: ’If you have any

___,’



- 20 -


Frequencies







-2INAPPROPRIATE


1 answers 1 2 3

2 exercises 1 1 2

4 questions 125 115 240

Note: The correct answer is "questions" (4). If the participant did not mark a selection box next to one of



ki816re: Participant’s answer to STOFHLA item #A3-e: ’call the X-ray

___ at 616-4500.’



- 21 -


Frequencies







-2INAPPROPRIATE


1 Department 127 116 243

3 Pharmacy 0 1 1

Note: The correct answer is "Department" (1). If the participant did not mark a selection box next to one of



ki817re: Participant’s answer to STOFHLA item #B1-a: ’I agree to give

correct information to ___ if I can receive Medicaid.’


Source variables: ki800rea, y_MIB1_a

Frequencies







-2INAPPROPRIATE


3 see 125 118 243

4 ache 2 0 2

- 22 -


Note: The correct answer is "see" (3). If the participant did not mark a selection box next to one of the four



ki818re: Participant’s answer to STOFHLA item #B1-b: ’I ___ to provide

the county’


Source variables: ki800rea, y_MIB1_b

Frequencies







-2INAPPROPRIATE


1 agree 127 116 243

2 probe 0 1 1

Note: The correct answer is "agree" (1). If the participant did not mark a selection box next to one of the



ki819re: Participant’s answer to STOFHLA item #B1-c: ’information to

___ any statements given’


Source variables: ki800rea, y_MIB1_c

- 23 -


Frequencies







-2INAPPROPRIATE


1 hide 1 0 1

2 risk 2 0 2

3 discharge 6 9 15

4 prove 118 106 224

Note: The correct answer is "prove" (4). If the participant did not mark a selection box next to one of the



ki820re: Participant’s answer to STOFHLA item #B1-d: ’in this ___ and

hereby’


Source variables: ki800rea, y_MIB1_d

- 24 -


Frequencies







-2INAPPROPRIATE


2 application 118 110 228

4 relationship 7 6 13

Note: The correct answer is "application" (2). If the participant did not mark a selection box next to one of



ki821re: Participant’s answer to STOFHLA item #B1-e: ’give permission

to the ___ to get such proof.’


Source variables: ki800rea, y_MIB1_e

- 25 -


Frequencies







-2INAPPROPRIATE


1 inflammation 0 2 2

2 religion 0 1 1

3 iron 1 1 2

4 county 124 112 236

Note: The correct answer is "county" (4). If the participant did not mark a selection box next to one of the



ki822re: Participant’s answer to STOFHLA item #B2-a: ’I ___ that for

Medicaid’



- 26 -


Frequencies







-2INAPPROPRIATE


2 entertain 1 1 2

3 understand 124 114 238

4 establish 0 1 1

Note: The correct answer is "understand" (3). If the participant did not mark a selection box next to one of



ki823re: Participant’s answer to STOFHLA item #B2-b: ’I must report

any ___ in my circumstances’



- 27 -


Frequencies







-2INAPPROPRIATE


1 changes 119 112 231

2 hormones 0 1 1

4 charges 6 2 8

Note: The correct answer is "changes" (1). If the participant did not mark a selection box next to one of the



ki824re: Participant’s answer to STOFHLA item #B2-c: ’within ___ (10)

days of’



- 28 -


Frequencies







-2INAPPROPRIATE


1 three 5 1 6

2 one 5 3 8

3 five 0 2 2

4 ten 114 108 222

Note: The correct answer is "ten" (4). If the participant did not mark a selection box next to one of the four



ki825re: Participant’s answer to STOFHLA item #B2-d: ’becoming ___

of the change.’



- 29 -


Frequencies







-2INAPPROPRIATE


1 award 2 3 5

2 aware 122 111 233

3 away 1 0 1

Note: The correct answer is "aware" (2). If the participant did not mark a selection box next to one of the



ki826re: Participant’s answer to STOFHLA item #B3-a: ’I understand

___ if’



- 30 -


Frequencies







-2INAPPROPRIATE


1 thus 1 0 1

2 this 6 2 8

3 that 117 111 228

4 than 0 1 1

Note: The correct answer is "that" (3). If the participant did not mark a selection box next to one of the



ki827re: Participant’s answer to STOFHLA item #B3-b: ’I DO NOT like

the ___ made on my case,’



- 31 -


Frequencies







-2INAPPROPRIATE


4 decision 123 114 237

Note: The correct answer is "decision" (4). If the participant did not mark a selection box next to one of



ki828re: Participant’s answer to STOFHLA item #B3-c: ’I have the ___

to a fair hearing.’



Frequencies







-2INAPPROPRIATE


1 bright 1 0 1

4 right 122 114 236

- 32 -


Note: The correct answer is "right" (4). If the participant did not mark a selection box next to one of the



ki829re: Participant’s answer to STOFHLA item #B3-d: ’I can ___ a

hearing’



Frequencies







-2INAPPROPRIATE


1 request 117 105 222

2 refuse 5 8 13

4 mend 1 1 2

Note: The correct answer is "request" (1). If the participant did not mark a selection box next to one of the



ki830re: Participant’s answer to STOFHLA item #B3-e: ’by writing or

___ the county where I applied.’



- 33 -


Frequencies







-2INAPPROPRIATE


1 counting 1 1 2

2 reading 1 3 4

3 calling 120 110 230

Note: The correct answer is "calling" (3). If the participant did not mark a selection box next to one of the



ki831re: Participant’s answer to STOFHLA item #B4-a: ’If you ___

TANF’



- 34 -


Frequencies







-2INAPPROPRIATE


1 wash 0 1 1

2 want 104 102 206

3 cover 14 8 22

4 tape 3 1 4

Note: The correct answer is "want" (2). If the participant did not mark a selection box next to one of the



ki832re: Participant’s answer to STOFHLA item #B4-b: ’for any family

___, you will’



- 35 -


Frequencies







-2INAPPROPRIATE


1 member 104 107 211

2 history 17 6 23

Note: The correct answer is "member" (1). If the participant did not mark a selection box next to one of



ki833re: Participant’s answer to STOFHLA item #B4-c: ’have to ___ a

different application form.’



Frequencies







-2INAPPROPRIATE


2 break 1 0 1

4 sign 120 113 233

- 36 -


Note: The correct answer is "sign" (4). If the participant did not mark a selection box next to one of the



ki834re: Participant’s answer to STOFHLA item #B4-d: ’___, we will

use’



Frequencies







-2INAPPROPRIATE


1 Since 53 42 95

2 Whether 1 0 1

3 However 43 62 105

4 Because 24 8 32

Note: The correct answer is "However" (3). If the participant did not mark a selection box next to one of



ki835re: Participant’s answer to STOFHLA item #B4-e: ’the ___ on this

form’



- 37 -


Frequencies







-2INAPPROPRIATE


2 date 120 112 232

Note: The correct answer is "date" (2). If the participant did not mark a selection box next to one of the



ki836re: Participant’s answer to STOFHLA item #B4-f: ’to determine

your ___.’


Source variables: ki800rea, y_MIB4_f

Frequencies







-2INAPPROPRIATE


1 hypoglycemia 1 0 1

2 eligibility 119 112 231

4 schizophrenia 1 0 1

- 38 -


Note: The correct answer is "eligibility" (2). If the participant did not mark a selection box next to one of



ki837re: Summary of whether Participant answered STOFHLA item

#A1-a correctly: ’Your doctor has sent you to have a ___ X-ray.’


Source variables: ki800rea, ki801re

Frequencies





-2Inappropriate

INAPPROPRIATE (KI801RE < 1)1500 1647 3147

0 ANSWERED INCORRECTLY 3 4 7

1 ANSWERED CORRECTLY 124 115 239

Note: The correct answer is "stomach" (1). See KI801RE for the participant’s answer.


#A1-b correctly: ’You must have an ___ stomach’



- 39 -


Frequencies





-2Inappropriate




Note: The correct answer is "empty" (2). See KI802RE for the participant’s answer.


#A1-c correctly: ’when you come for ___.’



Frequencies





-2Inappropriate




Note: The correct answer is "it" (4). See KI803RE for the participant’s answer.


#A1-d correctly: ’The X-ray will ___ from 1 to 3’

- 40 -




Frequencies





-2Inappropriate




Note: The correct answer is "take" (1). See KI804RE for the participant’s answer.


#A1-e correctly: ’___ hours to do.’



Frequencies





-2Inappropriate




Note: The correct answer is "hours" (3). See KI805RE for the participant’s answer.

- 41 -



#A2-a correctly: ’The day before the X-ray, for supper have only a ___’



Frequencies





-2Inappropriate




Note: The correct answer is "little" (1). See KI806RE for the participant’s answer.


#A2-b correctly: ’snack of fruit, ___, and jelly, with coffee or tea.’



Frequencies





-2Inappropriate




- 42 -


Note: The correct answer is "toast" (3). See KI807RE for the participant’s answer.


#A2-c correctly: ’After ___, you must not’



Frequencies





-2Inappropriate




Note: The correct answer is "midnight" (2). See KI808RE for the participant’s answer.


#A2-d correctly: ’___ or drink anything’



Frequencies





-2Inappropriate




- 43 -


Note: The correct answer is "eat" (4). See KI809RE for the participant’s answer.


#A2-e correctly: ’at ___ until’



Frequencies





-2Inappropriate




Note: The correct answer is "all" (2). See KI810RE for the participant’s answer.


#A2-f correctly: ’after you have ___ the X-ray.’



Frequencies





-2Inappropriate




- 44 -


Note: The correct answer is "had" (3). See KI811RE for the participant’s answer.


#A3-a correctly: ’The day of the X-ray, do not eat ___.’



Frequencies





-2Inappropriate




Note: The correct answer is "breakfast" (3). See KI812RE for the participant’s answer.


#A3-b correctly: ’Do not ___,’



Frequencies





-2Inappropriate




- 45 -


Note: The correct answer is "drink" (2). See KI813RE for the participant’s answer.


#A3-c correctly: ’even ___.’



Frequencies





-2Inappropriate



Note: The correct answer is "water" (3). See KI814RE for the participant’s answer.


#A3-d correctly: ’If you have any ___,’



Frequencies





-2Inappropriate




- 46 -


Note: The correct answer is "questions" (4). See KI815RE for the participant’s answer.


#A3-e correctly: ’call the X-ray ___ at 616-4500.’



Frequencies





-2Inappropriate




Note: The correct answer is "Department" (1). See KI816RE for the participant’s answer.


#B1-a correctly: ’I agree to give correct information to ___ if I can

receive Medicaid.’



- 47 -


Frequencies





-2Inappropriate




Note: The correct answer is "see" (3). See KI817RE for the participant’s answer.


#B1-b correctly: ’I ___ to provide the county’



Frequencies





-2Inappropriate




Note: The correct answer is "agree" (1). See KI818RE for the participant’s answer.


#B1-c correctly: ’information to ___ any statements given’

- 48 -




Frequencies





-2Inappropriate




Note: The correct answer is "prove" (4). See KI819RE for the participant’s answer.


#B1-d correctly: ’in this ___ and hereby’



Frequencies





-2Inappropriate




Note: The correct answer is "application" (2). See KI820RE for the participant’s answer.

- 49 -



#B1-e correctly: ’give permission to the ___ to get such proof.’



Frequencies





-2Inappropriate




Note: The correct answer is "county" (4). See KI821RE for the participant’s answer.


#B2-a correctly: ’I ___ that for Medicaid’



Frequencies





-2Inappropriate




- 50 -


Note: The correct answer is "understand" (3). See KI822RE for the participant’s answer.


#B2-b correctly: ’I must report any ___ in my circumstances’



Frequencies





-2Inappropriate




Note: The correct answer is "changes" (1). See KI823RE for the participant’s answer.


#B2-c correctly: ’within ___ (10) days of’



Frequencies





-2Inappropriate




- 51 -


Note: The correct answer is "ten" (4). See KI824RE for the participant’s answer.


#B2-d correctly: ’becoming ___ of the change.’



Frequencies





-2Inappropriate




Note: The correct answer is "aware" (2). See KI825RE for the participant’s answer.


#B3-a correctly: ’I understand ___ if’



Frequencies





-2Inappropriate




- 52 -


Note: The correct answer is "that" (3). See KI826RE for the participant’s answer.


#B3-b correctly: ’I DO NOT like the ___ made on my case,’



Frequencies





-2Inappropriate



Note: The correct answer is "decision" (4). See KI827RE for the participant’s answer.


#B3-c correctly: ’I have the ___ to a fair hearing.’



Frequencies





-2Inappropriate




- 53 -


Note: The correct answer is "right" (4). See KI828RE for the participant’s answer.


#B3-d correctly: ’I can ___ a hearing’



Frequencies





-2Inappropriate




Note: The correct answer is "request" (1). See KI829RE for the participant’s answer.


#B3-e correctly: ’by writing or ___ the county where I applied.’



Frequencies





-2Inappropriate




- 54 -


Note: The correct answer is "calling" (3). See KI830RE for the participant’s answer.


#B4-a correctly: ’If you ___ TANF’



Frequencies





-2Inappropriate




Note: The correct answer is "want" (2). See KI831RE for the participant’s answer.


#B4-b correctly: ’for any family ___, you will’



Frequencies





-2Inappropriate




- 55 -


Note: The correct answer is "member" (1). See KI832RE for the participant’s answer.


#B4-c correctly: ’have to ___ a different application form.’



Frequencies





-2Inappropriate




Note: The correct answer is "sign" (4). See KI833RE for the participant’s answer.


#B4-d correctly: ’___, we will use’



Frequencies





-2Inappropriate




- 56 -


Note: The correct answer is "However" (3). See KI834RE for the participant’s answer.


#B4-e correctly: ’the ___ on this form’



Frequencies





-2Inappropriate



Note: The correct answer is "date" (2). See KI835RE for the participant’s answer.


#B4-f correctly: ’to determine your ___.’



Frequencies





-2Inappropriate




- 57 -


Note: The correct answer is "eligibility" (2). See KI836RE for the participant’s answer.

- 58 -


Table of Contents

..... 1In Person: Short Test of Functional Health Literacy in Adults (STOFHLA)

kstostat: Was the Short Test of Functional Health Literacy in Adults (STOFHLA) Module

......... 2completed by Participant alone, with help, or by proxy?

kstorel: Relationship of Short Test of Functional Health Literacy in Adults (STOFHLA) Module

............... 3helper or proxy to Participant.

ki800re: Summary of whether Participant belonged to the 8% sub-sample randomly selected to

.............. 4be assessed using the STOFHLA.

......... 4ki800rea: Flag for outcome of the STOFHLA assessment.

ki800red: Number of STOFHLA items attempted if Participant completed the STOFHLA

................... 6assessment.

ki874re: Functional Health Literacy Level if Participant completed the STOFHLA assessment

................ 7and attempted all items.

7ki875re: Functional Health Literacy Level if Participant completed the STOFHLA assessment.

ki801re: Participant’s answer to STOFHLA item #A1-a: ’Your doctor has sent you to have a ___

.................... 8X-ray.’

. 9ki802re: Participant’s answer to STOFHLA item #A1-b: ’You must have an ___ stomach’

... 10ki803re: Participant’s answer to STOFHLA item #A1-c: ’when you come for ___.’

.. 11ki804re: Participant’s answer to STOFHLA item #A1-d: ’The X-ray will ___ from 1 to 3’

..... 12ki805re: Participant’s answer to STOFHLA item #A1-e: ’___ hours to do.’

ki806re: Participant’s answer to STOFHLA item #A2-a: ’The day before the X-ray, for supper

.................. 13have only a ___’

ki807re: Participant’s answer to STOFHLA item #A2-b: ’snack of fruit, ___, and jelly, with

.................. 14coffee or tea.’

... 15ki808re: Participant’s answer to STOFHLA item #A2-c: ’After ___, you must not’

.... 16ki809re: Participant’s answer to STOFHLA item #A2-d: ’___ or drink anything’

...... 17ki810re: Participant’s answer to STOFHLA item #A2-e: ’at ___ until’

.. 18ki811re: Participant’s answer to STOFHLA item #A2-f: ’after you have ___ the X-ray.’

18ki812re: Participant’s answer to STOFHLA item #A3-a: ’The day of the X-ray, do not eat ___.’

...... 19ki813re: Participant’s answer to STOFHLA item #A3-b: ’Do not ___,’

...... 20ki814re: Participant’s answer to STOFHLA item #A3-c: ’even ___.’

.... 20ki815re: Participant’s answer to STOFHLA item #A3-d: ’If you have any ___,’

. 21ki816re: Participant’s answer to STOFHLA item #A3-e: ’call the X-ray ___ at 616-4500.’

ki817re: Participant’s answer to STOFHLA item #B1-a: ’I agree to give correct information to

............... 22___ if I can receive Medicaid.’

.. 23ki818re: Participant’s answer to STOFHLA item #B1-b: ’I ___ to provide the county’

ki819re: Participant’s answer to STOFHLA item #B1-c: ’information to ___ any statements

.................... 23given’

.... 24ki820re: Participant’s answer to STOFHLA item #B1-d: ’in this ___ and hereby’

ki821re: Participant’s answer to STOFHLA item #B1-e: ’give permission to the ___ to get such

.................... 25proof.’

... 26ki822re: Participant’s answer to STOFHLA item #B2-a: ’I ___ that for Medicaid’

ki823re: Participant’s answer to STOFHLA item #B2-b: ’I must report any ___ in my

.................. 27circumstances’

... 28ki824re: Participant’s answer to STOFHLA item #B2-c: ’within ___ (10) days of’

- i -


... 29ki825re: Participant’s answer to STOFHLA item #B2-d: ’becoming ___ of the change.’

..... 30ki826re: Participant’s answer to STOFHLA item #B3-a: ’I understand ___ if’

31ki827re: Participant’s answer to STOFHLA item #B3-b: ’I DO NOT like the ___ made on my case,’

... 32ki828re: Participant’s answer to STOFHLA item #B3-c: ’I have the ___ to a fair hearing.’

..... 33ki829re: Participant’s answer to STOFHLA item #B3-d: ’I can ___ a hearing’

ki830re: Participant’s answer to STOFHLA item #B3-e: ’by writing or ___ the county where I

..................... 33applied.’

...... 34ki831re: Participant’s answer to STOFHLA item #B4-a: ’If you ___ TANF’

... 35ki832re: Participant’s answer to STOFHLA item #B4-b: ’for any family ___, you will’

.36ki833re: Participant’s answer to STOFHLA item #B4-c: ’have to ___ a different application form.’

...... 37ki834re: Participant’s answer to STOFHLA item #B4-d: ’___, we will use’

..... 37ki835re: Participant’s answer to STOFHLA item #B4-e: ’the ___ on this form’

..... 38ki836re: Participant’s answer to STOFHLA item #B4-f: ’to determine your ___.’

ki837re: Summary of whether Participant answered STOFHLA item #A1-a correctly: ’Your doctor

............... 39has sent you to have a ___ X-ray.’

ki838re: Summary of whether Participant answered STOFHLA item #A1-b correctly: ’You must

.................. 39have an ___ stomach’

ki839re: Summary of whether Participant answered STOFHLA item #A1-c correctly: ’when you

................... 40come for ___.’

ki840re: Summary of whether Participant answered STOFHLA item #A1-d correctly: ’The X-ray

.................. 40will ___ from 1 to 3’

ki841re: Summary of whether Participant answered STOFHLA item #A1-e correctly: ’___ hours to

...................... 41do.’

ki842re: Summary of whether Participant answered STOFHLA item #A2-a correctly: ’The day

............. 42before the X-ray, for supper have only a ___’

ki843re: Summary of whether Participant answered STOFHLA item #A2-b correctly: ’snack of fruit,

............... 42___, and jelly, with coffee or tea.’

ki844re: Summary of whether Participant answered STOFHLA item #A2-c correctly: ’After ___, you

..................... 43must not’

ki845re: Summary of whether Participant answered STOFHLA item #A2-d correctly: ’___ or drink

.................... 43anything’

.44ki846re: Summary of whether Participant answered STOFHLA item #A2-e correctly: ’at ___ until’

ki847re: Summary of whether Participant answered STOFHLA item #A2-f correctly: ’after you have

................... 44___ the X-ray.’

ki848re: Summary of whether Participant answered STOFHLA item #A3-a correctly: ’The day of the

.................. 45X-ray, do not eat ___.’

45ki849re: Summary of whether Participant answered STOFHLA item #A3-b correctly: ’Do not ___,’

.46ki850re: Summary of whether Participant answered STOFHLA item #A3-c correctly: ’even ___.’

ki851re: Summary of whether Participant answered STOFHLA item #A3-d correctly: ’If you have

..................... 46any ___,’

ki852re: Summary of whether Participant answered STOFHLA item #A3-e correctly: ’call the X-ray

................... 47___ at 616-4500.’

ki853re: Summary of whether Participant answered STOFHLA item #B1-a correctly: ’I agree to give

........... 47correct information to ___ if I can receive Medicaid.’

ki854re: Summary of whether Participant answered STOFHLA item #B1-b correctly: ’I ___ to

.................. 48provide the county’

ki855re: Summary of whether Participant answered STOFHLA item #B1-c correctly: ’information to

- ii -


................. 48___ any statements given’

ki856re: Summary of whether Participant answered STOFHLA item #B1-d correctly: ’in this ___ and

..................... 49hereby’

ki857re: Summary of whether Participant answered STOFHLA item #B1-e correctly: ’give

.............. 50permission to the ___ to get such proof.’

ki858re: Summary of whether Participant answered STOFHLA item #B2-a correctly: ’I ___ that for

.................... 50Medicaid’

ki859re: Summary of whether Participant answered STOFHLA item #B2-b correctly: ’I must report

................ 51any ___ in my circumstances’

ki860re: Summary of whether Participant answered STOFHLA item #B2-c correctly: ’within ___

.................... 51(10) days of’

ki861re: Summary of whether Participant answered STOFHLA item #B2-d correctly: ’becoming ___

................... 52of the change.’

ki862re: Summary of whether Participant answered STOFHLA item #B3-a correctly: ’I understand

..................... 52___ if’

ki863re: Summary of whether Participant answered STOFHLA item #B3-b correctly: ’I DO NOT

................ 53like the ___ made on my case,’

ki864re: Summary of whether Participant answered STOFHLA item #B3-c correctly: ’I have the ___

................... 53to a fair hearing.’

ki865re: Summary of whether Participant answered STOFHLA item #B3-d correctly: ’I can ___ a

..................... 54hearing’

ki866re: Summary of whether Participant answered STOFHLA item #B3-e correctly: ’by writing or

............... 54___ the county where I applied.’

ki867re: Summary of whether Participant answered STOFHLA item #B4-a correctly: ’If you ___

..................... 55TANF’

ki868re: Summary of whether Participant answered STOFHLA item #B4-b correctly: ’for any family

................... 55___, you will’

ki869re: Summary of whether Participant answered STOFHLA item #B4-c correctly: ’have to ___ a

................. 56different application form.’

ki870re: Summary of whether Participant answered STOFHLA item #B4-d correctly: ’___, we will

...................... 56use’

ki871re: Summary of whether Participant answered STOFHLA item #B4-e correctly: ’the ___ on this

..................... 57form’

ki872re: Summary of whether Participant answered STOFHLA item #B4-f correctly: ’to determine

.................... 57your ___.’

- iii -


Documents

In Person: Short Test of Functional Health Literacy in ...ssc.wisc.edu/wlsresearch/documentation/waves/codebooks/kstof.pdf · The Short Test of Functional Health Literacy in Adults