Heeal Education - Module 5 and 6 Flashcards
The ability to use print and written information to
function in society, to achieve one’s goals, and to
develop one’s knowledge and potential (U.S.
Department of Education (USDOE), 1993).
Literacy
The Three General
Kinds Of Tasks Of Literacy (Adams Price, 1993; Fisher, 1999):
Prose tasks, Document tasks, and Quantitative tasks
This measure reading comprehension and the ability to extract themes from newspapers, magazines, poems, and books.
Prose tasks
This assesses the ability of readers to interpret documents such as insurance reports, consent forms, and transportation schedules
Document tasks
This assesses the ability to work with numerical information embedded in written material such as computing restaurant menu bills, figuring out taxes, interpreting paycheck stubs, or calculating calories on a nutrition checklist.
Quantitative tasks
An educated person, one who is able to read and
write (Webster’s Collegiate Dictionary, 1999).
Literate
It is the total inability to read or write ( Doak et al., 1996).
Illiteracy
Refers to how well an individual
can read, interpret, and comprehend
health information for maintaining an optimal
level of wellness.
Health Literacy
These refer to the ability of adults to read, write, and comprehend information between the fifth and eighth grade level of difficulty. (Doak et al., 1996).
Marginally literate or marginally illiterate
These are adults who have reading, writing, and comprehension skills below the fifth-grade level; that is, they lack the fundamental education skills needed to function effectively in today’s society.
Functional Illiteracy or functional illiterate
Defined as the ease with which written or printed information can be read based on a measure of a number of different elements within a given text of printed material that influence with what degree of success a group of readers will be able to read the
style of writing of a selected printed passage.
Readability
It is the degree to which individuals understand what
they have read (Fisher, 1999).
Comprehension
It is the ability to read and interpret numbers (Morgan, 1993; Williams et al., 1995; Fisher, 1999; Doak et al., 1996).
Numeracy
Being able to understand the traditions, regular
activities and history of a group of people from a
given culture.
Cultural Literacy
It has been termed the “silent epidemic,” the “silent barrier,” and the “silent disability” ( Kefalides, 1999; Doak & Doak 1987).
Literacy
It has been portrayed “as an invisible handicap that affects all classes, ethnic groups, and ages” (Fleener & Scholl, 1992, p.
740).
Illiteracy
Myths of Literacy
- Illiterates are stupid and slow learners or incapable of learning at all.
- Illiterates can be recognized by their appearance.
- The number of years of schooling completed correlates with literacy skills.
- All illiterates are foreigners, poor, of an ethnic or racial minority, and/or from the South.
- Most illiterates will freely admit that they do not know how to read or do not understand.
The formula calculates the grade level of a text sample based on sentence length and the number of unfamiliar words. This considers “unfamiliar words” as words that 3rd grade and below do not recognize.
Spache Formula
This tells us how easy or difficult a text is to read. It also tells us how difficult it is to understand.
Flesch Formula or Flesch Reading Ease Formula
This refers to a readability test that aims to determine the level of text difficulty, or how easy a text is to read.
Fog index
This is a formula used to calculate the US grade level
required to understand a piece of text. This is the aim
of most readability formulas. This formula is different
from other formulas because it calculates the grade level.
Fry Readability Graph Extended
This tool measures the years of education required by
an average person to understand any piece of writing.
SMOG Formula
This has been specifically recommended for assessing understanding of health education literature.
Cloze Test
This test also measures a reader’s comprehension
skills.
Listening Test
It is a word recognition screening test. It is used to assess a patient’s ability to recognize and pronounce a list of words out of context as a criterion for measuring reading skills.
WRAT (Wide Range Achievement Test)
It is a screening instrument to assess an adult patient’s ability to read common medical words and lay terms for body parts and illnesses.
Rapid Estimate of Adult Literacy in Medicine (REALM)
This test is a relatively new instrument for measuring patients’ literacy skills using actual hospital materials, such as prescription labels, appointment slips, and informed consent documents.
TOFHLA (Test of Functional Health Literacy in Adults)
It can identify specific deficiencies in instructional materials that reduce their suitability.
SAM (SUITABILITY ASSESSMENT OF MATERIALS)
Using techniques to improve communication with patients has the potential to greatly enhance their understanding
MAYEAUX 1996
Teaching clients with poor reading skills does not have to be viewed as a problem but rather can be seen as a challenge
DUNN 1985
Existing teaching methods and tools can be adapted to meet the logic, language, and experience of the patient who has difficulty with reading and comprehension
DOAK 1998
They suggest the following tips as
useful strategies for the nurse educator to employ
(Walker 1987 ; Hussey 1991 ; Fain 1994b; Meade & Thornhill1989 ; Dunn 1985; Brez& Taylor 1997 ; Doak1998 ; Winslow 2001; Mayeauxet al., 1995; Murphy & Davis 1997; Austin et al., 1995)
Stick to the essentials, paring down the information you teach to what the patient must learn.
Use the smallest amount of information possible to accomplish the predetermined behavioral objectives.
Explain information in simple terms, using everyday language and personal examples relevant to the patient’s background (Spees 1991; Byrme & Edeani, 1984; Lerner et al, 2000).
Make points of information as vivid and explicit as possible
Teaching in increments and organizing information into chunks helps to reduce anxiety and confusion and give enough time for patients to understand each item before proceeding to the next unit of information.
Teach one step at a time.
Oral instruction contains cues such as tone, gestures and expressions that are not found in written materials.
Use multiple teaching methods and tools requiring fewer literacy skills
Encouraging patients to explain something in their own words may take longer and requires patience on the part of the educator, but feedback in this manner can reveal gaps in knowledge or misconceptions of information.
Allow patients the chance to restate information in their own words and to demonstrate any procedures being taught.
It is important to recognize that illiterate persons may feel like failures when they cannot work through a problem. Reassure patients that is normal to have trouble with new information and that they are doing well and encourage them to keep trying.
Keep motivation High.
A way to facilitate learning is to simplify information by using the principles of tailoring and cuing.
Build-in coordination procedures.
It refers to coordinating patient’s regimens into their daily schedule rather than forcing them to adjust their lifestyles to regimens imposed on them. It personalizes the message so that instruction is individualized to meet the patient’s learning needs.
Tailoring
It focuses on the appropriate combination of time and situational using prompts and reminders to get a person to perform a routine task.
Cueing
RESEARCH EFFORTS MUST FOCUS ON FOUR AREAS and these are
- LITERACY SCREENING
- METHODS OF HEALTH EDUCATION
- MEDICAL OUTCOMES AND ECONOMIC COSTS
- UNDERSTANDING THE CASUAL PATHWAY OF HOW HEALTH LITERACY INFLUENCES HEALTH
It has been enriched by expressive techniques, such as movements, poetry, and art (Byers & Forinash, 2004; Picard, 2000; Picard & Mariolis, 2002; Picard Sickul, & Natale,
Education of healthcare practitioners
These build on customary learning activities within
the curriculum such as lecture content, reading assignments, and clinical experiences.
Embodied knowing techniques