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
civic orientation
the skills and resources necessary to address health concerns through civic engagement
26
institute of medicine (IOM)'s conceptual model of health literacy - competencies
access, understand, appraise, apply
27
competencies - access
ability to seek, find and obtain health information
28
competencies - understand
ability to comprehend the health information that is accessed
29
competencies - appraise
ability to interpret, filter, judge and evaluate the health information that has been accessed
30
competencies - apply
ability to communicate and use the information to make a decision to maintain and improve health
31
institute of medicine (IOM)'s conceptual model of health literacy - 3 domains
domain of healthcare domain of disease prevention domain of health promotion
32
domain of healthcare
ability to access understand interpret and evaluate make informed decisions on medical issues
33
domain of disease prevention
ability to access information on risk factors understand info on risk factors interpret and evaluate information on risk factors
34
domain of health promotion
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
REALM-R Test
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
STOFHLA
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
TOFHLA - levels
inadequate, marginal, adequate
38
inadequate functional health literacy
0-16 TOFHLA score unable to read and interpret health texts
39
marginal functional health literacy
17-22 TOFHLA score has difficulty reading and interpreting health texts
40
adequate functional health literacy
23-36 can read and interpret most health texts