[NIFL-HEALTH:4025] QUESTIONS THAT REVEAL LITERACY

From: Audrey Riffenburgh (ar@plainlanguageworks.com)
Date: Wed Jun 25 2003 - 20:29:01 EDT


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From: Audrey Riffenburgh <ar@plainlanguageworks.com>
To: Multiple recipients of list <nifl-health@literacy.nifl.gov>
Subject: [NIFL-HEALTH:4025] QUESTIONS THAT REVEAL LITERACY
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Greetings:

This is a very interesting thread of discussion. I understand how
medical professionals would want to know the literacy levels of their
patients but I think it's a tough goal to achieve.

I have a reading background and worked in adult literacy at the local,
state, and national level for almost a decade before moving into health
literacy. I have spoken with many adult literacy students about their
experiences in medical settings. They have taught me that people who
have limited literacy skills are often very reluctant to talk about it,
in any setting.

If we set up situations that "force" them to admit they can't read
something or that they need help, or someone is watching to see if they
stumble and then intervenes, it may alienate them tremendously. Instead,
I advocate that medical professionals change their processes to be
inclusive of everyone. Since we know that about half of US adults read
at or below 8th grade level, doesn't it make sense to adjust the systems
we use to meet the needs of that half instead of trying to figure out
who they are? The doctor's office Lisa wrote about is a great example.
They learned that having patients fill out forms didn't give them
accurate health information, so they changed their way of doing things
to address the challenge. This is a great strategy!

Audrey Riffenburgh, M.A.
President, Riffenburgh & Associates
P.O. Box 6670, Albuquerque, NM  87197-6670
Phone: (505) 345-1107  Fax: (505) 345-1104
E-mail: ar@plainlanguageworks.com
Specialists in Plain Language & Health Literacy since 1994
=============================================
Principal & Founding Member, The Clear Language Group
www.clearlanguagegroup.com



----- Original Message -----
From: "Lisa Schmalzried" <ccread@alltel.net>
To: "Multiple recipients of list" <nifl-health@literacy.nifl.gov>
Sent: Tuesday, June 24, 2003 12:43 PM
Subject: [NIFL-HEALTH:4024] RE: QUESTIONS THAT REVEAL LITERACY


> To elaborate a little bit, this doctor's office does everything
orally.
> They ask the patients questions and as the patient answers the office
person
> inputs it into the computer.  They used to ask patients to fill out
forms,
> but no longer do so.  Thank you to everyone responding to my question.
I
> appreciate the tips I'm getting.  Lisa
>
> Linda Flores wrote:
>
> > Lisa,
> >
> > In my experience patients usually let you know
> > what their literacy skills are.  However,
> > one good question could be to ask them to read/
> > fill out paperwork and if they will need help from someone
> > when doing so.
> >
> > Linda G. Flores
> > Assistant Regional Coordinator
> >
> > Women's Health Network/
> > VNA Care Network
> > 888-663-3688 X-4723
> > 781-455-6661
> > lflores@vnacarenetwork.org
> >
> > -----Original Message-----
> > From: Lisa Schmalzried [mailto:ccread@alltel.net]
> > Sent: Tuesday, June 24, 2003 10:02 AM
> > To: Multiple recipients of list
> > Subject: [NIFL-HEALTH:4021] QUESTIONS THAT REVEAL LITERACY
> >
> > Hello,
> >
> > I am the director of a literacy council in Meadville PA, and am
working
> > with a physician's group to
> > come up with a list of questions that could be asked at patient
intake
> > that would reveal their
> > literacy needs.  I was wondering if anyone has done this already
with
> > success and if you'd be willing
> > to share.  WE are engaging a local pharmacist also to help with
> > simplifiying medicine labels.
> >
> > My thoughts are that with a good rapport, adults having literacy
needs
> > would indicate that when
> > asked.  Others might respond that they have no trouble with literacy
and
> > you won't find out until
> > much later.  Thanks for your help in this.  If I didn't explain it
> > properly, I'll try again.
> >
> > Lisa Schmalzried
> >
************************************************************************
> > *******************
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