“…Individuals with low functional health literacy have admitted to having feelings of shame due to their poor reading skills (Parikh, Parker, Nurss, Baker, & Williams, 1996). Additionally, difficulties associated with comprehension are not entirely exclusive to patients with low levels of health literacy (El-Daly, Ibraheim, Rajakulendran, Culpan, & Bates, 2016). Even patients with a proficient level of health literacy may deliberately not seek clarification in order to avoid embarrassment or appearing foolish (El-Daly et al, 2016).…”