“…In contrast, limited FHL creates considerable challenges even when trying to accomplish simple tasks, such as reading and understanding a consent form or a health education brochure (Baker, Williams, Parker, Gazmararian, & Nurss, 1999). It is also associated with poor understanding of oral instructions (Schillinger, Bindman, Wang, Stewart, & Piette, 2004), low disease knowledge (Yeh et al, 2018) and less use of more effective coping strategies, such as seeking information (Ellis, Mullan, Worsley, & Pai, 2012; Rahmani et al, 2019).…”