Low Health Literacy

Villaire, Michael; Mayer, Gloria Gilbert

doi:10.1097/01.pcama.0000282907.98166.93

Cited by 37 publications

(7 citation statements)

References 2 publications

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“…Yet, while chronic disease prevalence increases, levels of health literacy remain low ( Villaire and Mayer, 2007 ; OECD, 2013 ), and efforts to understand health literacy's definition, mechanisms and effects are ongoing ( Baker, 2006 ). The Institute of Medicine ( The Institute of Medicine, 2004 ) and researchers ( Rootman and Ronson, 2005 ; Sørensen et al , 2012 ) have identified persistent gaps in our understanding of health literacy and its link to chronic disease and suggested a need for ‘integrated research and program and knowledge development and dissemination’ with regard to health literacy and chronic disease management [( Rootman and Gordon-El-Bihbety, 2008 ), Ch.…”

Section: Introductionmentioning

confidence: 99%

Health literacy and chronic disease management: drawing from expert knowledge to set an agenda

Poureslami

Nimmon

Rootman

et al. 2016

Health Promot. Int.

106

107

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SummaryUnderstanding the nature and impact of health literacy is a priority in health promotion and chronic disease prevention and treatment. Health literacy comprises the application of a broad set of skills to access, comprehend, evaluate, communicate and act on health information for improved health and well-being. A complex concept, it involves multiple participants and is enacted across a wide variety of contexts. Health literacy's complexity has given rise to challenges achieving a standard definition and developing means to measure all its dimensions. In May 2013, a group of health literacy experts, clinicians and policymakers convened at an Expert Roundtable to review the current state of health literacy research and practice, and make recommendations about refining its definition, expanding its measurement and integrating best practices into chronic disease management. The four-day knowledge exchange concluded that the successful integration of health literacy into policy and practice depends on the development of a more substantial evidence base. A review of the successes and gaps in health literacy research, education and interventions culminated in the identification of key priorities to further the health literacy agenda. The workshop was funded by the UBC Peter Wall Institute for Advanced Studies, Vancouver.

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Section: Introductionmentioning

confidence: 99%

Health literacy and chronic disease management: drawing from expert knowledge to set an agenda

Poureslami

Nimmon

Rootman

et al. 2016

Health Promot. Int.

106

107

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“…Low health literacy is associated with worse health and less understanding of prevention, maintenance, and self-care instruction and advice (2). These skills are particularly critical in the management of chronic diseases (3,4). …”

Section: Introductionmentioning

confidence: 99%

The impact of oral health literacy on periodontal health status

Wehmeyer

Corwin

Guthmiller

et al. 2012

J Public Health Dent

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Objective The objective of this study was to describe oral health literacy (OHL) among periodontal patients and to examine its association with periodontal health status. Methods This cross-sectional study included new and referred patients presenting to the University of North Carolina Graduate Periodontology Clinic. Sociodemographic and dental history information were collected. OHL was measured using a dental word recognition instrument, Rapid Estimate of Adult Literacy-30 (REALD-30). Clinical periodontal examinations were completed. Results One hundred and twenty-eight participants enrolled and 121 completed all study examinations and instruments. Despite a high level of education among participants in our study, low levels of OHL were found in one-third (33 percent) of the study population. Thirty-one percent had moderate OHL (score of 22–25), 37 percent had high OHL (score ≥ 26). The mean REALD-30 score was 23. Fifty-three percent of participants had severe periodontitis, 29 percent had moderate periodontitis, and 18 percent had mild or no periodontitis. Bivariate analysis showed a significant association between OHL and periodontal status (P < 0.05). The effect of OHL on periodontal health status remained statistically significant (P < 0.002) even after controlling for smoking, race, and dental insurance. Conclusion Lower OHL was associated with more severe periodontal disease among new and referred patients presenting to the University of North Carolina Graduate Periodontology Clinics.

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“…Participants’ understanding of the text can be improved by oral information or discussion with a study team member about the content in the PICD [ 22 ]. It is also possible to increase PICDs’ readability by using short words and phrases, headings, plenty of space, bulleted lists, illustrations, and large type [ 20 , 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Readability of patient information and consent documents in rheumatological studies

Hamnes¹,

Eijk-Hustings

Primdahl

2016

BMC Med Ethics

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BackgroundBefore participation in medical research an informed consent must be obtained. This study investigates whether the readability of patient information and consent documents (PICDs) corresponds to the average educational level of participants in rheumatological studies in the Netherlands, Denmark, and Norway.Methods24 PICDs from studies were collected and readability was assessed independently using the Gunning’s Fog Index (FOG) and Simple Measure of Gobbledygook (SMOG) grading.ResultsThe mean score for the FOG and SMOG grades were 14.2 (9.0–19.0) and 14.2 (12–17) respectively. The mean FOG and SMOG grades were 12.7 and 13.3 in the Dutch studies, 15.0 and 14.9 in the Danish studies, and 14.6 and 14.3 in the Norwegian studies, respectively. Out of the 2865 participants, more than 57 % had a lower educational level than the highest readability score calculated in the individual study.ConclusionsAs the readability level of the PICDs did not match the participants’ educational level, consent may not have been valid, as the participants may have had a limited understanding of what they agreed to participate in. There should be more focus on the readability of PICDs. National guidelines for how to write clear and unambiguous PICDs in simple and easily understandable language could increase the focus on the readability of PICD.Electronic supplementary materialThe online version of this article (doi:10.1186/s12910-016-0126-0) contains supplementary material, which is available to authorized users.

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Low Health Literacy

Cited by 37 publications

References 2 publications

Health literacy and chronic disease management: drawing from expert knowledge to set an agenda

Health literacy and chronic disease management: drawing from expert knowledge to set an agenda

The impact of oral health literacy on periodontal health status

Readability of patient information and consent documents in rheumatological studies

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