How to Use the Newest Vital Signs

4/29/2013

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How to Use the Newest Vital Signs

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Sample illustration for interpretation by Patient to complete the Newest Vital Sign screening for health literacy Photo Credits: www.medscape.com
How To Use the Newest Vital Sign

1. Who and when to administer the Newest Vital Sign?

           A nurse (or other trained clinic staff) is the preferred administrator of the Newest Vital Sign.

           Administer at the same time that other vital signs are being taken. 


2. Ask the patient to participate.
A useful way to ask the patient is an explanation similar to this:
“We are asking our patients to help us learn how well patients can understand the 
medical information that doctors give them. Would you be willing to help us by 
looking at some health information and then answering a few questions about that 
information? Your answers will help our doctors learn how to provide medical 
information in ways that patients will understand. It will only take about 3 minutes.”
3. Hand the nutrition label to the patient.
The patient can and should retain the nutrition label throughout administration of the 
Newest Vital Sign. The patient can refer to the label as often as desired.
More…
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Newest Vital Sign: Questions to Ask (Health Literacy Part IV)

9/3/2012

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Questions to Ask for Newest Vital Sign http://farm3.static.flickr.com/2622/
The Newest Vital Sign developed by Pfizer along with experts of the University of Arizona College of Medicine. The NVS is designed as a questionnaire with a picture of a Nutrition Label at the back of a pint of ice cream. Patients are asked to interpret what it is.

See Picture of the Nutrition Label used for the test.

The questions asked are the following:

  1. If you eat the entire container, how many calories will you eat? 
  2. If you are allowed to eat 60 grams of carbohydrates as a snack, how much ice cream would you have?
  3. Your doctor advises you to reduce the amount of staturated fat in your diet. you usually have 42 grams of saturated fact each day, which includes one serving of ice cream. If you stop eating ice cream, how many grams saturated fat would you be consuming each day?
  4. If you usually eat 2500 calories in a day, what percentage of your daily value of calories will you be eating if you eat one serving?


The right answers to these questions should be the following

For the first question: 1000

For the second question: Any of the following is correct---1 cup (or any amount up to 1 cup), half the container. (Be sure to clarify if the patient answers "two serving". Ask "How much ice cream would that be if you were to measure it into a bowl?")

For the Third question: 33

For the fourth question: 10%


Once you are through with these four questions, read to the patient or subject the following:

Pretend that you are allergic to the following substances: penicillin, peanuts, latex gloves, and bee stings.

5. Is it safe for you to eat this ice cream?

6. (Ask only if the patient responds "no" to question 5): Why not?

The fifth question should have a "No" answer to qualify as correct.

Lastly, the sixth question should have a correct answer similar to "because it has peanut oil".


Tally the number of correct answers.

Scores of 0-1 suggests high likelihood (50% or more) of limited literacy.
Scores of 2-3 indicates the possibility of limited literacy.
Scores of 4-6 almost always indicates adequate literacy.






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Health Literacy (Part III): Newest Vital Sign

9/20/2011

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The Newest Vital Sign http://www.annfammed.org/content/vol3/issue6/images/
Vital signs. Most people who are acquainted with health matters know what vital signs are. Vital signs include blood presssure, cardiac rate, respiratory rate and temperature. This may be simple and measurable but it holds key information on the well-being of a person. 

Vital signs are meaningful to a health professional. It provides them with the necessary non-invasive objective measure of what is happening in the person's internal milieu.


It is meaningful to a lay person since it can be replicated anywhere, anytime without additional expense outside of a standard thermometer, watch, stethoscope and blood pressure apparatus.

Gauging health literacy requires proper diagnostic tool. This can be done using the Newest Vital Sign test developed by Pfizer and researched by health literacy experts of the University of Arizona College of Medicine.


The NVS is a bilingual (English and Spanish) screening test for general literacy, numeracy and comprehension skills concerning health information. This is intended for use in the primary care setting and can be accomplished within three minutes.

The test involves one image---an ice cream container containing nutrition label. Patients are asked to read the label while the health care provider or tester asks six questions. A scoring sheet is available to compare responses of the patient. Those who score less than four correct answers are likely to be having low health literacy.

The NVS is available for free. Anyone can download it or ask the Pfizer Clear Health Communication Initiative website.


The most important part in having the NVS is on how the health care provider should respond to a patient with limited health literacy skills. The healthcare provider must provide clear and simple communication techniques to enable the patient to cope with the impending dilemma they will face outside of the doctor's clinic.

A medicine is only good as long as the patient takes it. A doctor can further improve their patient's well-being by providing clear, simple, brief and comprehensive health counselling and prescriptions. What good is a prescription if a patient can hardly follow what is written, or worse, not able to read it at all?

Ensuring that patients are actually in a position to comprehend the instructions of doctors will cut a long line of subsequent events that can make or break a patient's health. A simple test conducted while patient's are at the waiting room can be a lifesaver.
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