Knowledge of Limited Health Literacy at an Academic Health Center

Jukkala, Angela; Deupree, Joy; Graham, Shannon

doi:10.3928/00220124-20090623-01

Cited by 62 publications

(50 citation statements)

References 17 publications

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“…This is not surprising given that it is unlikely that a single educational intervention would fully address the previously identified variances in clinician knowledge and/or awareness of the issue of limited health literacy and its implications. 11 Moreover, though there is some evidence that clinicians will be more likely to use recommended techniques to improve communication if informed of their patients' limited health literacy, 22 studies point to a widespread current underutilization of these techniques despite the widespread prevalence of limited health literacy.…”

Section: Discussionmentioning

confidence: 99%

“…10 Evidence suggests, however, that clinicians are sometimes not aware of the importance of limited health literacy, 11 typically misclassify the literacy abilities of patients, 5,12 or do not implement recommended strategies to assess/improve patient understanding for a myriad of reasons. [13][14][15] As a result, some have called for the implementation of clinical screening of health literacy in primary care to help clinicians better identify at-risk patients and to trigger improved communication and care outcomes.…”

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confidence: 99%

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Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument

Welch¹,

VanGeest²,

Caskey³

2011

The Journal of the American Board of Family Medicine

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Limited health literacy, defined broadly as the diminished capacity to obtain, understand, and act on basic health-related information, has been identified as an important factor impacting the quality of health care today.1-4 More specifically, limited health literacy has been identified as a risk factor for a number of adverse outcomes, including the underuse of preventive services, limited patient participation in medical decision making, poor selfmanagement/reduced adherence, delayed presentation and diagnosis, and increased hospitalizations. 2-6Patients with limited health literacy also incur significantly higher medical costs despite less than optimal care 7,8 and have worse health outcomes across a number of measures. 2,4As defined, limited health literacy is not simply a "patient problem," but one shared by the provider and health care system, with implications for the quality of care.2,3 Because it occurs within the context of care delivery, the problem of limited health literacy places a greater burden on the clinician to improve communication and ensure patient understanding. 9 This is especially true within the framework of patient-centered care, which explicitly requires that clinicians effectively elicit and incorporateThis article was externally peer reviewed.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument

Welch¹,

VanGeest²,

Caskey³

2011

The Journal of the American Board of Family Medicine

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“…Studies indicate that providers do not always understand the health literacy ability of patients, which may lead to adverse health events due to patients' poor understanding of healthcare instructions [18]. Furthermore, there is a general lack of training among healthcare providers and staff in assessing patients' health literacy levels.…”

Section: Diabetic Care Within the United States Militarymentioning

confidence: 99%

“…Furthermore, there is a general lack of training among healthcare providers and staff in assessing patients' health literacy levels. Providers lack of knowledge compounds problems associated with low health literacy [18,19]. Adding an assessment to determine health literacy levels of patients may assist healthcare providers and staff in the development of initiatives to improve patient outcomes, especially those who face management of chronic disease(s).…”

Section: Diabetic Care Within the United States Militarymentioning

confidence: 99%

Improved Glycemic Control: A Health Literacy Initiative for the Military

Cooke¹,

Deupree²,

Moore³

et al. 2015

Int J Nurs Clin Pract

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Healthy People 2020 objectives seek to improve health outcomes through promotion of clear communication techniques. It is imperative for healthcare providers to understand the challenges patients face when self-managing their care, since nearly one-third of adults have difficulty understanding and utilizing healthcare information. This study examined outcomes following implementation of a health literacy initiative using an evidence-based approach for best practices. Results suggest that increased awareness of low health literacy by patients and staff may lead to better health outcomes through improved health maintenance as evidenced by a decrease in HgA1C levels, blood pressure, and cholesterol levels.

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“…Unfortunately, many healthcare professionals are unaware of the impact of limited health literacy on health systems or individual patients [31] . For shared decision-making to be fully implemented into clinical practice, healthcare professionals need to be knowledgeable of limited health literacy, identify patients with limited health literacy, and understand the impact of limited literacy on patient education, communication and decision-making.…”

Section: Issn 2324-7940 E-issn 2324-7959mentioning

confidence: 99%

Readiness to engage in treatment decision-making during initial surgical oncology consultation for early stage breast cancer

Jukkala

Walker²,

Krontiras³

et al. 2013

Clinical Nursing Studies

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Following diagnosis with early stage breast cancer (ESBC), many difficult treatment decisions must be made. Due to the preference sensitive nature of the surgical treatment decision for ESBC, survivors need adequate treatment knowledge and the opportunity to reflect on personal preferences for expected treatment outcomes. The purpose of this study was to explore factors influencing women's readiness to engage in surgical treatment decision-making during their initial consultation for ESBC including: (1) knowledge of ESBC and surgical treatment options, 2) health literacy, (3) decision conflict; and (4) preferred treatment decision-making role. The majority of women had knowledge deficits, with only one answering all 7 items on the ESBC knowledge scale correctly. Those with low levels of health literacy had significantly lower levels of knowledge (p < .05). African American women were more likely to have lower levels of knowledge, and significantly more likely to have limited health literacy (p = .05). Women with lower levels of knowledge had higher levels of decision conflict (p < .05). The majority preferred a patient-centered or active role in decision-making; however, they were poorly prepared for meaningful participation.As informed participation in treatment decision-making is a tenet of patient-centered care, this finding is problematic and likely contributes to poor healthcare outcomes, especially for at-risk groups of women with ESBC.

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Knowledge of Limited Health Literacy at an Academic Health Center

Cited by 62 publications

References 17 publications

Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument

Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument

Improved Glycemic Control: A Health Literacy Initiative for the Military

Readiness to engage in treatment decision-making during initial surgical oncology consultation for early stage breast cancer

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