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In Person: Short Test of Functional Health Literacy in Adults (STOFHLA)JSTOF Short Test of Functional Health Literacy in Adults (STOFHLA) Module

OVERVIEW

The Short Test of Functional Health Literacy in Adults (STOFHLA) Module is newto the 2011 collection wave. At its core is a reading comprehension assessmentknown as the "Short Test of Functional Health Literacy in Adults (STOFHLA)."Although an abridged version of the "Test of Functional Health Literacy inAdults (TOFHLA)," STOFHLA is likewise premised on the notion that successfullynavigating the health care system requires a level of literacy greater thanwhat is typically acquired in the conventional classroom. When being assessed,patients are asked to read and complete passages that might be found in healthcare settings by inserting missing words at selected intervals. Morespecifically, they are prompted to choose the correct word from a list of fourpossibilities at each place where a word has been removed from the text. Twogeneric passages are used: the first, which has sixteen missing words, is a setof instructions disseminated to patients prior to an upper GI series (X-rayexamination) while the second, which has twenty missing words, comes from thepatient rights and responsibilities section of a Medicaid application form.Possessing discrepant levels of intelligiblity, the first passage is at a 4thgrade reading level (4.3 on the Gunning Fog index) while the second is at a10th grade level (10.4 on the Gunning Fog index). Note that although theSTOFHLA is a timed assessment to which seven minutes are allotted forcompletion, the patient is never told as much and simply asked to stop if theyhaven’t finished after seven minutes. Functional health literacy scores arecomputed as the sum of patients’ correct answers to the thirty-six total itemscomprising the STOFHLA. It is recommended that scores be interpreted asfollows:

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 healthliteracy, it is unlikely that they will be able to read and understand healthcare instructions. Such patients are at increased risk for improperly takingmedications and failing to satisfy the tenets of prescribed diets or treatmentregimens; health care providers must make modifications to normal operatingprocedures if they wish to accommodate the needs of patients such as these.

Within the context of the CAPI interview, the STOFHLA was administered toparticipants just as it would have been if they were visiting a doctor’soffice: participants were given a booklet containing the two health carepassages and instructed to fill it out by hand, indicating which possibilitythey believed made the most sense at each missing word by marking an "X" in theselection box alongside one of the four answer choices. If the participant hadnot completed the task after seven minutes, they were instructed to stop. Afunctional health literacy score was computed for all participants who agreed

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

BRIEF VARIABLE DESCRIPTIONS

Variable ranges reference dataset/codebook order and are not necessarily alphabetical. _____________________________________________________________________

HSTOSTAT-HSTOREL: Module-Level Status Variables

HI800RE: Random 8% Sub-Sampling Flag Dictating Whether STOFHLA Administered to Participant HI800REA: Flag for Outcome of STOFHLA Assessment HI800RED: Number of STOFHLA Items Attempted If Participant Completed the Assessment HI874RE: Functional Health Literacy Level: Assessment Completed and all STOFHLA Items Attempted HI875RE: Functional Health Literacy Level: Assessment Completed HI801RE-HI816RE: Indicators for How Participant Answered Each STOFHLA Item in Passage #1 HI817RE-HI836RE: Indicators for How Participant Answered Each STOFHLA Item in Passage #2 HI837RE-HI852RE: Summary of How Participant’s Answer to Each STOFHLA Item in Passage #1 Was Scored HI853RE-HI872RE: Summary of How Participant’s Answer to Each STOFHLA Item in Passage #2 Was Scored

hstostat: Was the Short Test of Functional Health Literacy in Adults(STOFHLA) Module completed by Participant alone, with help, or by proxy?

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: y_stoflag, y_stoproxy1, y_stohelp0, capiproxy, y_proxy, y_ivwloc

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Frequencies

Value Label Male Female Total

. System missing - NR 2146 2019 4165

-30 NOT PART OF MOSAQ 68 116 184

-28 NOT ASKED OF PARTICIPANT OVER TELEPHONE 6 6 12

-27 NOT ASKED OF PROXY 2 2 4

-2InappropriateInap, not in sample (y_stoflag != 1)

2554 2949 5503

1 R COMPLETED ALONE 185 216 401

2R COMPLETED ALONE WITH SOMEONE ELSE IN THE ROOM

30 16 46

3 R RECEIVED A LITTLE HELP 0 1 1

4 R RECEIVED A LOT OF HELP 0 1 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 manyof the questions. At the end of each module the interviewer indicated the amount of help the participantreceived and who provided that help. That assessment is covered by codes 1 through 5. Additionally, acode of 7 indicates that the entire interview was administered to a proxy while a code of 6 indicates thatthis particular module was answered by a proxy but other modules were answered by the participant.

hstorel: Relationship of Short Test of Functional Health Literacy inAdults (STOFHLA) Module helper or proxy to Participant.

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hstostat, 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

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Frequencies






-2InappropriateInap, not in sample (y_stoflag != 1) or hstostat=1,2,-3

2769 3181 5950

0 SPOUSE 0 1 1

43 SISTER 0 1 1

Note: If this module was administered via proxy or if the participant received help answering the questionsin this module then we record the relationship of the proxy/helper to the participant. Although mostparticipants relied on only one helper or proxy for the interview, some had more than one. Thus the valueof the relationship code may vary across the modules.

hi800re: Summary of whether Participant belonged to the 8%sub-sample randomly selected to be assessed using the STOFHLA.

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: y_stoflag

Frequencies




1 In Sample 223 242 465

2 2554 2949 5503

hi800rea: Flag for outcome of the STOFHLA assessment.

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800re, y_STOFHintro, y_STOFHLA_1, y_STOFHnot, hi801re-hi836re

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Frequencies






-2InappropriateINAPPROPRIATE (hi800re != 1)

2554 2949 5503

1 COMPLETED, ATTEMPTED ALL STOFHLA ITEMS 179 201 380

2COMPLETED, DID NOT ATTEMPT ALL STOFHLA ITEMS

25 23 48

3DID NOT COMPLETE, TASK INTERRUPTED DURING7-MINUTE ADMINISTRATION PERIOD

3 2 5

4DID NOT COMPLETE, QUIT BEFORE 7 MINUTES HAD ELAPSED

5 1 6

5NOT ADMINISTERED/DOCUMENTED CORRECTLY ORAT ALL

2 2 4

6PARTICIPANT COULD NOT SEE WELL ENOUGH TO BE ASSESSED

0 4 4

7PARTICIPANT REFUSED ASSESSMENT IN ITS ENTIRETY

1 1 2

Note: The participant was considered to have completed the STOFHLA assessment if they responded to asmany items as they were able to within a validly administered seven-minute time limit. While manyparticipants 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 selectionboxes 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 theysimply ran out of time or were legitimately confounded by it. If we have no record of how the participantresponded 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 hasbeen assigned a value of "5." If the participant was unable to see well enough to read the the STOFHLApassages provided to them for the assessment, it was not administered and this variable has been assigneda value of "6." Note: If the participant had not finished the STOFHLA assessment after 420 seconds (seven minutes), theinterviewer was instructed not to inform them that time was up but to say, "Thank you. That gives usexactly what we need. Now we will go to the next question." If the participant voiced a desire to quit theassessment before seven minutes had elapsed and the interviewer suspected the involvement of a literacy

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issue, the interviewer was instructed to say, "You can stop if you want to, but the information you can giveus is very special and valued highly by us. Would you like to keep trying?" All participants who opted toquit the assessment before seven minutes had elapsed were assigned a value of "4" on this variable.

hi800red: Number of STOFHLA items attempted if Participantcompleted the STOFHLA assessment.

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, hi801re-hi836re

Frequencies






-2InappropriateINAPPROPRIATE (hi800rea != 1 or 2)

2565 2959 5524

0 NO STOFHLA ITEMS ATTEMPTED 1 0 1

9 1 0 1

10 0 1 1

11 0 1 1

15 0 1 1

16 1 1 2

17 1 3 4

18 1 0 1

21 0 1 1

22 1 0 1

23 0 1 1

25 0 1 1

26 0 1 1

28 1 0 1

- 6 -


29 1 1 2

30 5 2 7

31 1 0 1

33 4 2 6

34 0 1 1

35 7 6 13

36 ALL STOFHLA ITEMS ATTEMPTED 179 201 380

Note: The STOFHLA assessment includes a total of thirty-six missing words or "items" and theparticipant was considered to have attempted an item if they marked a selection box corresponding to oneof the four answer possibilities for that missing word. If the participant left all of the selection boxesalongside a missing word’s four answer possibilities unmarked (or if they marked multiple boxes), theywere deemed not to have attempted responding to that STOFHLA item regardless of whether they simplyran out of time or were legitimately confounded by it (see HI800REA for more information on assessmenttiming and completion, as well as all possible outcome codes).

hi874re: Functional Health Literacy Level if Participant completed theSTOFHLA assessment and attempted all items.


Frequencies






-2InappropriateINAPPROPRIATE (hi800rea != 1)

2590 2982 5572

23 - 36

ADEQUATE, CAN READ/INTERPRET MOST HEALTH TEXTS

179 201 380

Note: Functional health literacy levels are computed by taking the sum of all correctly answeredSTOFHLA items. This variable only captures functional health literacy levels for participants whoattempted to answer all thirty-six STOFHLA items; for functional health literacy levels that includeparticipants who completed the assessment but did not attempt all items, see HI875RE. For the number of

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attempted STOFHLA items and more information on the meaning of an answer attempt, see HI800RED.For all possible STOFHLA outcome codes, see HI800REA.

hi875re: Functional Health Literacy Level if Participant completed theSTOFHLA assessment.


Frequencies






-2InappropriateINAPPROPRIATE (hi800rea != 1 or 2)

2565 2959 5524

0 - 16INADEQUATE, UNABLE TO READ/INTERPRETHEALTH TEXTS

4 6 10

17 - 22

MARGINAL, HAS DIFFICULTYREADING/INTERPRETING HEALTH TEXTS

3 6 9

23 - 36

ADEQUATE, CAN READ/INTERPRET MOST HEALTH TEXTS

197 212 409

Note: Functional health literacy levels are computed by taking the sum of all correctly answeredSTOFHLA items. This variable includes participants who completed the assessment but did not attempt toanswer all thirty-six items; for functional health literacy levels exclusive to participants who attempted toanswer all STOFHLA items, see HI874RE. For the number of attempted STOFHLA items and moreinformation on the meaning of an answer attempt, see HI800RED. For all possible STOFHLA outcomecodes, see HI800REA.

hi801re: Participant’s answer to STOFHLA item #A1-a: ’Your doctorhas sent you to have a ___ X-ray.’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIA1_a

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Frequencies




-29 LEFT BLANK ON STOFHLA 2 1 3



-4 NOT ASCERTAINED 2 2 4

-2InappropriateINAPPROPRIATE (hi800rea != 1,2,3,4, or 5)

2555 2954 5509

1 stomach 208 223 431

2 diabetes 1 1 2

3 stitches 1 2 3

Note: The correct answer is "stomach" (1). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI837RE for the scoring applied to the participant’s answer.

hi802re: Participant’s answer to STOFHLA item #A1-b: ’You must havean ___ stomach’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIA1_b

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Frequencies









2555 2954 5509

2 empty 205 223 428

3 incest 2 0 2

4 anemia 4 4 8

Note: The correct answer is "empty" (2). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI838REfor the scoring applied to the participant’s answer.

hi803re: Participant’s answer to STOFHLA item #A1-c: ’when you comefor ___.’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIA1_c

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Frequencies









2555 2954 5509

1 is 1 1 2

2 am 2 3 5

3 if 1 1 2

4 it 202 220 422

Note: The correct answer is "it" (4). If the participant did not mark a selection box next to one of the fouranswer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI839RE for thescoring applied to the participant’s answer.

hi804re: Participant’s answer to STOFHLA item #A1-d: ’The X-ray will___ from 1 to 3’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIA1_d

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Frequencies









2555 2954 5509

1 take 186 215 401

2 view 11 10 21

3 talk 1 0 1

4 look 11 2 13

Note: The correct answer is "take" (1). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI840REfor the scoring applied to the participant’s answer.

hi805re: Participant’s answer to STOFHLA item #A1-e: ’___ hours to do.’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIA1_e

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Frequencies









2555 2954 5509

3 hours 197 220 417

4 diets 10 6 16

Note: The correct answer is "hours" (3). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI841REfor the scoring applied to the participant’s answer.

hi806re: Participant’s answer to STOFHLA item #A2-a: ’The day beforethe X-ray, for supper have only a ___’


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Frequencies









2555 2954 5509

1 little 170 186 356

2 broth 39 40 79

3 attack 0 1 1

Note: The correct answer is "little" (1). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI842REfor the scoring applied to the participant’s answer.

hi807re: Participant’s answer to STOFHLA item #A2-b: ’snack of fruit,___, and jelly, with coffee or tea.’


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Frequencies









2555 2954 5509

2 throat 8 4 12

3 toast 199 222 421

4 thigh 1 1 2

Note: The correct answer is "toast" (3). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI843REfor the scoring applied to the participant’s answer.

hi808re: Participant’s answer to STOFHLA item #A2-c: ’After ___, youmust not’


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Frequencies









2555 2954 5509

1 minute 2 0 2

2 midnight 203 223 426

4 before 2 4 6

Note: The correct answer is "midnight" (2). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI844RE for the scoring applied to the participant’s answer.

hi809re: Participant’s answer to STOFHLA item #A2-d: ’___ or drink anything’


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Frequencies









2555 2954 5509

2 ate 5 2 7

3 drank 0 1 1

4 eat 200 224 424

Note: The correct answer is "eat" (4). If the participant did not mark a selection box next to one of the fouranswer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI845RE for thescoring applied to the participant’s answer.

hi810re: Participant’s answer to STOFHLA item #A2-e: ’at ___ until’


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Frequencies









2555 2954 5509

2 all 200 223 423

4 any 5 4 9

Note: The correct answer is "all" (2). If the participant did not mark a selection box next to one of the fouranswer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI846RE for thescoring applied to the participant’s answer.

hi811re: Participant’s answer to STOFHLA item #A2-f: ’after you have___ the X-ray.’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIA2_f

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Frequencies









2555 2954 5509

1 are 1 0 1

2 has 0 2 2

3 had 204 224 428

4 was 1 0 1

Note: The correct answer is "had" (3). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI847REfor the scoring applied to the participant’s answer.

hi812re: Participant’s answer to STOFHLA item #A3-a: ’The day of theX-ray, do not eat ___.’


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Frequencies









2555 2954 5509

1 appointment 1 0 1

2 walk-in 0 1 1

3 breakfast 205 220 425

Note: The correct answer is "breakfast" (3). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI848RE for the scoring applied to the participant’s answer.

hi813re: Participant’s answer to STOFHLA item #A3-b: ’Do not ___,’


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Frequencies









2555 2954 5509

1 drive 5 10 15

2 drink 200 210 410

4 dose 1 0 1

Note: The correct answer is "drink" (2). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI849REfor the scoring applied to the participant’s answer.

hi814re: Participant’s answer to STOFHLA item #A3-c: ’even ___.’


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Frequencies









2555 2954 5509

1 heart 1 0 1

2 breath 0 3 3

3 water 204 216 420

Note: The correct answer is "water" (3). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI850REfor the scoring applied to the participant’s answer.

hi815re: Participant’s answer to STOFHLA item #A3-d: ’If you have any ___,’


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Frequencies









2555 2954 5509

1 answers 1 0 1

4 questions 204 220 424

Note: The correct answer is "questions" (4). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI851RE for the scoring applied to the participant’s answer.

hi816re: Participant’s answer to STOFHLA item #A3-e: ’call the X-ray___ at 616-4500.’


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Frequencies









2555 2954 5509

1 Department 206 221 427

2 Sprain 1 0 1

Note: The correct answer is "Department" (1). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI852RE for the scoring applied to the participant’s answer.

hi817re: Participant’s answer to STOFHLA item #B1-a: ’I agree to givecorrect information to ___ if I can receive Medicaid.’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIB1_a

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Frequencies









2555 2954 5509

3 see 202 220 422

4 ache 2 0 2

Note: The correct answer is "see" (3). If the participant did not mark a selection box next to one of the fouranswer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI853RE for thescoring applied to the participant’s answer.

hi818re: Participant’s answer to STOFHLA item #B1-b: ’I ___ to providethe county’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIB1_b

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Frequencies









2555 2954 5509

1 agree 205 217 422

3 send 0 3 3

Note: The correct answer is "agree" (1). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI854REfor the scoring applied to the participant’s answer.

hi819re: Participant’s answer to STOFHLA item #B1-c: ’information to___ any statements given’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIB1_c

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Frequencies









2555 2954 5509

1 hide 2 0 2

2 risk 2 0 2

3 discharge 9 18 27

4 prove 191 202 393

Note: The correct answer is "prove" (4). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI855REfor the scoring applied to the participant’s answer.

hi820re: Participant’s answer to STOFHLA item #B1-d: ’in this ___ and hereby’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIB1_d

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Frequencies









2555 2954 5509

2 application 186 210 396

3 gallbladder 2 0 2

4 relationship 16 10 26

Note: The correct answer is "application" (2). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI856RE for the scoring applied to the participant’s answer.

hi821re: Participant’s answer to STOFHLA item #B1-e: ’give permissionto the ___ to get such proof.’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIB1_e

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Frequencies









2555 2954 5509

1 inflammation 1 1 2

4 county 204 219 423

Note: The correct answer is "county" (4). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI857REfor the scoring applied to the participant’s answer.

hi822re: Participant’s answer to STOFHLA item #B2-a: ’I ___ that for Medicaid’


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Frequencies









2555 2954 5509

1 investigate 1 0 1

2 entertain 1 1 2

3 understand 199 217 416

4 establish 3 1 4

Note: The correct answer is "understand" (3). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI858RE for the scoring applied to the participant’s answer.

hi823re: Participant’s answer to STOFHLA item #B2-b: ’I must reportany ___ in my circumstances’


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Frequencies









2555 2954 5509

1 changes 189 200 389

4 charges 14 19 33

Note: The correct answer is "changes" (1). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI859REfor the scoring applied to the participant’s answer.

hi824re: Participant’s answer to STOFHLA item #B2-c: ’within ___ (10)days of’


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Frequencies









2555 2954 5509

1 three 2 4 6

2 one 6 4 10

3 five 3 4 7

4 ten 192 205 397

Note: The correct answer is "ten" (4). If the participant did not mark a selection box next to one of the fouranswer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI860RE for thescoring applied to the participant’s answer.

hi825re: Participant’s answer to STOFHLA item #B2-d: ’becoming ___of the change.’


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Frequencies









2555 2954 5509

1 award 2 7 9

2 aware 198 211 409

3 away 1 0 1

4 await 2 0 2

Note: The correct answer is "aware" (2). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI861REfor the scoring applied to the participant’s answer.

hi826re: Participant’s answer to STOFHLA item #B3-a: ’I understand___ if’


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Frequencies









2555 2954 5509

1 thus 1 1 2

2 this 15 4 19

3 that 187 210 397

4 than 0 2 2

Note: The correct answer is "that" (3). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI862REfor the scoring applied to the participant’s answer.

hi827re: Participant’s answer to STOFHLA item #B3-b: ’I DO NOT likethe ___ made on my case,’


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Frequencies









2555 2954 5509

1 marital 0 1 1

3 adult 1 0 1

4 decision 200 216 416

Note: The correct answer is "decision" (4). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI863RE for the scoring applied to the participant’s answer.

hi828re: Participant’s answer to STOFHLA item #B3-c: ’I have the ___to a fair hearing.’


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Frequencies









2555 2954 5509

1 bright 2 0 2

4 right 202 217 419

Note: The correct answer is "right" (4). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI864REfor the scoring applied to the participant’s answer.

hi829re: Participant’s answer to STOFHLA item #B3-d: ’I can ___ a hearing’


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Frequencies









2555 2954 5509

1 request 197 210 407

2 refuse 5 6 11

3 fail 1 1 2

Note: The correct answer is "request" (1). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI865REfor the scoring applied to the participant’s answer.

hi830re: Participant’s answer to STOFHLA item #B3-e: ’by writing or___ the county where I applied.’


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Frequencies









2555 2954 5509

1 counting 1 1 2

2 reading 6 1 7

3 calling 196 213 409

4 smelling 0 1 1

Note: The correct answer is "calling" (3). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI866REfor the scoring applied to the participant’s answer.

hi831re: Participant’s answer to STOFHLA item #B4-a: ’If you ___ TANF’


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Frequencies









2555 2954 5509

1 wash 1 1 2

2 want 175 185 360

3 cover 14 23 37

4 tape 3 2 5

Note: The correct answer is "want" (2). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI867REfor the scoring applied to the participant’s answer.

hi832re: Participant’s answer to STOFHLA item #B4-b: ’for any family___, you will’


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Frequencies









2555 2954 5509

1 member 161 187 348

2 history 30 26 56

4 seatbelt 1 0 1

Note: The correct answer is "member" (1). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI868RE for the scoring applied to the participant’s answer.

hi833re: Participant’s answer to STOFHLA item #B4-c: ’have to ___ adifferent application form.’


- 40 -


Frequencies









2555 2954 5509

4 sign 193 215 408

Note: The correct answer is "sign" (4). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI869REfor the scoring applied to the participant’s answer.

hi834re: Participant’s answer to STOFHLA item #B4-d: ’___, we will use’


- 41 -


Frequencies









2555 2954 5509

1 Since 94 78 172

2 Whether 3 2 5

3 However 57 100 157

4 Because 36 32 68

Note: The correct answer is "However" (3). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI870RE for the scoring applied to the participant’s answer.

hi835re: Participant’s answer to STOFHLA item #B4-e: ’the ___ on this form’


- 42 -


Frequencies









2555 2954 5509

2 date 190 212 402

Note: The correct answer is "date" (2). If the participant did not mark a selection box next to one of thefour answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). See HI871REfor the scoring applied to the participant’s answer.

hi836re: Participant’s answer to STOFHLA item #B4-f: ’to determineyour ___.’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, y_MIB4_f

- 43 -


Frequencies









2555 2954 5509

1 hypoglycemia 0 2 2

2 eligibility 189 208 397

3 osteoporosis 1 3 4

Note: The correct answer is "eligibility" (2). If the participant did not mark a selection box next to one ofthe four answer possibilities, this variable has been coded as "left blank on STOFHLA" (-29). SeeHI872RE for the scoring applied to the participant’s answer.

hi837re: Summary of whether Participant answered STOFHLA item#A1-a correctly: ’Your doctor has sent you to have a ___ X-ray.’

Data source: Graduate Participant or Proxy Collected in: 2011 Mode: In person & telephoneSource variables: hi800rea, hi801re

- 44 -


Frequencies






-2InappropriateINAPPROPRIATE (HI801RE < 1)

2559 2957 5516

0 ANSWERED INCORRECTLY 2 3 5

1 ANSWERED CORRECTLY 208 223 431

Note: The correct answer is "stomach" (1). See HI801RE for the participant’s answer.

hi838re: Summary of whether Participant answered STOFHLA item#A1-b correctly: ’You must have an ___ stomach’


Frequencies







2558 2956 5514



Note: The correct answer is "empty" (2). See HI802RE for the participant’s answer.

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hi839re: Summary of whether Participant answered STOFHLA item#A1-c correctly: ’when you come for ___.’


Frequencies







2563 2958 5521



Note: The correct answer is "it" (4). See HI803RE for the participant’s answer.

hi840re: Summary of whether Participant answered STOFHLA item#A1-d correctly: ’The X-ray will ___ from 1 to 3’


- 46 -


Frequencies







2560 2956 5516



Note: The correct answer is "take" (1). See HI804RE for the participant’s answer.

hi841re: Summary of whether Participant answered STOFHLA item#A1-e correctly: ’___ hours to do.’


Frequencies







2562 2957 5519



Note: The correct answer is "hours" (3). See HI805RE for the participant’s answer.

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hi842re: Summary of whether Participant answered STOFHLA item#A2-a correctly: ’The day before the X-ray, for supper have only a ___’


Frequencies







2560 2956 5516



Note: The correct answer is "little" (1). See HI806RE for the participant’s answer.

hi843re: Summary of whether Participant answered STOFHLA item#A2-b correctly: ’snack of fruit, ___, and jelly, with coffee or tea.’


- 48 -


Frequencies







2561 2956 5517



Note: The correct answer is "toast" (3). See HI807RE for the participant’s answer.

hi844re: Summary of whether Participant answered STOFHLA item#A2-c correctly: ’After ___, you must not’


Frequencies







2562 2956 5518



Note: The correct answer is "midnight" (2). See HI808RE for the participant’s answer.

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hi845re: Summary of whether Participant answered STOFHLA item#A2-d correctly: ’___ or drink anything’


Frequencies







2564 2956 5520



Note: The correct answer is "eat" (4). See HI809RE for the participant’s answer.

hi846re: Summary of whether Participant answered STOFHLA item#A2-e correctly: ’at ___ until’


- 50 -


Frequencies







2564 2956 5520



Note: The correct answer is "all" (2). See HI810RE for the participant’s answer.

hi847re: Summary of whether Participant answered STOFHLA item#A2-f correctly: ’after you have ___ the X-ray.’


Frequencies







2563 2957 5520



Note: The correct answer is "had" (3). See HI811RE for the participant’s answer.

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hi848re: Summary of whether Participant answered STOFHLA item#A3-a correctly: ’The day of the X-ray, do not eat ___.’


Frequencies







2563 2962 5525



Note: The correct answer is "breakfast" (3). See HI812RE for the participant’s answer.

hi849re: Summary of whether Participant answered STOFHLA item#A3-b correctly: ’Do not ___,’


- 52 -


Frequencies







2563 2963 5526



Note: The correct answer is "drink" (2). See HI813RE for the participant’s answer.

hi850re: Summary of whether Participant answered STOFHLA item#A3-c correctly: ’even ___.’


Frequencies







2564 2964 5528



Note: The correct answer is "water" (3). See HI814RE for the participant’s answer.

- 53 -


hi851re: Summary of whether Participant answered STOFHLA item#A3-d correctly: ’If you have any ___,’


Frequencies







2564 2963 5527



Note: The correct answer is "questions" (4). See HI815RE for the participant’s answer.

hi852re: Summary of whether Participant answered STOFHLA item#A3-e correctly: ’call the X-ray ___ at 616-4500.’


- 54 -


Frequencies







2562 2962 5524



Note: The correct answer is "Department" (1). See HI816RE for the participant’s answer.

hi853re: Summary of whether Participant answered STOFHLA item#B1-a correctly: ’I agree to give correct information to ___ if I canreceive Medicaid.’


Frequencies







2565 2963 5528



Note: The correct answer is "see" (3). See HI817RE for the participant’s answer.

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hi854re: Summary of whether Participant answered STOFHLA item#B1-b correctly: ’I ___ to provide the county’


Frequencies







2564 2963 5527



Note: The correct answer is "agree" (1). See HI818RE for the participant’s answer.

hi855re: Summary of whether Participant answered STOFHLA item#B1-c correctly: ’information to ___ any statements given’


- 56 -


Frequencies







2565 2963 5528



Note: The correct answer is "prove" (4). See HI819RE for the participant’s answer.

hi856re: Summary of whether Participant answered STOFHLA item#B1-d correctly: ’in this ___ and hereby’


Frequencies







2565 2963 5528



Note: The correct answer is "application" (2). See HI820RE for the participant’s answer.

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hi857re: Summary of whether Participant answered STOFHLA item#B1-e correctly: ’give permission to the ___ to get such proof.’


Frequencies







2564 2963 5527



Note: The correct answer is "county" (4). See HI821RE for the participant’s answer.

hi858re: Summary of whether Participant answered STOFHLA item#B2-a correctly: ’I ___ that for Medicaid’


- 58 -


Frequencies







2565 2964 5529



Note: The correct answer is "understand" (3). See HI822RE for the participant’s answer.

hi859re: Summary of whether Participant answered STOFHLA item#B2-b correctly: ’I must report any ___ in my circumstances’


Frequencies







2566 2964 5530



Note: The correct answer is "changes" (1). See HI823RE for the participant’s answer.

- 59 -


hi860re: Summary of whether Participant answered STOFHLA item#B2-c correctly: ’within ___ (10) days of’


Frequencies







2566 2966 5532



Note: The correct answer is "ten" (4). See HI824RE for the participant’s answer.

hi861re: Summary of whether Participant answered STOFHLA item#B2-d correctly: ’becoming ___ of the change.’


- 60 -


Frequencies







2566 2965 5531



Note: The correct answer is "aware" (2). See HI825RE for the participant’s answer.

hi862re: Summary of whether Participant answered STOFHLA item#B3-a correctly: ’I understand ___ if’


Frequencies







2566 2966 5532



Note: The correct answer is "that" (3). See HI826RE for the participant’s answer.

- 61 -


hi863re: Summary of whether Participant answered STOFHLA item#B3-b correctly: ’I DO NOT like the ___ made on my case,’


Frequencies







2568 2966 5534



Note: The correct answer is "decision" (4). See HI827RE for the participant’s answer.

hi864re: Summary of whether Participant answered STOFHLA item#B3-c correctly: ’I have the ___ to a fair hearing.’


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Frequencies







2565 2966 5531



Note: The correct answer is "right" (4). See HI828RE for the participant’s answer.

hi865re: Summary of whether Participant answered STOFHLA item#B3-d correctly: ’I can ___ a hearing’


Frequencies







2566 2966 5532



Note: The correct answer is "request" (1). See HI829RE for the participant’s answer.

- 63 -


hi866re: Summary of whether Participant answered STOFHLA item#B3-e correctly: ’by writing or ___ the county where I applied.’


Frequencies







2566 2967 5533



Note: The correct answer is "calling" (3). See HI830RE for the participant’s answer.

hi867re: Summary of whether Participant answered STOFHLA item#B4-a correctly: ’If you ___ TANF’


- 64 -


Frequencies







2576 2972 5548



Note: The correct answer is "want" (2). See HI831RE for the participant’s answer.

hi868re: Summary of whether Participant answered STOFHLA item#B4-b correctly: ’for any family ___, you will’


Frequencies







2577 2970 5547



Note: The correct answer is "member" (1). See HI832RE for the participant’s answer.

- 65 -


hi869re: Summary of whether Participant answered STOFHLA item#B4-c correctly: ’have to ___ a different application form.’


Frequencies







2576 2968 5544


Note: The correct answer is "sign" (4). See HI833RE for the participant’s answer.

hi870re: Summary of whether Participant answered STOFHLA item#B4-d correctly: ’___, we will use’


Frequencies







2579 2971 5550



- 66 -


Note: The correct answer is "However" (3). See HI834RE for the participant’s answer.

hi871re: Summary of whether Participant answered STOFHLA item#B4-e correctly: ’the ___ on this form’


Frequencies







2579 2971 5550


Note: The correct answer is "date" (2). See HI835RE for the participant’s answer.

hi872re: Summary of whether Participant answered STOFHLA item#B4-f correctly: ’to determine your ___.’


- 67 -


Frequencies







2579 2970 5549



Note: The correct answer is "eligibility" (2). See HI836RE for the participant’s answer.

- 68 -


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

hstostat: Was the Short Test of Functional Health Literacy in Adults (STOFHLA) Module......... 2completed by Participant alone, with help, or by proxy?

hstorel: Relationship of Short Test of Functional Health Literacy in Adults (STOFHLA) Module............... 3helper or proxy to Participant.

hi800re: Summary of whether Participant belonged to the 8% sub-sample randomly selected to.............. 4be assessed using the STOFHLA.......... 4hi800rea: Flag for outcome of the STOFHLA assessment.

hi800red: Number of STOFHLA items attempted if Participant completed the STOFHLA ................... 6assessment.

hi874re: Functional Health Literacy Level if Participant completed the STOFHLA assessment................ 7and attempted all items.

8hi875re: Functional Health Literacy Level if Participant completed the STOFHLA assessment.hi801re: Participant’s answer to STOFHLA item #A1-a: ’Your doctor has sent you to have a ___

.................... 8X-ray.’

. 9hi802re: Participant’s answer to STOFHLA item #A1-b: ’You must have an ___ stomach’

... 10hi803re: Participant’s answer to STOFHLA item #A1-c: ’when you come for ___.’

.. 11hi804re: Participant’s answer to STOFHLA item #A1-d: ’The X-ray will ___ from 1 to 3’

..... 12hi805re: Participant’s answer to STOFHLA item #A1-e: ’___ hours to do.’hi806re: Participant’s answer to STOFHLA item #A2-a: ’The day before the X-ray, for supper

.................. 13have only a ___’hi807re: Participant’s answer to STOFHLA item #A2-b: ’snack of fruit, ___, and jelly, with

.................. 14coffee or tea.’

... 15hi808re: Participant’s answer to STOFHLA item #A2-c: ’After ___, you must not’

.... 16hi809re: Participant’s answer to STOFHLA item #A2-d: ’___ or drink anything’

...... 17hi810re: Participant’s answer to STOFHLA item #A2-e: ’at ___ until’

.. 18hi811re: Participant’s answer to STOFHLA item #A2-f: ’after you have ___ the X-ray.’19hi812re: Participant’s answer to STOFHLA item #A3-a: ’The day of the X-ray, do not eat ___.’

...... 20hi813re: Participant’s answer to STOFHLA item #A3-b: ’Do not ___,’

...... 21hi814re: Participant’s answer to STOFHLA item #A3-c: ’even ___.’

.... 22hi815re: Participant’s answer to STOFHLA item #A3-d: ’If you have any ___,’

. 23hi816re: Participant’s answer to STOFHLA item #A3-e: ’call the X-ray ___ at 616-4500.’hi817re: Participant’s answer to STOFHLA item #B1-a: ’I agree to give correct information to

............... 24___ if I can receive Medicaid.’

.. 25hi818re: Participant’s answer to STOFHLA item #B1-b: ’I ___ to provide the county’hi819re: Participant’s answer to STOFHLA item #B1-c: ’information to ___ any statements

.................... 26given’

.... 27hi820re: Participant’s answer to STOFHLA item #B1-d: ’in this ___ and hereby’hi821re: Participant’s answer to STOFHLA item #B1-e: ’give permission to the ___ to get such

.................... 28proof.’

... 29hi822re: Participant’s answer to STOFHLA item #B2-a: ’I ___ that for Medicaid’hi823re: Participant’s answer to STOFHLA item #B2-b: ’I must report any ___ in my

.................. 30circumstances’

... 31hi824re: Participant’s answer to STOFHLA item #B2-c: ’within ___ (10) days of’

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... 32hi825re: Participant’s answer to STOFHLA item #B2-d: ’becoming ___ of the change.’

..... 33hi826re: Participant’s answer to STOFHLA item #B3-a: ’I understand ___ if’34hi827re: Participant’s answer to STOFHLA item #B3-b: ’I DO NOT like the ___ made on my case,’... 35hi828re: Participant’s answer to STOFHLA item #B3-c: ’I have the ___ to a fair hearing.’..... 36hi829re: Participant’s answer to STOFHLA item #B3-d: ’I can ___ a hearing’

hi830re: Participant’s answer to STOFHLA item #B3-e: ’by writing or ___ the county where I ..................... 37applied.’...... 38hi831re: Participant’s answer to STOFHLA item #B4-a: ’If you ___ TANF’... 39hi832re: Participant’s answer to STOFHLA item #B4-b: ’for any family ___, you will’.40hi833re: Participant’s answer to STOFHLA item #B4-c: ’have to ___ a different application form.’...... 41hi834re: Participant’s answer to STOFHLA item #B4-d: ’___, we will use’..... 42hi835re: Participant’s answer to STOFHLA item #B4-e: ’the ___ on this form’..... 43hi836re: Participant’s answer to STOFHLA item #B4-f: ’to determine your ___.’

hi837re: Summary of whether Participant answered STOFHLA item #A1-a correctly: ’Your doctor............... 44has sent you to have a ___ X-ray.’

hi838re: Summary of whether Participant answered STOFHLA item #A1-b correctly: ’You must.................. 45have an ___ stomach’

hi839re: Summary of whether Participant answered STOFHLA item #A1-c correctly: ’when you................... 46come for ___.’

hi840re: Summary of whether Participant answered STOFHLA item #A1-d correctly: ’The X-ray.................. 46will ___ from 1 to 3’

hi841re: Summary of whether Participant answered STOFHLA item #A1-e correctly: ’___ hours to ...................... 47do.’

hi842re: Summary of whether Participant answered STOFHLA item #A2-a correctly: ’The day............. 48before the X-ray, for supper have only a ___’

hi843re: Summary of whether Participant answered STOFHLA item #A2-b correctly: ’snack of fruit,............... 48___, and jelly, with coffee or tea.’

hi844re: Summary of whether Participant answered STOFHLA item #A2-c correctly: ’After ___, you..................... 49must not’

hi845re: Summary of whether Participant answered STOFHLA item #A2-d correctly: ’___ or drink .................... 50anything’.50hi846re: Summary of whether Participant answered STOFHLA item #A2-e correctly: ’at ___ until’

hi847re: Summary of whether Participant answered STOFHLA item #A2-f correctly: ’after you have................... 51___ the X-ray.’

hi848re: Summary of whether Participant answered STOFHLA item #A3-a correctly: ’The day of the.................. 52X-ray, do not eat ___.’52hi849re: Summary of whether Participant answered STOFHLA item #A3-b correctly: ’Do not ___,’.53hi850re: Summary of whether Participant answered STOFHLA item #A3-c correctly: ’even ___.’

hi851re: Summary of whether Participant answered STOFHLA item #A3-d correctly: ’If you have..................... 54any ___,’

hi852re: Summary of whether Participant answered STOFHLA item #A3-e correctly: ’call the X-ray................... 54___ at 616-4500.’

hi853re: Summary of whether Participant answered STOFHLA item #B1-a correctly: ’I agree to give........... 55correct information to ___ if I can receive Medicaid.’

hi854re: Summary of whether Participant answered STOFHLA item #B1-b correctly: ’I ___ to.................. 56provide the county’

hi855re: Summary of whether Participant answered STOFHLA item #B1-c correctly: ’information to

- ii -


................. 56___ any statements given’hi856re: Summary of whether Participant answered STOFHLA item #B1-d correctly: ’in this ___ and

..................... 57hereby’hi857re: Summary of whether Participant answered STOFHLA item #B1-e correctly: ’give

.............. 58permission to the ___ to get such proof.’hi858re: Summary of whether Participant answered STOFHLA item #B2-a correctly: ’I ___ that for

.................... 58Medicaid’hi859re: Summary of whether Participant answered STOFHLA item #B2-b correctly: ’I must report

................ 59any ___ in my circumstances’hi860re: Summary of whether Participant answered STOFHLA item #B2-c correctly: ’within ___

.................... 60(10) days of’hi861re: Summary of whether Participant answered STOFHLA item #B2-d correctly: ’becoming ___

................... 60of the change.’hi862re: Summary of whether Participant answered STOFHLA item #B3-a correctly: ’I understand

..................... 61___ if’hi863re: Summary of whether Participant answered STOFHLA item #B3-b correctly: ’I DO NOT

................ 62like the ___ made on my case,’hi864re: Summary of whether Participant answered STOFHLA item #B3-c correctly: ’I have the ___

................... 62to a fair hearing.’hi865re: Summary of whether Participant answered STOFHLA item #B3-d correctly: ’I can ___ a

..................... 63hearing’hi866re: Summary of whether Participant answered STOFHLA item #B3-e correctly: ’by writing or

............... 64___ the county where I applied.’hi867re: Summary of whether Participant answered STOFHLA item #B4-a correctly: ’If you ___

..................... 64TANF’hi868re: Summary of whether Participant answered STOFHLA item #B4-b correctly: ’for any family

................... 65___, you will’hi869re: Summary of whether Participant answered STOFHLA item #B4-c correctly: ’have to ___ a

................. 66different application form.’hi870re: Summary of whether Participant answered STOFHLA item #B4-d correctly: ’___, we will

...................... 66use’hi871re: Summary of whether Participant answered STOFHLA item #B4-e correctly: ’the ___ on this

..................... 67form’hi872re: Summary of whether Participant answered STOFHLA item #B4-f correctly: ’to determine

.................... 67your ___.’

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in person: short test of functional health literacy in ...€¦ · the short test of functional...

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