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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 1
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2 21 C H A P T E R HEALTH LITERACY AND ADVOCACY
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 3 Health Literacy Influences Lifestyle choices Health-seeking behaviors Patient compliance
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 4 Low Health Literacy Associated with: –Older individuals –Lower income levels –Less formal education –Minorities –Acute illness
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 5 Impact of Inadequate Health Literacy Inability to give an accurate health history Missed appointments Noncompliance including medication errors Inability to read/understand consent forms
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 6 Patients with Low Health Literacy More frequently report poor health Likely to make poor lifestyle choices Use the ER as their primary care provider Have delays diagnosing health problems
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 7 Improving Health Literacy Information should be easy to read (Figure 21-5) Information should be accurate
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 8 Tips for Creating Effective Patient Information Improving Health Literacy (cont.)
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9 Assessing Patient Literacy Levels Subtle signs—forgot glasses, brings friend to help Literacy testing—WRAT, TOFHLA, REALM
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 10 Strategies to Promote Clear Communication Ask Me 3 Teach Back Closing the Loop
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 11 Measuring the Readability of Text Consider sentence length Count number of syllables in words Tools: SMOG, Flesch-Kincade
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 12 Alternative Formats Pictures—keep simple, consider population DVDs, MP3s, etc. (Figure 21-8)
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 13 Tips for Producing Multimedia Patient Materials Alternative Formats (cont.)
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© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 14 Internet Resources Develop a list of reputable web sites Look at government agencies, universities Be careful with “.com” sites
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