Abstract: A detailed practical handbook provides a theoretical background, basic information, and guidelines to aid health professionals in planning health teaching strategies for patients who have poor reading comprehension skills. The 10 text chapters cover: the magnitude, nature, health impact, and myths of illiteracy concerning patients; the current understanding of the theories of comprehension; techniques for testing patient comprehension; methods for testing the readability of written materials; guidelines for teaching patients how to improve their reading comprehension skills; how to write for adults with low literacy skills; the use of audiocassette tapes and visual aids as learning tools; guidelines for patient pretesting to aid in the detection of literacy limitations; and the causes, characteristics, and teaching management of learning disabilities, including dyslexia. Numerous illustrations and strategies are included throughout the text.

With patient experience at the forefront of health care, effective communication of health messages is critical to quality care. This book offers proven strategies to help providers clearly explain health information to a variety of audiences, from patients and caregivers, to students and the public.

Health literacy-the ability for individuals to obtain, process, and understand basic health information and services to facilitate appropriate health decisions-is increasingly recognized as an important facet of health care and health outcomes. Although research on health literacy has grown tremendously in the past decade, there is no widely agreed-upon framework for health literacy as a determinant of health outcomes. Most instruments focus on assessing an individual's health literacy, yet the scope of health literacy reaches far beyond an individual's skills and abilities. Health literacy occurs in the context of the health care system, and therefore measures of health literacy must also assess the demands and complexities of the health care systems with which patients interact. For example, measures are needed to determine how well the system has been organized so that it can be navigated by individuals with different levels of health literacy and how well health organizations are doing at making health information understandable and actionable. To examine what is known about measures of health literacy, the Institute of Medicine convened a workshop. The workshop, summarized in this volume, reviews the current status of measures of health literacy, including those used in the health care setting; discusses possible surrogate measures that might be used to assess health literacy; and explores ways in which health literacy measures can be used to assess patient-centered approaches to care.

To maintain their own health and the health of their families and communities, consumers rely heavily on the health information that is available to them. This information is at the core of the partnerships that patients and their families forge with today's complex modern health systems. This information may be provided in a variety of forms â€" ranging from a discussion between a patient and a health care provider to a health promotion advertisement, a consent form, or one of many other forms of health communication common in our society. Yet millions of Americans cannot understand or act upon this information. To address this problem, the field of health literacy brings together research and practice from diverse fields including education, health services, and social and cultural sciences, and the many organizations whose actions can improve or impede health literacy. Health Literacy: Prescription to End Confusion examines the body of knowledge that applies to the field of health literacy, and recommends actions to promote a health literate society. By examining the extent of limited health literacy and the ways to improve it, we can improve the health of individuals and populations.

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The field of health literacy has evolved from one focused on individuals to one that recognizes that health literacy is multidimensional. While communicating in a health literate manner is important for everyone, it is particularly important when communicating with those with limited health literacy who also experience more serious medication errors, higher rates of hospitalization and use of the emergency room, poor health outcomes, and increased mortality. Over the past decade, research has shown that health literacy interventions can significantly impact various areas including health care costs, outcomes, and health disparities. To understand the extent to which health literacy has been shown to be effective at contributing to the Quadruple Aim of improving the health of communities, providing better care, providing affordable care, and improving the experience of the health care team, the National Academies of Sciences, Engineering, and Medicine convened a public workshop on building the case for health literacy. This publication summarizes the presentations and discussions from the workshop, and highlights important lessons about the role of health literacy in meeting the Quadruple Aim, case studies of organizations that have adopted health literacy, and discussions among the different stakeholders involved in making the case for health literacy.

Written by a nursing expert and former Chair of patient education for the Society of Teachers of Family Medicine, Effective Patient Education: A Guide to Increased Adherence, Fourth Edition gives clinicians the tools they need to become effective patient educators. Using a patient-centered approach, this essential text provides specific strategies for communicating in a way that motivates patients to take action. Crucial to this approach is an understanding of the patient as a partner in the patient education process. The text uncovers patient concerns and challenges that may interfere with patient adherence to recommendations, enabling clinicians to gain insight into their patients and devise communication strategies that can empower patients to overcome obstacles. In addition, this completely revised and updated edition explores the challenges that clinicians may face in conducting patient education. Using case examples to illustrate key points, this text moves beyond theory to offer practical application principles for the real world. Featuring a clinical approach in examining established patient-education theories, Effective Patient Education: A Guide to Increased Adherence, Fourth Edition is an invaluable guide for nursing students and professionals!

A high level of literacy in both print and digital media is required for negotiating most aspects of 21st-century life, including supporting a family, education, health, civic participation, and competitiveness in the global economy. Yet, more than 90 million U.S. adults lack adequate literacy. Furthermore, only 38 percent of U.S. 12th graders are at or above proficient in reading. Improving Adult Literacy Instruction synthesizes the research on literacy and learning to improve literacy instruction in the United States and to recommend a more systemic approach to research, practice, and policy. The book focuses on individuals ages 16 and older who are not in K-12 education. It identifies factors that affect literacy development in adolescence and adulthood in general, and examines their implications for strengthening literacy instruction for this population. It also discusses technologies for learning that can assist with multiple aspects of teaching, assessment,and accommodations for learning. There is inadequate knowledge about effective instructional practices and a need for better assessment and ongoing monitoring of adult students' proficiencies, weaknesses, instructional environments, and progress, which might guide instructional planning. Improving Adult Literacy Instruction recommends a program of research and innovation to validate, identify the boundaries of, and extend current knowledge to improve instruction for adults and adolescents outside school. The book is a valuable resource for curriculum developers, federal agencies such as the Department of Education, administrators, educators, and funding agencies.