Practical Assessment of Adult Literacy in Health Care

Health Education and Behavior - Tập 25 Số 5 - Trang 613-624 - 1998
Terry C. Davis1, Robert Michielutte2, Eunice N. Askov3, Mark V. Williams4, Barry D. Weiss5
1Department of Internal Medicine and Pediatrics, Louisiana State University Medical Center, School of Medicine, Department of Medicine, 1501 Kings Hwy., Shreveport, LA 71130-3932 (LSUMC-S); phone: 318-675-5813; fax: 318-675-4319;
2Department of Family and Community Medicine, Bowman Gray School of Medicine, North Carolina
3Institute for the Study of Adult Literacy, Pennsylvania State University
4Emory University School of Medicine, Georgia
5Department of Family Practice, University of Texas/San Antonio

Tóm tắt

Low literacy is a pervasive and underrecognized problem in health care. Approximately 21% of American adults are functionally illiterate, and another 27% have marginal literacy skills. Such patients may have difficulty reading and understanding discharge instructions, medication labels, patient education materials, consent forms, or health surveys. Properly assessing the literacy level of individual patients or groups may avoid problems in clinical care and research. This article reviews the use of literacy assessments, discusses their application in a variety of health care settings, and cites issues providers need to consider before testing. The authors describe informal and formal methods of screening for reading and comprehension in English and Spanish including the Rapid Estimate of Adult Literacy in Medicine, the Wide Range Achievement Test-3, the Cloze procedure, the Test of Functional Health Literacy in Adults, and others. Practical implications and recommendations for specific use are made.

Từ khóa


Tài liệu tham khảo

10.1001/jama.1995.03530210073035

10.1001/jama.1995.03530210031026

10.1097/00000446-199612000-00022

Kirsch I, 1993, Adult Literacy in America: A First Look at the Results of the National Adult Literacy Survey

Davis T, 1990, J Fam Pract, 31, 533

10.1016/S0738-3991(80)80049-8

10.2105/AJPH.79.2.204

10.1016/S0196-0644(88)80295-6

10.1016/S0196-0644(05)81944-4

10.1016/S0196-0644(95)70358-6

Meade C, 1992, Oncol Nurs Forum, 19, 1523

Grunder TM, 1980, N Engl J Med, 244, 56

Morrow GR, 1980, JAMA, 74, 955

Davis T, 1994, Pediatrics, 93, 460, 10.1542/peds.93.3.460

Weiss BD, 1992, JAm Board Fam Pract, 5, 257

Davis TC, 1996, Pediatrics, 97, 804, 10.1542/peds.97.6.804

10.1016/S0738-3991(97)00053-0

National Work Group on Literacy and Health, 1998, J Fam Pract, 46, 168

10.1056/NEJM199707243370411

Markwardt FS, 1989, Peabody Individual Achievement Test-Revised

Jastak S, 1993, Wide Range Achievement Test-Revised 3

Slosson RJL, 1990, Slosson Oral Reading Tests-Revised

Anastasi A, 1988, Psychological testing, 6

Davis TC, 1993, Fam Med, 25, 391

Murphy PW, 1993, J Reading, 37, 124

10.1097/00007611-199110000-00004

10.1353/hpu.2010.0272

10.1007/BF02640361

10.1002/(SICI)1097-0142(19961101)78:9<1912::AID-CNCR11>3.0.CO;2-0

10.1016/0738-3991(95)00787-3

10.1056/NEJM199307083290208

10.1111/j.1532-5415.1995.tb07057.x

10.2105/AJPH.87.6.1027

Brandes WL, 1996, Literacy, Health and the Law: An Exploration of the Law and the Plight of Marginal Readers Within the Health Care System: Advocating for Patients and Providers

10.1080/08858199209528176

Doak L, 1996, Patient Educ, 23, 1305

Plimpton S, 1994, Public Health Rep, 109, 86

Gagliano ME, 1988, J Med Educ, 63, 785

10.1080/08858199309528230

Meade CD, 1996, Oncol Nurs Forum, 23, 837

10.1016/0738-3991(95)00710-H

10.1016/0738-3991(95)00747-N

10.1016/0738-3991(94)00705-Q

Sweeny MA, 1988, J Biocommun, 15, 6

Davis TC, 1997, J Gen Intern Med, 12, 101

Stanovich KE, 1991, Handbook of Reading Research, 418

Conoly JC, 1995, The Twelfth Mental Measurements Yearbook

10.1177/014572179001600514

Woodcock RW, 1974, Woodcock Reading Mastery Tests

10.1177/107769905303000401

McKenna MC, 1980, An introduction to the Cloze procedure: An annotated bibliography

10.1080/00970050.1978.10619379

Nurss JR, 1993, Test of functional health literacy in adults: Technical report

Nurss J, 1995, J Reading, 38, 632

Blanchard JS, 1989, Instrumento Para Diagnosticar Lecturas (Espanol English): Instrumentfor the diagnosis of reading

Silvaroli N, 1986, Classroom Reading Inventory, 3

John J, 1985, Basic Reading Inventory, 5

10.1300/J025v06n01_09

Thông tin
Thông tin xuất bản

Health Education and Behavior

Tập 25 Số 5

613-624

Thông tin tác giả