The first graduate text to address health literacy in the aging population Low health literacy is a critical issue among adults, with over one third found to have difficulty understanding such basic information as that found on prescription bottles. This is the first graduate textbook to address key health literacy issues as they affect the health and wellbeing of the aging population. Embracing a topic spanning numerous disciplines, it features a dynamic, multicontextual systems approach and includes contributions from renowned scholars and practitioners in gerontology, public health, social work, nursing, and other related fields. The text emphasizes increasing health literacy among older adults through the use of technological tools and features, the most current research, and evidence-based programs and practices. The book provides expansive coverage of the intersection of technology and health literacy, highlighting innovative approaches and discussing how to use technology with resource-limited groups. The text gives special consideration to rural, impoverished, culturally diverse, and lowliteracy elders and presents gold standard intervention programs and models. Also covered are the policy implications of programs focusing on increasing health literacy and future directions for meeting the Healthy People 2020 initiative. Case studies, review questions, learning objectives, and supplemental PowerPoint presentations will reinforce learning. Key Features: Provides a one-of-a-kind, multidisciplinary survey of the key health literacy issues of older adults Focuses on increasing health literacy across the disciplines Addresses a priority area of Healthy People 2020 Incorporates research and practice from gerontology, psychology, public health, social work, sociology, medicine, and nursing Includes case studies, review questions, learning objectives, and PowerPoint slides for assisting instructors

Decisions large and small play a fundamental role in shaping life course trajectories of health and well-being: decisions draw upon an individual's capacity for self-regulation and self-control, their ability to keep long-term goals in mind, and their willingness to place appropriate value on their future well-being. Aging and Decision Making addresses the specific cognitive and affective processes that account for age-related changes in decision making, targeting interventions to compensate for vulnerabilities and leverage strengths in the aging individual. This book focuses on four dominant approaches that characterize the current state of decision-making science and aging - neuroscience, behavioral mechanisms, competence models, and applied perspectives. Underscoring that choice is a ubiquitous component of everyday functioning, Aging and Decision Making examines the implications of how we invest our limited social, temporal, psychological, financial, and physical resources, and lays essential groundwork for the design of decision supportive interventions for adaptive aging that take into account individual capacities and context variables. Divided into four dominant approaches that characterize the current state of decision-making science and aging neuroscience Explores the impact of aging on the linkages between cortical structures/functions and the behavioral indices of decision-making Examines the themes associated with behavioral approaches that attempt integrations of methods, models, and theories of general decision-making with those derived from the study of aging Details the changes in underlying competencies in later life and the two prevailing themes that have emerged—one, the general individual differences perspective, and two, a more clinical focus

Adults age 65 and older make up the fastest-growing segment of the U.S. population. At the same time, the complexity of health care delivery continues to grow, creating challenges that are magnified for older adults, given that age is one of the highest correlates of low health literacy. This creates a shared obligation between health care and the health care team to use the principles, tools, and practices of health literacy so that patients and families of older adults can more easily navigate discussions related to chronic disease, polypharmacy, long-term care, palliative care, insurance complexities, the social determinants of health, and other factors that create challenges for older adults, particularly among underserved populations nationwide. To gain a better understanding of the health communication challenges among older adults and their professional and family caregivers and how those challenges affect the care older adults receive, the National Academies of Sciences, Engineering, and Medicine's Roundtable on Health Literacy convened a 1-day public workshop featuring presentations and discussions that examined the effect of low health literacy on the health of older adults. This publication summarizes the presentations and discussions from the workshop.

A review of the literature confirms that health literacy impacts society tremendously. This research project responds to the question: How can the gap between health literacy efforts and educating older diabetic adults be bridged? The aging of the population, as well as a greater absolute increase in the prevalence of diabetes among elderly people is expected to become an epidemic. While online health information has lessened the gap, as it is free and often simplified, the emphasis is on self-management and self-care, leaving some individuals still without easy access to health care guidance. Currently there is a global push from governing agencies to improve health literacy. Overall, patients with low health literacy need to understand the implications of diabetes and how they can better cope with it. This exploratory qualitative research study explores the literature, searching for gaps in what is known, and conducts narrative interviews to understand how to bridge the gap between health literacy efforts and older diabetic adults. It concludes that improving health literacy within this population requires more transmission of health information, promoting health education that will improve individuals' confidence and ability to self-manage their care.

In its landmark report, Health Literacy: A Prescription to End Confusion, the Institute of Medicine noted that there are 90 million adults in the United States with limited health literacy who cannot fully benefit from what the health and health care systems have to offer. Since the release of that report, health literacy has become a vibrant research field that has developed and disseminated a wide range of tools and practices that have helped organizations, ranging in size from large health care systems to individual health care providers and pharmacists, to engage in health literate discussions with and provide health literate materials for patients and family members. Improving the health literacy of organizations can be an important component of addressing the social determinants of health and achieving the triple aim of improving the patient experience, improving the health of populations, and reducing the cost of care. However, the focus on organizations does not address the larger issue of how to improve health literacy across the U.S. population. To get a better understanding of the state of community-based health literacy interventions, the Roundtable on Health Literacy hosted a workshop on July 19, 2017 on community-based health literacy interventions. It featured examples of community-based health literacy programs, discussions on how to evaluate such programs, and the actions the field can take to embrace this larger view of health literacy. This publication summarizes the presentations and discussions from the workshop.

With patient experience at the forefront of health care, effective communication of health messages is critical to quality care. This book offers proven strategies to help providers clearly explain health information to a variety of audiences, from patients and caregivers, to students and the public.