Abstract: A detailed practical handbook provides a theoretical background, basic information, and guidelines to aid health professionals in planning health teaching strategies for patients who have poor reading comprehension skills. The 10 text chapters cover: the magnitude, nature, health impact, and myths of illiteracy concerning patients; the current understanding of the theories of comprehension; techniques for testing patient comprehension; methods for testing the readability of written materials; guidelines for teaching patients how to improve their reading comprehension skills; how to write for adults with low literacy skills; the use of audiocassette tapes and visual aids as learning tools; guidelines for patient pretesting to aid in the detection of literacy limitations; and the causes, characteristics, and teaching management of learning disabilities, including dyslexia. Numerous illustrations and strategies are included throughout the text.

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.

To maintain their own health and the health of their families and communities, consumers rely heavily on the health information that is available to them. This information is at the core of the partnerships that patients and their families forge with today's complex modern health systems. This information may be provided in a variety of forms â€" ranging from a discussion between a patient and a health care provider to a health promotion advertisement, a consent form, or one of many other forms of health communication common in our society. Yet millions of Americans cannot understand or act upon this information. To address this problem, the field of health literacy brings together research and practice from diverse fields including education, health services, and social and cultural sciences, and the many organizations whose actions can improve or impede health literacy. Health Literacy: Prescription to End Confusion examines the body of knowledge that applies to the field of health literacy, and recommends actions to promote a health literate society. By examining the extent of limited health literacy and the ways to improve it, we can improve the health of individuals and populations.

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Health literacy-the ability for individuals to obtain, process, and understand basic health information and services to facilitate appropriate health decisions-is increasingly recognized as an important facet of health care and health outcomes. Although research on health literacy has grown tremendously in the past decade, there is no widely agreed-upon framework for health literacy as a determinant of health outcomes. Most instruments focus on assessing an individual's health literacy, yet the scope of health literacy reaches far beyond an individual's skills and abilities. Health literacy occurs in the context of the health care system, and therefore measures of health literacy must also assess the demands and complexities of the health care systems with which patients interact. For example, measures are needed to determine how well the system has been organized so that it can be navigated by individuals with different levels of health literacy and how well health organizations are doing at making health information understandable and actionable. To examine what is known about measures of health literacy, the Institute of Medicine convened a workshop. The workshop, summarized in this volume, reviews the current status of measures of health literacy, including those used in the health care setting; discusses possible surrogate measures that might be used to assess health literacy; and explores ways in which health literacy measures can be used to assess patient-centered approaches to care.