A Healthy Pima County
Every one. Every where. Every day.

Assessment Tools

Health Literacy Universal Precautions ToolKit http://www.ahrq.gov/qual/literacy/

  • This site provides information on implementing Universal Precautions which can  benefit better understanding for all patients
  • Breaks down the information into small sections that can be easily reviewed 
  • For additional information try this link http://www.nchealthliteracy.org/toolkit/
  • Last updated: 2010   


The Newest Vital sign: A New Health LIteracy Assessment Tool for Health Care Providers http://www.pfizerhealthliteracy.com/physicians-providers/newest-vital-sign.html
  • Gives background information for this assessment tool
  • Presents steps to take that improve patient health literacy
  • Free downloadable versions in both English and Spanish
  • Last updated: 2008


Consumer Assessment of Healthcare Providers and Systems Item set for Health Literacy https://www.cahps.ahrq.gov/content/products/HL/PROD_HL_Intro.asp?p=1021&s=215
  • Provides a method that allows patients to assess health care providers on     
    • ability to provide useful information in the health care setting
    • rate providers on the ability to deal with health literacy
  • Last updated: October 14,2009    


Health Literacy Measurement Tools http://www.ahrq.gov/populations/sahlsatool.htm
  • Information on Rapid Estimate of Adult Literacy in Medicine - Short Form
  • Spanish and English versions
  • Last updated: no date


Health Literacy Special Collection - Assessments and Evaluations http://www.healthliteracy.worlded.org/assess.htm
  • Provides links to additonal resources for assessing Health Literacy in       
    • Health Care Programs
    • Individuals
    • Readability of materials
  • Last updated: June 1, 2009


  • Presentation "Health Literacy Measurement: A Brief Review and Proposal" by  Andrew Pleasant Ph.D.
  • Addresses issues with the current state of screening tools used for health literacy
  • Provides questions for reflection about possible directions and considerations
  • Presentation date: February 26, 2009


  • Health Literacy Discussion List may sign up for email listserv, read archives, or see upcoming events
  • Partnered with Literacy Information and Communication System Basic Skills Resource Collection and
  • Ohio LIteracy Resource Center, Kent State University
  • To subscribe http://www.nifl.gov/mailman/listinfo/Healthliteracy
  • Last updated: ongoing


Literacy Assessment Instruments http://nchealthliteracy.org/instruments.html
  • This page was put together by the North Carolina Program on Health Literacy
  • There are 13 assessments on this page. Some may be downloaded while others must be requested     
    • Adult Basic Learning Examination (ABLE) ($)
    • Literacy Assessment for Diabetes (LAD) (email) (free)
    • Newest Vital Sign (NVS) (site provides a prevalence calculator ) (pdf) (free)
    • Nutritional Literacy Scale (NLS) (email) (free)
    • Rapid Estimate of Adult Literacy in Denistry (REALD) (email) (free)
    • Rapid Assessment of Adult Literacy in Medicine (REALM) (email) (free)
    • Rapid Assessment of Adult Literacy in Medicine -Revised (REALM-R) (email) (free)
    • Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA) (email) (free)
    • Single Item Literacy Screener (SILS)
    • Slosson Oral Reading Test ($)
    • Test of Adult Basic Education (TABE) ($)
    • Test of Functional Health Literacy in Adults (TOFHLA) ($)
    • Wide Range Acheivement Test (WRAT) ($)
  • Instruments may be appropriate for research or the clinical setting
  • Many items have a cost associated with them
  • Last updated: 2010    
  • Five assessments that may be downloaded in pdf format along with instructions for use       
    • Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R)
    • Medication Knowledge Assessment
    • Readiness-to-Change Ruler
    • Duke-UNC Functional Social Support Questionnaire (FSSQ)
    • Medication Nonadherence Risk Assessment
    • Last updated: 2006