Evaluation of Readability of Health Leaflets and Health Literacy of Elderly Inpatients in a Medical Center

노인 입원환자의 의료기관 인쇄물에 대한 읽기 쉬움 평가와 의료정보 이해능력

  • Received : 2013.10.24
  • Accepted : 2014.01.15
  • Published : 2014.04.30

Abstract

Purpose: The purpose of this study was to evaluate the readability of health information leaflets (C. T. consent form and hospital guidelines) and health literacy of elderly inpatients. Methods: The participants were 138 elderly Korean inpatients aged 60 years and over admitted to an advanced general hospital. Readability was assessed by having participants check leaflets for difficulty in reading and then classifying their checked vocabulary by Korean Vocabulary Level book. Health literacy was measured with five open questions on comprehension of the leaflets. Results: The readability for informed consent form was more difficult than that of hospital guidelines because of specialized medical vocabulary. The mean score for health literacy was 1.9 on a 5-point scale. There were statistically significant differences in readability and health literacy by education and religion. The scores for readability of health leaflets and health literacy were negatively correlated, implying that the easier it is to read the vocabulary of the leaflets, the higher the comprehension of the material. The factor that most highly influenced health literacy of elderly inpatients was readability. Conclusion: Health leaflets in medical centers should be written for easy reading by using simpler vocabulary for elderly inpatients to improve their health literacy.

Keywords

References

  1. Baker, D. W., Gazmararian, J. A., Williams, M. V., Scott, T., Parker, R. M., Green, D., et al. (2002). Functional health literacy and risk of hospital admission among medicare managed care enrollees. American Journal of Public Health, 92(8), 1278-1283. https://doi.org/10.2105/AJPH.92.8.1278
  2. Baker, D. W., Wolf, M. S., Feinglass, J., Thompson, J. A., Gazmararian, J. A., & Huang, J. (2007). Health literacy and mortality among elderly persons. Archives of Internal Medicine, 167(14), 1503-1509. https://doi.org/10.1001/archinte.167.14.1503
  3. Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005
  4. Bostock, B., & Steptoe, A. (2012). Association between low functional health literacy and mortality in older adults: longitudinal cohort study. Retrieved September 12, 2013, from http://www.bmj.com/content/344/bmj.e1062
  5. Choi, J. W. (1994). A study on readability of newspaper economic news stories. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  6. Cordasco, K. M., Asch, S. M., Franco, I., & Mangione, C. M. (2009). Health literacy and English language comprehension among elderly inpatients at an urban safety-net hospital. Journal of Health and Human Services Administration, 32(1), 30-50.
  7. Edwards, M., Wood, F., Davies, M., & Edwards, A. (2012). The development of health literacy in patients with a long-term health condition: the health literacy pathway model. BMC Public Health, 12(130), Retrieved September 12, 2013, from http://www.biomedcentral.com/1471-2458/12/130
  8. Hong, I. H. (2011). A study on health literacy of hospitalized patients. Unpublished master's thesis, Gyeongsang National University, Jinju.
  9. Hopper, K. D., Lambe, H. A., & Shirk, S. J. (1993). Readability of informed consent forms for use with iodinated contrast media. Radiology, 187(1), 279-283. https://doi.org/10.1148/radiology.187.1.8451429
  10. Kim, G. H. (2003). The graded lexical items for teaching Korean. Seoul: PJ book.
  11. Kim, J. E. (2011). Measuring the level of health literacy and influence factors: Targeting the visitors of a university hospital's outpatient clinic. Journal of Korean Clinical Nursing Research, 17(1), 27-34.
  12. Kim, S. H. (2010). Older adults' self-reported difficulty in understanding and utilizing health information. Journal of the Korean Gerontological Society, 30(4), 1281-1292.
  13. Kim, S. H., & Lee, E. J. (2008). The influence of functional literacy on perceived health status in Korean older adults. Journal of Korean Academy of Nursing, 38(2), 195-203. https://doi.org/10.4040/jkan.2008.38.2.195
  14. Kim, S. S., Kim, S. H., & Lee, S. Y. (2005). Health literacy: Development of a Korean health literacy assessment tool. Journal of Korean Society for Health Education and Promotion, 22(4), 215-227.
  15. Kim, S. Y., Park, Y. W., Shin, H. C., Kim, C. H., Sung, E. J., & Lee, S. H. (2007). Readability of patient information on hypertension in Korea. Journal of Korean Academy Family Medicine, 28, 346-351.
  16. Lee, C. Y., Lee, O., Shin, G. S., & Li, X. W. (2009). Health literacy and health status of Korean-Chinese elderly people living in Yanbian, China. Journal of Korean Academy of Nursing, 39(3), 386-392. https://doi.org/10.4040/jkan.2009.39.3.386
  17. Lee, S. J. (2009). The criminal problems of informed consent. The Yonsei Law Review, 19(1), 219-243.
  18. Lee, T. W., & Kang, S. J. (2008). Health literacy in the Korean elderly and influencing factors. Journal of the Korean Gerontological Society, 28(4), 847-863.
  19. Lee, T. W., Kang, S. J., Kim, H. H., Woo, S. R., & Kim, S. H. (2011). Suitability and readability assessment of printed educational materials on hypertension. Journal of Korean Academy Nursing, 41(3), 333-343. https://doi.org/10.4040/jkan.2011.41.3.333
  20. Lee, Y. T. (2012). A study on patients' functional health literacy and understanding of healthcare provider's explanation. Unpublished master's thesis, Kyung Hee University, Seoul.
  21. Park, J. Y., & June, K. J. (2011). Influencing factors on functional health literacy among the rural elderly. Journal of Academy Community Health Nursing, 22(1), 75-85. https://doi.org/10.12799/jkachn.2011.22.1.75
  22. Rajda, C., & George, N. M. (2009). The effect of education and literacy levels on health outcomes of the elderly. The Journal for Nurse Practitioners, 5(2), 115-119. https://doi.org/10.1016/j.nurpra.2008.08.020
  23. Ratzan, S. C., & Parker, R. M. (2006). Health literacy: Identification and response. Journal of Health Communication, 11(8), 713-715. https://doi.org/10.1080/10810730601031090
  24. Scudder, L. (2006). Words and Well-being: How literacy affects patient health. The Journal for Nurse Practitioners, 2(1), 28-35. https://doi.org/10.1016/j.nurpra.2005.11.006
  25. Shin, H. C. (2000). Evaluation of patient education material. Korean Journal of Family Medicine, 21(5), 318-321.
  26. Statistics Korea. (2010). 2010 Patient Survey. Retrieved August 10, 2012, from http//kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=180000
  27. U. S. Department of Education. (2006). The Health Literacy of America's Adults: Results From the 2003 National Assessment of Adult Literacy. Retrieved December 17, 2013, from http://files.eric.ed.gov/fulltext/ED493284.pdf
  28. Wolf, M. S., Gazmararian, J. A., & Baker, D. W. (2005). Health literacy and functional health status among older adults. Archives of Internal Medicine, 165, 1946-1952. https://doi.org/10.1001/archinte.165.17.1946
  29. Woo, S. R. (2010). Readability and suitability assessment of cancer patient's printed education materials . Unpublished master's thesis, Yonsei University, Seoul.
  30. Yoo, H. R. (2001). Readability of printed educational materials used to inform computer tomography. Journal of Korean Community Nursing, 12 (3), 670-679.