Health Literacy and Older Adults Reshaping the Landscape: Proceedings of a Workshop (2018) / Chapter Skim
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2 The Personal Landscape
2 The Personal Landscape
Pages 5-16
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From page 5... ...
Amy Chesser, assistant professor in the Division of Aging Studies in the Department of Public Health Sciences at Wichita State University, then reviewed what research has been found regarding health literacy and older adults. An open discussion moderated by Shannah Koss, president of Koss on Care, LLC, followed the two talks.
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Looking back over the past 4 months, she has averaged seven or eight visits per month with her nine doctors and support staff, which she said requires spending a great deal of time in the health care system while trying to carry on with daily life. Her biggest frustration has been with the hospital system, which she said is nebulous in some ways.
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Clinical staff have also been lifesavers by helping Zimmerman navigate through or around roadblocks. In particular, her primary care physician has served as a sounding board/second opinion and has helped lead her to the right places in the health care system and make good decisions.
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survey. Survey results from Kansas in 2014 found that 31.4 percent of the state's 3 This section is based on the presentation by Amy Chesser, assistant professor in the Di vision of Aging Studies at Wichita State University, and the statements are not endorsed or verified by the National Academies of Sciences, Engineering, and Medicine.
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The study recruited a convenience sample of 123 students enrolled at Wichita State University and used two reliable and validated tools called the Fraboni Scale of Ageism and the Palmore Facts on Aging Quiz. The mostly female, mostly white student participants, more than half of whom were seniors in undergraduate studies, had an overall low score on knowledge, but an overall neutral attitude
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Even after adjusting the results for scores on the Mini Mental Status Exam, health literacy decreased with every increased year in age. Differences in newspaper reading frequency, visual acuity, chronic medical conditions, and health status did not explain the lower literacy of older participants, Chesser added.
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A model Chesser said she finds attractive is the patient-centered medical home model that integrates patient-centered medical neighborhoods and community services for older adults. In her mind, combining that model with a health literate health care organization would have the potential to optimize services for older adults.
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A notetaker accompanies an individual to a health care appointment. Not only does this service provide Zimmerman with a written recap of what was discussed at the appointment, but it also helps her prepare to meet with the doctor, to figure out ahead of time what she wants to discuss with her physician, and to commit that information to paper.
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Zimmerman replied that access to assorted services in the community can help individuals interact more effectively with the health care system and get the information they need. Chesser agreed that the items on the list Rosof mentioned, what she calls life, are more important than a clinical encounter, but how to measure their effect on health literacy is a challenge in that it would require community research, longitudinal studies, and even community-based participatory research.
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Anthony Sarmiento, president of Silver Spring Village, noted there are 250 to 300 similar villages around the country that are part of the Village to Village Network. He added that there is tremendous variation among them in terms of organization, capacity, and number of members.
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From page 15... ...
THE PERSONAL LANDSCAPE 15 ment for Adult Competencies' Survey of Adult Skills, he wondered if this type of research could inform work on health literacy in older adults ( accagnella, 2016)
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