Health Literacy A Prescription to End Confusion (2004) / Chapter Skim
Currently Skimming:
Appendix C: Sample Material from Selected Assessments of Literacy and Health Literacy
Appendix C: Sample Material from Selected Assessments of Literacy and Health Literacy
Pages 301-322
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 301... ...
CONTENTS Rapid Estimate of Adult Literacy in Medicine 302 Excerpts from the Test of Functional Health Literacy in Adults 304 Excerpts from the National Adult Literacy Survey 308 301
|
From page 302... ...
302 HEALTH LITERACY RAPID ESTIMATE OF ADULT LITERACY IN MEDICINE (REALM) © TABLE C-1 REALM Patient Name/ Date of Reading Subject # ________________________ Birth ___________ Level __________________ Date _________ Clinic __________ Examiner__________ Grade Completed _____________ List 1 List 2 List 3 Fat Fatigue Allergic Flu Pelvic Menstrual Pill Jaundice Testicle Dose Infection Colitis Eye Exercise Emergency Stress Behavior Medication Smear Prescription Occupation Nerves Notify Sexually Germs Gallbladder Alcoholism Meals Calories Irritation Disease Depression Constipation Cancer Miscarriage Gonorrhea Caffeine Pregnancy Inflammatory Attack Arthritis Diabetes Kidney Nutrition Hepatitis Hormones Menopause Antibiotics Herpes Appendix Diagnosis Seizure Abnormal Potassium Bowel Syphilis Anemia Asthma Hemorrhoids Obesity Rectal Nausea Osteoporosis Incest Directed Impetigo SCORE List 1 __________________ List 2 __________________ List 3 __________________ Raw Score _____________
|
From page 303... ...
. TABLE C-2 Scores and Grade Equivalents for the REALM GRADE EQUIVALENT Raw Score Grade Range 018 3rd Grade and below · Will not be able to read most low literacy materials; will need repeated oral instructions, materials composed primarily of illustrations, or audio or videotapes 1944 4th to 6th Grade · Will need low literacy materials; may not be able to read prescription labels 4560 7th to 8th Grade · Will struggle with most patient education materials; will not be offended by low literacy materials 6166 High School · Will be able to read most patient education materials Excerpts taken from: Davis TC, Crouch MA, Long SW.
|
From page 304... ...
The numeracy section uses a series of prompts to which the patient responds. These prompts consist of prescription vials, an appointment slip, a chart describing eligibility for financial aid, and an example of results from a medical test.
|
From page 305... ...
Passages included come from instructions for preparation for an upper GI series, the patient rights and responsibilities section of a Medicaid application form, and standard hospital informed consent language. Sample Items At the beginning of the reading comprehension section of the TOFHLA, the following instructions are read: Here are some other medical instructions that you or anybody might see around the hospital.
|
From page 306... ...
306 HEALTH LITERACY PASSAGE B: Medicaid Rights and Responsibilities I agree to give correct information to __________ if I can receive Medicaid.
|
From page 307... ...
2001. Test of Functional Health Literacy in Adults.
|
From page 308... ...
Level 1 prose literacy tasks required a person to read a short passage of text and locate a single piece of information that is identical to or synonymous with the information given in the question. If plausible but incorrect information was present in the text, it tended not to be located near the correct information.
|
From page 309... ...
Prose literacy tasks at level 2 required a person to locate a single piece of information in the text, compare and contrast easily identifiable information based on criteria provided in the question, or integrate two or more pieces of information, when distractors were present or when low level inferences were required. Sample Prose Item (Level 2)
|
From page 310... ...
Prose Level 3. Prose literacy tasks at level 3 required a person to match literal or synonymous information in the text with that requested in the question, to integrate multiple pieces of information from dense or lengthy text, or to generate a response based on information that could be easily identified in the text.
|
From page 311... ...
APPENDIX C 311 FIGURE C-4 Discrimination article used in NALS.
|
From page 312... ...
Prose literacy tasks at level 5 required a person to search through text and match multiple features contained in dense text with a number of plausible distractors, to compare and contrast complex information, or to generate new information making high-level inferences or using specialized background knowledge. Document Literacy and Sample Items Documents are short forms or graphically displayed information found in everyday life, including job applications, payroll forms, transportation schedules, maps, tables, and graphs.
|
From page 313... ...
APPENDIX C 313 FIGURE C-5 Korean jet article used in NALS.
|
From page 314... ...
" Since the term appears only once on the pay stub and there is only one number in the column, this task requires only a one-feature match and receives a difficulty value that lies within the level 1 range on the document scale. Document Level 2.
|
From page 315... ...
Document literacy tasks at level 3 required a person to integrate multiple pieces of information from one or more documents. Other tasks asked readers to cycle through complex tables or graphs and locate particular features.
|
From page 316... ...
Nuclear power. This level 3 task directs the reader to a stacked bar graph depicting estimated power consumption by source for four different years.
|
From page 317... ...
On Saturday afternoon, if you miss the 2:35 bus leaving Hancock and Buena Ventura going to Flintridge and Academy, how long will you have to wait for the next bus? The correct answer to this item is: C
|
From page 318... ...
Tasks required readers to integrate information, compare and contrast data points, and to summarize the results. Quantitative Literacy and Sample Items Quantitative information may be displayed visually in graphs or charts or in numerical form using whole numbers, fractions, decimals, percent
|
From page 319... ...
Quantitative literacy refers to locating quantities, integrating information from various parts of a document, determining the necessary arithmetic operation, and performing that operation. Quantitative literacy tasks included balancing a checkbook, completing an order form, and determining the amount of interest paid on a loan.
|
From page 320... ...
Quantitative Level 4. Quantitative literacy tasks at level 4 required a person to perform two or more sequential arithmetic operations or a single arithmetic operation, when the quantities could be found in different displays, or when the operations had to be inferred from semantic information given or drawn from prior knowledge.
|
From page 321... ...
Quantitative literacy tasks at level 5 required a person to perform multiple arithmetic operations sequentially, when the features of the problem had to be extracted from text; or when background knowledge was required to determine the quantities or operations needed. Sample Quantitative Item (Level 5)
|
From page 322... ...
One of the most difficult tasks on the quantitative scale, this item requires readers to look at an advertisement for a home equity loan and then, using the information given, explain how they would calculate the total amount of the interest charges associated with the loan. FIGURE C-13 Home equity loan advertisement used in NALS.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.