Impact evaluation of a Dutch community intervention to improve health-related behaviour in deprived neighbourhoods. Cass Business School, City University, London; 2005. Easy-to-use tools to evaluate the reading level of written materials are available at. Clinical research in low-literacy populations: using teach-back to assess comprehension of informed consent and privacy information. Instead, multiple professional organizations recommend using universal health literacy precautions to provide understandable and accessible information to all patients, regardless of their literacy or education levels. Limited literacy rates are also higher among those with less education, those who did not speak English before starting school, and those living below the poverty level. There were 29 randomized controlled trials 2 were clustered , 14 randomized trials, 6 before and after studies, 2 quasi experimental and a non-randomized controlled trial.
Written materials should be at or below a fifth- to sixth-grade reading level. Fourteen percent of adults 30 million people have Below Basic health literacy. Health information can overwhelm even persons with advanced literacy skills. Choosing between health plans or comparing prescription drug coverage requires calculating premiums, copays, and deductibles. For example, calculating cholesterol and blood sugar levels, measuring medications, and understanding nutrition labels all require math skills.
Development of a brief test to measure functional health literacy. Patients rarely disclose whether they comprehend the information presented to them. The impact of the format of graphical presentation on health-related knowledge and treatment choices. Although the most effective ways to communicate numerical data are unclear, several suggested approaches to improving patients' comprehension of health-related numbers are reviewed in. Quality Assessment Tool For Quantitative Studies.
EatSmart: efficacy of a multifaceted preventive nutrition intervention in clinical practice. A study of patients with hypertension and diabetes. Moreover, health information provided in a stressful or unfamiliar situation is unlikely to be retained. Conclusion Group and individual interventions of varying intensity in primary health care and community settings are useful in supporting sustained change in health literacy for change in behavioral risk factors. Plain language is communication that users can understand the first time they read or hear it.
Randomized trial of nurse-assisted strategies for smoking cessation in primary care. C , , Prioritize and limit information to three key points for each visit. Health literacy was poorly indexed which resulted in searches being highly sensitive with poor specificity. Because all patients play a central role in the outcome of their own health care, competent health care becomes almost impossible for caregivers when the boundary of low literacy skills is present. Long-term effects of the Mediterranean lifestyle program: a randomized clinical trial for postmenopausal women with type 2 diabetes Provisional abstract Int J Behav Nutr Phys Act. Plain language is a strategy for making written and oral information easier to understand. The reason that there were more effective intervention studies focusing on tobacco cessation in primary health care than community settings may be related to the increased availability of pharmacotherapy in primary health care.
Culture affects how people communicate, understand, and respond to health information. The wide range of skills that comprise health literacy and influence a patient's ability to navigate the health care system and make appropriate decisions about his or her health include reading, writing, numeracy, communication, and, increasingly, the use of electronic technology. Furthermore, the way in which numerical data are presented influences how patients understand and act on information. Department of Health and Human Services Office of Disease Prevention and Health Promotion. This happens in less than 1 out of 1,000 people.
A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions. Physical activity measurements affected participants' behavior in a randomized controlled trial. Low literacy has been linked to poor health outcomes such as higher rates of hospitalization and less frequent use of preventive services see. There may be scope for some tailoring of the site and type of interventions depending on which risk factor is the focus. There is a need for more research to evaluate which interventions are best suited to developing health literacy for individual behaviours especially in disadvantaged populations. Health Literacy Universal Precautions Toolkit.
This may be a greater challenge than knowing why one should not smoke and how to cease smoking. Schillinger D, Bindman A, Wang F, Stewart A, Piette J. Many plain language techniques apply to verbal messages, such as avoiding jargon and explaining technical or medical terms. Individual counseling and written materials were more effective in achieving impacts around smoking cessation compared to group education. The effect of health literacy on knowledge and receipt of colorectal cancer screening: a survey study.
Effects of health literacy on health status and health service utilization amongst the elderly. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. Will patients agree to have their literacy skills assessed in clinical practice? Both settings showed similar results for weight both 50% and health literacy 78% versus 75% for community settings. Overall, 38 studies 73% reported significant positive change in a health literacy outcome. People with limited health literacy often lack knowledge or have misinformation about the body as well as the nature and causes of disease.