Functional Health Literacy Evaluation of Hispanic Migrant Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/149784
Type:
Presentation
Title:
Functional Health Literacy Evaluation of Hispanic Migrant Patients
Abstract:
Functional Health Literacy Evaluation of Hispanic Migrant Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Missik, Eugenia, PhD, RN
P.I. Institution Name:Kent State University
Title:Director, Center for Nursing Research & Project Director, Migrant Health Clinic
Co-Authors:Maria Laura Lenardon, MA
[Scientific session research presentation] Low functional health literacy (FHL) is strongly associated with negative health outcomes and is particularly evident in Hispanic migrants. Evaluation of FHL is complicated by the scarcity of appropriate instruments which are often not adapted to patient?s needs. Hispanic migrants have greater difficulty in accessing and processing health information compared to the general population. Health information necessary to make appropriate health decisions is not adapted to their needs or suitable to their literacy levels. Their ability to understand and follow instructions needed for risk reduction and self-management is limited. The purpose of this pilot project was to evaluate the FHL of Hispanic patients in a migrant health clinic. The sample consisted of 28 subjects 18 + years of age. The Spanish Newest Vital Sign (NVS) instrument was used which was linguistically and culturally adapted to the needs of patients by professional interpreters. The six NVS questions are related to a nutritional label. Verbal consent was secured and data was collected in the waiting room of the clinic. Data was entered into an SPSS file. Scores were grouped into three literacy categories 1 (Marginal, 0-1), 2 (Limited, 2-3), and 3 (Adequate, 4-6). Internal consistency was moderate (Cronbach's alpha = 0.5). Mean age was 34.3 years and education averaged 8.8 years. More than half (57%) scored in group 1, 36% in group 2, and 7% in group 3. Student's t-test showed no significant differences between age, gender or education and FHL scores. Findings indicate these patients have a high probability to misunderstand directions for health care and are more likely to make medications errors or fail to follow medical recommendations. Health providers need to adopt oral and written communication practices appropriate to the identified FHL of patients. The use of simplified oral and written language including audio-visual aids is needed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFunctional Health Literacy Evaluation of Hispanic Migrant Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149784-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Functional Health Literacy Evaluation of Hispanic Migrant Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Missik, Eugenia, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kent State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director, Center for Nursing Research &amp; Project Director, Migrant Health Clinic</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">emissik@kent.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Maria Laura Lenardon, MA</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Low functional health literacy (FHL) is strongly associated with negative health outcomes and is particularly evident in Hispanic migrants. Evaluation of FHL is complicated by the scarcity of appropriate instruments which are often not adapted to patient?s needs. Hispanic migrants have greater difficulty in accessing and processing health information compared to the general population. Health information necessary to make appropriate health decisions is not adapted to their needs or suitable to their literacy levels. Their ability to understand and follow instructions needed for risk reduction and self-management is limited. The purpose of this pilot project was to evaluate the FHL of Hispanic patients in a migrant health clinic. The sample consisted of 28 subjects 18 + years of age. The Spanish Newest Vital Sign (NVS) instrument was used which was linguistically and culturally adapted to the needs of patients by professional interpreters. The six NVS questions are related to a nutritional label. Verbal consent was secured and data was collected in the waiting room of the clinic. Data was entered into an SPSS file. Scores were grouped into three literacy categories 1 (Marginal, 0-1), 2 (Limited, 2-3), and 3 (Adequate, 4-6). Internal consistency was moderate (Cronbach's alpha = 0.5). Mean age was 34.3 years and education averaged 8.8 years. More than half (57%) scored in group 1, 36% in group 2, and 7% in group 3. Student's t-test showed no significant differences between age, gender or education and FHL scores. Findings indicate these patients have a high probability to misunderstand directions for health care and are more likely to make medications errors or fail to follow medical recommendations. Health providers need to adopt oral and written communication practices appropriate to the identified FHL of patients. The use of simplified oral and written language including audio-visual aids is needed.</td></tr></table>en_GB
dc.date.available2011-10-26T10:09:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:09:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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