8.2 How is Health Literacy Measured Flashcards

1
Q

National Assessment of Adult Literacy (NAAL)

A
  • Used to assess health literacy

- Involves Prose, Document, and Quantitative Scales

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2
Q

Prose Tasks

A
  • Knowledge/Skills to preform prose tasks

- Ability to use information from text such as news, stories, brochures, and instructional material

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3
Q

Document Tasks

A
  • Job applications, payroll forms, transportation schedules, maps, tablets.
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4
Q

Quantitative Scales

A
  • Ability to identify and preform computations

- Balancing a checkbook, maintaining a budget

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5
Q

TASKS OF HEALTH LITERACY MEASUREMENT

A

Clinical domain - Filling out a patient form or reading a prescription bottle
Prevention domain - Ability to understand written material of health risks of obesity
Navigation domain - Ability to navigate healthcare and understanding of what insurance will pay for.

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6
Q

4 Levels of Prose Literacy

A
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7
Q

Below Basic

A
  • Find 1 piece of information

- Example is the date on a medical appointment slip that is shorter and simpler than the text

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8
Q

Basic

A
  • Ability to provide 2 reasons why a person with no symptoms to a disease should be tested for that disease by using information in a pamphlet
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9
Q

Intermediate

A
  • Interpret and apply information presented in complex graphs, tablets, or other health related texts or documents
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10
Q

Proficient

A
  • Drawing abstract inferences, comparing multiple pieces of information within complex texts or documents
  • Applying abstract or complicated information
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11
Q

What the Levels Mean

A
  • Basic/Below - Less likely to get information from written sources and more likely to get information from radio and television than higher literacy levels.
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12
Q

Limitations of NAAL Assessment

A
  • Does not capture full range of skills needed for health literacy
    CANNOT DIFFERENTIATE
  • Reading ability
  • Lack of health-related background knowledge
  • Lack of familiarity with language and materials
  • Cultural differences in approaches to health
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13
Q

TOFHLA

A
  • Test of Functional Health Literacy

- Gold Standard

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14
Q

Other health literacy assessments-

A
  • Rapid Estimate of Adult Literacy in Medicine (REALM)
  • Short Assessment of Health Literacy for Spanish Speaking Adults (SAHLSA)
  • Spoken Knowledge of Low Literacy Patients with Diabetes (SKILLD)
  • Literacy Assessment for Diabetes (LAD)
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15
Q

REALM

A
  • Medical word recognition and pronunciation test
  • Begins with simple words and ends with more difficult words
  • Scored on the amount of words pronounced correctly

0-18 words correct - 3rd grade
19-44 words correct - 4th-6th grade
45-60 words correct - 7th-8th grade
61-66 words correct - 9th grade

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16
Q

How to evaluate patients understanding

A
  • Ask the individual how they prefer their information (verbal, computer-based, videos, written)
  • Teach-back technique
  • Translate written information into primary language
  • Interactive education techniques
  • Assess/document literacy needs of a patient