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4. Health Literacy
Terms in this set (30)
The ability to read and speak English
Ability to write, read, understand, and interpret information written at an eighth-grade level or above
Unable to read or write at all or at the fourth-grade level or below
Ability to read, write, and comprehend information between the fifth and eighth-grade levels. Trouble using commonly printed and written information to meet every day needs (reading TV schedule, filling out simple application forms, etc.)
Adults lack the fundamental reading, writing, and comprehension skills that are needed to operate effectively in today's society. May be able to read a simple series of directions, but lacks the ability to understand and comprehend what the words mean.
"The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate decisions" (U.S. Dept. of Health & Human Services)
Complicated medical language
An individual's functional health literacy is more likely worse than his/her general literacy skills due to
The patient, setting, and complexity of issue
Health literacy is context specific. It is influenced by
This level of health literacy includes the task example of correctly uses a table; calculate employee's share of health insurance cost/year
This level of health literacy includes the task example of correctly reads a prescription label.
This level of health literacy includes the task example of reads a pamphlet and provides two reasons why a person with no symptoms would be tested for a disease.
Below basic (14%)
This level of health literacy includes the task example of reads short instructions; identify what is permissible to eat/drink before a medical test.
How many Americans have a basic or below health literacy?
12% US adults
What percent of the US adult population has a proficient health literacy?
US adults of what ethnicities are impacted by low health literacy levels?
Blacks and Hispanics
What ethnicities have the largest share of adults in the US population who have a low health literacy level?
Health literacy is directly related to
More than what fraction of adults with less than a HS degree have a below basic health literacy?
What percentage of HS graduates still have below basic or basic health literacy?
12% college grads
What percentage of college graduates still have below basic or basic health literacy?
65y/o or older
Which adult age range is more likely to have below basic or basic health literacy skills?
Age has very little relationship to health literacy to people younger than
Inner-city and rural residents,
People with poor health status resulting from chronic mental and physical problems
What are risk factors for a poor health literacy?
Lower levels of education,
Communication from healthcare providers (using words patients do not understand),
Limited English Proficiency (LEP)
What are contributing factors to low health literacy?
Increased ER visits,
Poorer health outcomes,
Increased healthcare costs
What are outcomes of low health literacy?
Incomplete screening forms,
Misspelled words on forms,
Frustrations with forms,
Description of meds by color and shape,
Poor follow-through with home activities,
Do they actually look at written material and read it in your presence?,
Can they repeat information back to you correctly?
What are indications someone has a low health literacy?
This test was designed to assess adult literacy in the healthcare setting. It measures reading comprehension and numeracy. It was developed using actual hospital related materials such as prescription bottle labels and appointment slips. Long and short versions are available, and it is available in both English and Spanish.
Describe the Test of Functional Health Literacy in Adults (TOFHLA).
A simple, fast way to assess health literacy skills for both numbers and words (~3 minutes). It is available in both English and Spanish. A patient is asked to answer 6 questions based on an ice cream nutrition label.
What is the Newest Vital Sign (NVS)?
A patient I asked to read as many words from the provided list as they can in 5 seconds. Scored based on number of words pronounced correctly. Tests reading ability but not comprehension.
Describe the Rapid Estimate of Adult Literacy in Medicine (REALM).
Identify patients with low literacy levels;
Use simple language;
Define complex terms;
Provide supplemental materials, as needed;
Utilize the "teach back method;"
Ask open-ended questions;
Repeat the most important information;
Offer assistance with completing forms;
Provide information in patient's primary language
What can PTs do to help with health literacy?
THIS SET IS OFTEN IN FOLDERS WITH...
1. Education in Healthcare
2. Adult Learning
3. Poverty and Learning
5. Health Disparity
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