Using Health Literacy and Learning Style Preferences to Optimize the Delivery of Health Information

a Departments of Bioinformatics and Medicine , Vanderbilt University Medical Center , Nashville , Tennessee , USA.
Journal of Health Communication (Impact Factor: 1.61). 10/2012; 17 Suppl 3(Suppl 3):122-40. DOI: 10.1080/10810730.2012.712610
Source: PubMed


Limited patient understanding of hypertension contributes to poor health outcomes. In 2 sequential randomized studies, the authors determined the impact of administering information tailored to health literacy level alone or in combination with preferred learning style on patients' understanding of hypertension. Patients with high blood pressure were recruited in an academic emergency department. In Experiment 1 (N = 85), the control group received only the routine discharge instructions; the intervention group received discharge instructions combined with information consistent with their health literacy level as determined by the Short Test of Functional Health Literacy. In Experiment 2 (N = 87), the information provided to the intervention group was tailored to both health literacy and learning style, as indicated by the VARK (TM) Questionnaire. To measure learning, the authors compared scores on a hypertension assessment administered during the emergency department visit and 2 weeks after discharge. Participants who received materials tailored to both health literacy level and learning style preference showed greater gains in knowledge than did those receiving information customized for health literacy level only. This study demonstrates that personalizing health information to learning style preferences and literacy level improves patient understanding of hypertension.

85 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: We are pleased to present this special issue on health literacy of the Journal of Health Communication. The journal continues to demonstrate a deep commitment to this important topic, offering a venue to exhibit leading health literacy research for the third year in a row. We hope that this special issue helps guide the overall direction of the field and serves as a springboard for lively discussion, innovative research, and practice initiatives.
    Journal of Health Communication 10/2012; 17 Suppl 3:2-6. DOI:10.1080/10810730.2012.717816 · 1.61 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This paper offers insight into the processes that have shaped the Eskind Biomedical Library's (EBL's) strategic direction and its alignment to the institution's transformative vision. The academic biomedical library has a notable track record for developing and pioneering roles for information professionals focused on a sophisticated level of information provision that draws from and fuels practice evolutions. The medical center's overall transformative vision informs the creation of a fully aligned library strategic plan designed to effectively contribute to the execution of key organizational goals. Annual goals reflect organizational priorities and contain quantifiable and measurable deliverables. Two strategic themes, facilitating genetic literacy and preserving community history, are described in detail to illustrate the concept of goal setting. The strategic planning model reflects EBL's adaptation to the ever-changing needs of its organization. The paper provides a characterization of a workable model that can be replicated by other institutions.
    Journal of the Medical Library Association JMLA 10/2013; 101(4):261-7. DOI:10.3163/1536-5050.101.4.007 · 0.99 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: We compared single-item (SILS) and two-item (TILS) literacy screeners in predicting Short Test of Functional Health Literacy in Adults (S-TOFHLA) scores. Adult hemodialysis patients completed SILS, which determines need for assistance when reading written medical information; TILS (last grade completed and self-reported reading ability); and S-TOFHLA. Receiver operator characteristic curves (ROC) and stratum specific likelihoods were calculated. Of 227 participants, median S-TOFHLA was 24 (IQR 15-34). 129 (55%) participants had adequate, 70 (30%) inadequate, and 37 (16%) marginal health literacy. SILS and TILS predicted S-TOFHLA scores equivalently. Test characteristics predicting inadequate health literacy were: SILS sensitivity for threshold >1, 54% (95%CI: 44, 64), for >2, 39% (29, 49) and specificity for >1, 73% (64, 80), for >2, 93% (87, 97), area under the ROC of 0.67 (0.60-0.74); TILS sensitivity for threshold >1, 72% (62, 80), for >2, 30% (21, 40) and specificity for >1, 54% (45, 63), for >2, 86% (79, 92), area under the ROC of 0.66 (0.59-0.73). SILS and TILS had similar test characteristics in predicting S-TOFHLA. While a positive result on either test increases the likelihood that a patient has low health literacy, the SILS is easier to administer and score.
    Patient Education and Counseling 10/2013; 94(1). DOI:10.1016/j.pec.2013.09.020 · 2.20 Impact Factor
Show more