2.50
Hdl Handle:
http://hdl.handle.net/10755/160233
Type:
Presentation
Title:
Assessment of Functional Health Literacy of Hispanic Migrant Patients
Abstract:
Assessment of Functional Health Literacy of Hispanic Migrant Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Missik, Eugenia, PhD
P.I. Institution Name:Kent State University
Contact Address:College of Nursing, Poland, OH, 44514, USA
Co-Authors:M.L. Lenardon, College of Nursing, Kent State University, Kent, OH
Background - Low functional health literacy (FHL) directly contributes to adverse health outcomes and is particularly noticeable in Hispanic migrants. Instruments to accurately assess FHL in Spanish are scarce and often not adapted to patient's needs. Rationale - Migrant populations exhibit some of the largest health burdens and have greater difficulty accessing and processing health information to make appropriate health decisions. Their ability to understand and follow instructions needed for risk reduction and self-management is limited. Health professionals often communicate in a high literacy level. Purpose - This pilot project intended to assess the FHL of Hispanic patients in a migrant health clinic. Method - A convenience sample of 28 subjects 18+ years of age was used. The Spanish Newest Vital Sign (NVS) instrument was used. It was linguistically and culturally adapted to the needs of patients. The NVS asks six questions related to a nutritional label. Data was collected in the waiting room of the clinic after verbal consent was secured. One point is given for each correct answer. 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). Data Analyses - Descriptive statistics illustrate the sample and the univariate relationship of groups with the dependent variable. Instrument reliability was tested and student's t-statistic was used to compare the groups. Results - Internal consistency of the instrument was moderate (Cronbach 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. There were no significant differences between age, gender or education and FHL scores. Nursing Implications - Findings indicate patients have a high probability to misunderstand directions for health care and are more likely to take medications incorrectly or fail to follow medical recommendations. Health information in simplified oral and written language including audio and visual aids is needed. To achieve optimal health outcomes with Hispanic patients, health providers need to adopt oral and written communication practices appropriate to the identified FHL of patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAssessment of Functional Health Literacy of Hispanic Migrant Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160233-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Assessment of Functional Health Literacy of Hispanic Migrant Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</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</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-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, Poland, OH, 44514, USA</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">M.L. Lenardon, College of Nursing, Kent State University, Kent, OH</td></tr><tr><td colspan="2" class="item-abstract">Background - Low functional health literacy (FHL) directly contributes to adverse health outcomes and is particularly noticeable in Hispanic migrants. Instruments to accurately assess FHL in Spanish are scarce and often not adapted to patient's needs. Rationale - Migrant populations exhibit some of the largest health burdens and have greater difficulty accessing and processing health information to make appropriate health decisions. Their ability to understand and follow instructions needed for risk reduction and self-management is limited. Health professionals often communicate in a high literacy level. Purpose - This pilot project intended to assess the FHL of Hispanic patients in a migrant health clinic. Method - A convenience sample of 28 subjects 18+ years of age was used. The Spanish Newest Vital Sign (NVS) instrument was used. It was linguistically and culturally adapted to the needs of patients. The NVS asks six questions related to a nutritional label. Data was collected in the waiting room of the clinic after verbal consent was secured. One point is given for each correct answer. 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). Data Analyses - Descriptive statistics illustrate the sample and the univariate relationship of groups with the dependent variable. Instrument reliability was tested and student's t-statistic was used to compare the groups. Results - Internal consistency of the instrument was moderate (Cronbach 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. There were no significant differences between age, gender or education and FHL scores. Nursing Implications - Findings indicate patients have a high probability to misunderstand directions for health care and are more likely to take medications incorrectly or fail to follow medical recommendations. Health information in simplified oral and written language including audio and visual aids is needed. To achieve optimal health outcomes with Hispanic patients, health providers need to adopt oral and written communication practices appropriate to the identified FHL of patients.</td></tr></table>en_GB
dc.date.available2011-10-26T22:44:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:44:59Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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