Short Test Of Functional Literacy IlJ.,Adults STOFHLA .

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Short Test of Functional Literacy ilJ.,AdultsSTOFHLAREADINGCOMPREHENSIONHAND PATIENTTHE READING COMPREHENSION PASSAGES TO BECOMPLETED. FOLD BACK THE PAGE OPPOSITE THE TEXT SO THAT THEPATIENTSEES ONLY Tt:tE TEXT.PREFACETHE READING COMPREHENSION EXERCISE WITH:"Here are some other medical instructions that you or anybody might see around thehospital. These instructions are in sentences that have some of the words missing.Where a word is missing, a blank line is drawn, and 4 possible words that could go in theblank appear just below it. I want you to figure out which of those 4 words should go inthe blank, which word makes the sentence make sense. When you think you knowwhich one it is, circle the letter in front of that word, and go on to the next one. Whenyou finish the page, turn the page and keep going until you finish all the pages."STOP AT THE END OF 7 MINUTESPASSAGE A:X-RAY PREPARATIONPASSAGE B:MEDICAID RIGHTS AND RESPONSIBILITIESSTOFHlA·Large Print Version,English 14 point font3

., .-PASSAGEA- d.(1)(0)(1)(0)d.(1)(0)ASa.b.c.d.Sub- Toral4Large Print Version,English 14 point font · STOFHLA

PASSAGE AYourdoctor has sent you to have aX-ray.a.b.c.d.You must have anstomachdiabetesstitchesgermsstomach when you come fora. asthmab. emptyc. Incestd. anemiaa.b.c.d.STOFHLA·b. am.c. i d. it.to do.from 1 to 3The X-ray will.a. IS.takeviewtalklooka.b.c.d.Large Print Version,English 14 point fontbedsbrainshoursdiets5

A6a.-I(1)(0)(1)(0)b.c.d.b.I C.d.A8a.b.c.d.A7a.(1)(0)A9a.b.c.d.(1)(0)A10 (1)a.b.c.d.(0)All(1)(0)a.b.c.d.Sub-Total6Large Print Version,English 14 point font · STOFHLA

THE DAY BEFORETHE X-RAY.snack of fruit,For supper have only aand jelly,a.b.c.d.a. littleb. brothc. attackd. nauseatoesthroattoastthighwith coffee or tea.Afteror drink, you must �easyatedrankeatuntil after you haveanything atSTOFHLAa.b.c.d.illalleachanythe X-ray.a.b.c.d.arehashadwas7Large Print Version,English 14 point font--

Al2a.b.c.d.(1)(0)Al3 (1)a.b.c.d.(0)Al4 (1)a.b.c.d.(0)Al5 tVersion,English14pointfont · STOFHIA------ - -

THE DAY OF THE X-RAY.Do not eata. appoIntment.b. walk-in.c. breakfast.'d. clinic.Do not, .·at 616-4500., call the X-rayIf you have ses,tracts,questions,Large Print Version, English 14 point fonta.b.c.d.DepartmentSprainPharmacyToothache9

BI7a.(1)(0) .(1)(0)b.c.d.BI8a.b.c.BI9a.b.c.d.(1)(0)B22 (1)a.(0)d.B20 (1).(0)a.b.c.d.B2Ia.b.(1)(0)b.c.d.c.d.B23 (1)a.b.c.d.Sub-Total10.(0)Large Print Version,English 14 point font · STOFHLA

PASSAGE Bif I can receive Medicaid.I agree to give correct information toa.b.c.d.Ihairsaltseeacheto provide the county information toa.b.c.d.anya.b.c.d.agreeprobesendgainstatements given in thisand hereby give permission ationgallbladderrelationshipthat forto get such proof Ia.b.c.d.inflammationreligionIroncountya.b.c.d.in my circumstancesMedicaid I must report anya.b.c.d.·STOFHLA Large shormonesantacidschargesVersion, English 14 point font11

.,B24(1)a.b.c.d. 1IB26 (1)(0)--(0)a.b.c.d.B28 (1)a.b.c.B25(1)(0)(1)(0)B29 (1)a.b.(0)a.b.c.d.B27a.b.c.d.(0)c.d.d.B30 (1)a.b.c.d.(0)B31 (1)a.b.c.d.(0)B32 (1)(0)a.b.c.d.Sub-Total12Large Print Version,English 14 point font · STOFHLA

within(10) days of becominga. threeb. onec. fived. tenof the change.a.b.c.d.awardawareawayawaitif I DO NOT like theI understanda. thusb. thisc. thatd. thancase, I have themaritaloccupationadultdecisionato a fair hearing. I cana. brightb. lefta.b.c.d.c. wrongd. righthearing by writing orcountmgreadingcallingsmellingTANF for any familya. wCl hb. wantc. coverd. tape·STOFHlArequestrefusefailmendthe county where I applied.a.b.c.d.If youmade on mya.b.c.d.Large Print Version, English 14 point font, you will have toa.b.c.d.member,history,weight,seatbelt,13

.-IREADING COMPREHENSIONRAWSCORE14IB33 (1)a.b.c.d.(0)B34 (1)a.b.c.d.(0)B35 (1)a.b.c.d.(0)B36 pointfont · STOFHLA----

, we will usea different application Whether,However,Because,on this form to determine ge Print Version, English 14 point ophrenia.15

Short Test of Functional Health Literacy in Adults (STOFHLA)Joanne R Nurss, Ph.D., Ruth M. Parker,M.D., Mark V.Williams,M.D., & David Baker,M.D., M.P.H.TOFHLA is a measure of the patient's ability to read and understand healthcare information, their functional health literacy. TOFHLA Numeracy assessestheir understanding of prescription labels, appointment slips, and glucosemonitoring. TOFHLA Reading Comprehension assessestheir understandingof health care texts such as preparation for a diagnostic procedure andMedicare Rights & Responsibilities.M FNameSSN or ID#Hospital or Health-careSettingCity, StateShort Form Administered:EnglishSpanishSTOFHLA - ScoreTOFHLA Total Score:Reading Comprehension Raw Score (0-36)Functional Health Literacy Level:o - 16-- Inadequate Functional Health Literacy17 - 22 -- Marginal Functional Health Literacy23 -,36 -- AdequateFunctional Health LiteracyJuly 1995@ Emory University16LargePrintVersion,English14point font · STOFHlA------

Short Test of Functional Literacy ilJ.,Adults STOFHLA READING COMPREHENSION HAND PATIENT THE READING COMPREHENSION PASSAGES TO BE COMPLETED. FOLD BACK THE PAGE OPPOSITE THE TEXT SO THAT THE PATIENT SEES ONLY Tt:tE TEXT. PREFACE THE READING COMPREHENSION EXERCISE WITH

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