Bibliographic Details
| Title: |
Numeracy and Literacy Independently Predict Patients’ Ability to Identify Out-of-Range Test Results |
| Authors: |
Zikmund-Fisher, Brian J, Exe, Nicole L, Witteman, Holly O |
| Source: |
Journal of Medical Internet Research, Vol 16, Iss 8, p e187 (2014) |
| Publisher Information: |
JMIR Publications, 2014. |
| Publication Year: |
2014 |
| Collection: |
LCC:Computer applications to medicine. Medical informatics
LCC:Public aspects of medicine |
| Subject Terms: |
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270 |
| More Details: |
BackgroundIncreasing numbers of patients have direct access to laboratory test results outside of clinical consultations. This offers increased opportunities for both self-management of chronic conditions and advance preparation for clinic visits if patients are able to identify test results that are outside the reference ranges. ObjectiveOur objective was to assess whether adults can identify laboratory blood test values outside reference ranges when presented in a format similar to some current patient portals implemented within electronic health record (EHR) systems. MethodsIn an Internet-administered survey, adults aged 40-70 years, approximately half with diabetes, were asked to imagine that they had type 2 diabetes. They were shown laboratory test results displayed in a standard tabular format. We randomized hemoglobin A1c values to be slightly (7.1%) or moderately (8.4%) outside the reference range and randomized other test results to be within or outside their reference ranges (ie, multiple deviations). We assessed (1) whether respondents identified the hemoglobin A1c level as outside the reference range, (2) how respondents rated glycemic control, and (3) whether they would call their doctor. We also measured numeracy and health literacy. ResultsAmong the 1817 adult participants, viewing test results with multiple deviations increased the probability of identifying hemoglobin A1c values as outside the reference range (participants with diabetes: OR 1.47, 95% CI 1.12-1.92, P=.005; participants without diabetes: OR 1.50, 95% CI 1.13-2.00, P=.005). Both numeracy and health literacy were significant predictors of correctly identifying out-of-range values. For participants with diabetes, numeracy OR 1.32 per unit on a 1-6 scale (95% CI 1.15-1.51, P |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1438-8871 |
| Relation: |
http://www.jmir.org/2014/8/e187/; https://doaj.org/toc/1438-8871 |
| DOI: |
10.2196/jmir.3241 |
| Access URL: |
https://doaj.org/article/151c0be1ff774ce29a63d79de3953579 |
| Accession Number: |
edsdoj.151c0be1ff774ce29a63d79de3953579 |
| Database: |
Directory of Open Access Journals |
|
Full text is not displayed to guests. |
Login for full access.
|
