Joanne R. Nurss, Ph.D.
Ruth M. Parker, M.D.
Mark V. Williams.
David W. Baker, M.D., M.P.H.
used to measure functional health literacy--both numeracy and reading
comprehension--using actual health-related materials such as prescription bottle
labels and appointment slips. It is designed to assess adult literacy in the
health care setting:
• by health care
providers, to determine the adequacy of their patients' reading and
understanding of health care materials needed for their health care or health
• by researchers, to assess patient health literacy as a variable
in their research.
developed at Georgia State University under a grant to Emory University from the
Robert Wood Johnson Foundation and was first published in 1995. It is now
available from Peppercorn Books.
presented in a three ring notebook for ease of use. You may photocopy the
instruments for use in your own research or testing, within your department or
organization only. The TOFHLA package includes:
• Full versions in
English and Spanish, in regular (12 pt.) and large font (14 pt).
• A short
version in English and Spanish in large font (14 pt).
• Directions for
administration and scoring and the technical manual for each.
bibliography of published articles concerning the development and validation of
the instrument and research studies for using it.
View sample pages here (in PDF