Table 3 Reliability and validity of the EMAHL13 construct. Internal consistency of the inventory and its subscales were tabulated using Cronbach’s alpha and, Principal Component Analysis was used as the extraction method to undertake factor analysis. The percentage of total variance by each factor was calculated and pattern matrix was used to identify the domains

Write/Fillout

1

You can write your name and Complete the treatment consent form

0.78

2

You can write and complete the past medical history form

Differentiate & Demonstrate

3

You can understand and demonstrate reading the English Newspaper

0.97

4

You can your understand and differentiate between the two similar medication labels

Navigate the Health Care System

5

You can read and identify the hospital signs shown

0.99

6

You can read and Identify the out-patient clinic where you have your appointment

Read & Understand

7

You can understand and demonstrate reading the local language Newspaper

0.77

8

You can correctly demonstrate understanding of the local currency denominations

9

You can read and understand the appointment slip

10

You can read and understand the patient education material given to you

11

You can read and understand patient rights & responsibilities sheet

12

You can understand and differentiate the dosage instructions on the medication bottle label

13

You can understand and differentiate when and how medication needs to be taken from the prescription.