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A patient's ability to read and comprehend basic concepts and tasks needed to function sufficiently in the healthier system. |
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Health Literacy surfaced from a rising concern among health care providers and adult education practitioners about |
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the number of patients who do not possess the literacy skills needed to maintain a healthy lifestyle |
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The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.’ |
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Name a test we use for Health Literacy |
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Pfizer Clear Health Communication |
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True or False? Healthcare professionals are legally responsible to bridge communication gaps between themselves and their patients. |
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True. Title VI of the 1964 Civil Rights Act states: No person in the United States shall, on the grounds of race, color or national origin, be excluded from participation in, be denied benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance. |
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True or False? When the patient does not speak English, it is his/her responsibility to make herself understood. |
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False. Although current practice in most communities reflects an assumption that providers have no obligation to bridge language barriers, or that it is patients’ obligation to make themselves understood, in most instances, this assumption is wrong as a matter of law. Federal and state laws and accreditation standards require access to linguistically appropriate care. |
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6 Cons for the use of family and friends as interpreters: |
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Results in omissions, substitutions and semantic errors that distort care Breaches confidentiality Creates barriers to the provider/patient relationship Inhibits mental health treatment Is particularly problematic in areas of gynecology,reproductive health and sexually transmitted diseases Upsets family relationships and hierarchies that are deeply rooted in culture |
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Should doctors use family and friends as interpreters: |
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Clinicians should not rely on family, friends, or health care workers untrained for interpretation. Children should never be asked to translate. |
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How to Create & Assess Printed Materials: Reading and reading skills |
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As we develop written materials for the general public, we need to think about vocabulary and sentence structure, organization of ideas, as well as layout and design elements so that we can eliminate as many unnecessary barriers as possible. |
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Three categories of consideration: creating materials |
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Language Organization Layout and design |
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Plain language is defined as |
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a clear, simple, conversational style and one that presents information in a logical order. |
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Recommendations for plain language writing often include the following (4): |
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Organization Style Reading level assessment Layout & Design |
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-Provide needed background information or needed context -Group information into meaningful sections with clear headings -Emphasize and summarize main points |
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6 parts of plain language style |
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-Use everyday words -Explain technical terms and use examples -Avoid long, complex sentences -Write in the active voice -Engage the reader. Suggestions include: making reference to a shared context, using a question and answer format Link information to trusted sources |
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Plain language: Reading grade level assessments |
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Assessments of the reading grade level of text offer some insight into the level of difficulty of written material. |
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Plain language: mulch-syllablic words |
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are considered an indicator of vocabulary difficulty Poor readers often need to sound out words and longer words present a bigger challenge. Vocabulary development requires background knowledge and exposure. |
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-often contain phrases set aside by commas, multiple ideas, and/or lists. -Poor readers often read slowly. -Can lose the main idea part way through the sentence [short term memory issue]. -Very poor readers struggle with sounding out words and may not be able to derive meaning from simple sentences. |
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Two parts of layout and design |
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-typing and spacing -overall design |
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7 parts of typing and spacing |
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Use a readable type style – generally a footed font [serif] in 12 point size Use appropriate space between lines [generally 1.2 to 1.5 spacing] Provide good contrast between the paper and the text Do not print words on shaded or patterned background Use upper and lower case Avoid all cap text Include ample white space |
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8 parts of overall design |
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Be consistent /Avoid clutter Provide a guide for finding key information Clearly label all illustrations and charts Offer explanations /Make legends clear Place charts as close as possible to explanatory text Avoid wrapping text around illustrations Use consistent and easily recognized headings Signal main points with bold or highlights |
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Three ways to assess literacy |
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MS WORD FUNCTION- spell check- check box for readability feature.
The most frequently used computerized formulas include the Flesch Grade Level Formula and the Flesch-Kincaid Index. Newer word processing programs often have the Flesch formula built into the software for easy use.
For those who do not have a computer, or conduct readability tests in the field, there are a number of formulas that can be calculated by hand. |
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How do we assess readability |
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Three parts to the smog readability formula |
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-Used to determine the reading level of your written materials. -If a person reads at or above a grade level, they will understand 90-100% of the information. -Generally, you need to aim for a reading level of sixth grade or less. In addition, to ensure that the text is clear and readable, read your draft aloud. |
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-Communicate with all patients on a basic level, without jargon. -Give the patient a chance to tell his/her story uninterrupted. -Limit new concepts to a maximum of 3 per visit. -Use pictures, graphics, and real devices for demonstration. -Ask questions beginning with “how” and “what” to ensure comprehension. -Convey information orally and use written material mostly as a back-up. |
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