HAN 455 Quiz 1 Flashcards

1
Q

below basic literacy level

A

no more than most simple and concrete literacy skills

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2
Q

basic literacy level

A

can perform simple everyday literacy activities

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3
Q

intermediate literacy level

A

can perform moderately challenging literacy activities

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4
Q

proficient literacy level

A

can perform complex and challenging literacy activities

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5
Q

incidence

A

new # of cases

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6
Q

prevalence

A

all # of cases (new and old)
- for diseases like blood pressure/heart disease

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7
Q

y-axis

A

ordinate

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8
Q

x-axis

A

abscissa

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9
Q

people with higher risk of limited health literacy

A

elderly
poor
unemployed
those who did not finish high school
members of minority groups
recent immigrants to US who don’t speak English
born in US but English is 2nd language

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10
Q

red flags for lower literacy

A

frequently missed appointments
incomplete registration forms
non-compliance with medication
unable to name medications, explain
identifies pills by looking at them, not reading label
unable to give coherent, sequential history
ask fewer questions
lack of follow-through on tests or referrals

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11
Q

expectations for patients

A

prevention (eating, exercise, sunscreen, dental)
immunization
self assessment of health status (peak flow meter, glucose testing)
self-treatment (insulin adjustments)
health care use (when to go to clinic/ER, referrals and follow-up, insurance/medicare)

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12
Q

barrier to health literacy

A

expectations of patients are forever increasing, causing us to overlook certain aspects

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13
Q

the effects of poor health literacy

A
  • a barrier to patients’ understanding of their diagnoses and treatments -> barrier to receiving high-quality care
  • increased risk of hospitalization
  • poor physical health and mental health scores
  • lack of health insurance
  • less frequent use of preventive services
  • higher healthcare costs
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14
Q

solutions to health literacy

A
  • pre-testing (simple standardized literacy tests - REALM, TOFHLA)
  • SMOG
  • suitability assessment of materials and the medicare/medicaid checklist
  • newest vital signs
  • teach back method
  • ask 3 questions
  • AHRQ toolkit
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15
Q

health literacy

A

a person’s capacity to learn about and understand basic health information and services, and to use these resources to promote one’s health and wellness

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16
Q

functional health literacy

A

the basic skills in reading and writing that are necessary to function effectively in everyday situations, broadly comparable with the content of “medical” health literacy

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17
Q

interactive health literacy

A

more advanced cognitive and literacy skills which, together with social skills, can be used to actively participate in everyday situations

extract information and derive meaning from different forms of communication, and apply to changing circumstance

18
Q

critical health literacy

A

more advanced cognitive skills, which together with social skills, can be applied to critically analyze information and use this to exert greater control over life events and situations

19
Q

fundamental health literacy

A

skills and strategies involved in reading, speaking, writing and interpreting numbers

20
Q

science literacy

A

the levels of competence with science and technology

21
Q

civic literacy

A

abilities that enable citizens to become aware of public issues and become involved in the decision-making process

22
Q

cultural literacy

A

the ability to recognize and use collective beliefs, customs, world-view and social identity in order to interpret and act on health information

23
Q

conceptual foundations

A

includes the basic knowledge and information needed to understand and take action on public health concerns

24
Q

critical skills

A

the skills necessary to obtain, process, evaluate, and act upon information that is needed to make public health decisions that benefit the community

25
Q

civic orientation

A

the skills and resources necessary to address health concerns through civic engagement

26
Q

institute of medicine (IOM)’s conceptual model of health literacy - competencies

A

access, understand, appraise, apply

27
Q

competencies - access

A

ability to seek, find and obtain health information

28
Q

competencies - understand

A

ability to comprehend the health information that is accessed

29
Q

competencies - appraise

A

ability to interpret, filter, judge and evaluate the health information that has been accessed

30
Q

competencies - apply

A

ability to communicate and use the information to make a decision to maintain and improve health

31
Q

institute of medicine (IOM)’s conceptual model of health literacy - 3 domains

A

domain of healthcare

domain of disease prevention

domain of health promotion

32
Q

domain of healthcare

A

ability to access

understand

interpret and evaluate

make informed decisions on medical issues

33
Q

domain of disease prevention

A

ability to access information on risk factors

understand info on risk factors

interpret and evaluate information on risk factors

34
Q

domain of health promotion

A

regularly update oneself in determinants of health in the social and physical environment

ability to comprehend information on determinants of health

ability to interpret and evaluate determinants of health

ability to make informed decisions on determinants of health

35
Q

REALM-R Test

A

rapid estimate of adult literacy in medicine

a screening test that takes less than 2 mins
assesses an adult’s ability to read common medical words
*word recognition test - not reading comprehension

used in medical facilities due to its speed in nature
6 or less means they are illiterate

36
Q

STOFHLA

A

short test of functional health literacy in adults

a screening test that takes around 7 minutes (in spanish or english)

patient is given an exam with fill in the blank sentences
ex: “the x-ray will [take] from 1 to 3 [hours] to do

37
Q

TOFHLA - levels

A

inadequate, marginal, adequate

38
Q

inadequate functional health literacy

A

0-16 TOFHLA score

unable to read and interpret health texts

39
Q

marginal functional health literacy

A

17-22 TOFHLA score

has difficulty reading and interpreting health texts

40
Q

adequate functional health literacy

A

23-36
can read and interpret most health texts