Re: Testing patients' literacy skills

From: Plnenglish@aol.com
Date: Wed Aug 29 2001 - 13:13:20 EDT


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From: Plnenglish@aol.com
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Date: Wed, 29 Aug 2001 13:13:20 EDT
Subject: Re: Testing patients' literacy skills
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Hi, folks, 


> " (Judy Singh)" wrote:
> 
> > In your response I was interested in your reference to Short-TOFHLA (Test 
> Of Functional Health Literacy in Adults).  How would I be able to get a 
> 



I came into full time work in health literacy after working many years in 
adult literacy. I remember how frightened our potential students would be 
when we had to do a quick literacy assessment to decide where to place them. 
One woman told me, "When I had to take the test, I was sweating from every 
pore in my body." Someone else told me he almost threw up when he had to take 
the placement test. If an adult has limited literacy skills, the last thing 
they will want to do is to read in front of someone.  

Let me remind everyone that testing patients' literacy skills in a medical 
setting may have very negative effects. It is likely to intimidate and 
alientate emerging readers while offending more experienced readers. Patients 
may avoid your facility if they hear that a literacy test is required. There 
is also the question of whether you will get a valid result anyway since most 
of us have lower literacy skills when under the stress of being in a medical 
setting. There are so many reasons NOT to test patients' literacy skills that 
I have yet to be convinced that the benefits are worth the cost. 

Just my 2 cents worth. 

Audrey Riffenburgh, MA
President, Riffenburgh and Associates
Specialists in Health Literacy since 1994
1606 Central SE Suite 201
Albuquerque, NM  87106    USA 
Phone: 505-242-5808  Fax: 505-246-9164  
E-mail: plnenglish@aol.com 

"Outside of a dog, a book is man's best friend. Inside of a dog, it's too 
dark to read." -- Groucho Marx



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