healthe literacy and cultural competence in healthcare Flashcards
(16 cards)
– adults with the ability to read, write and comprehend information at 5th-8th grade level
low literacy
adults who lack the basic reading, writing, and comprehension skills that are needed to operate effectively in today’s society
functional literacy
the degree to which an individual has the capacity to obtain, communicate, process and understand basic health information and services to make appropriate health decisions
health literacy
the ability to seek, find, understand and appraise health information from electronic sources and apply the knowledge gained to addressing or solving health problems
e-health literacy
readability does not mean they can
comprehend it
patients have the RIGHT to receive complete and current information regarding their diagnoses, treatments and prognoses in terms they can UNDERSTAND
patient’s bill of rights (federally mandated)
5th grade – college level
Uses average sentence length (in words) and average word length (measure in syllables).
flesch-kincaid scale
4th grade – college level
Uses average sentence length and percentage of multisyllabic words in a 100 word passage
fog index
1st grade – college level
Uses number of syllables and number of sentences in 3 100-word selections
fry readability graph- extended
EASY, HIGH VALIDITY
4th grade – college level
Uses number of multisyllabic words
SMOG formula
specifically recommended for assessment of understanding of health education materials
60% or > = sufficient comprehension
40-59% = moderate level of difficulty
<40% = material is too difficult and should not be used for patient education
cloze test
90% or > — material is EASY for patient
75-89% — material is appropriate for patient
<75% — material is too DIFFICULT
listening test
– word recognition/pronunciation
total # or words - total # words missed/not tried = raw score. (compare to standard chart)
WRAT
measures patient’s ability to read medical/health related vocabulary. Score given as a grade level
REALM
tests reading comprehension and numeracy
TOFHLA