[NIFL-HEALTH:4560] new colorectal information

From: Laurie Anson (ansons@epix.net)
Date: Thu Oct 14 2004 - 18:22:04 EDT


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From: Laurie Anson <ansons@epix.net>
To: Multiple recipients of list <nifl-health@literacy.nifl.gov>
Subject: [NIFL-HEALTH:4560] new colorectal information
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I am a critical care nurse who is also an adult literacy instructor. I 
have just taken a quick look at your site and am generally much 
impressed with the presentation, with a few caveats.

First, on the main menu of health subjects, a multisyllabic word such 
as sigmoidoscopy or colonoscopy could do with a parenthesized 
definition next to it. I know that my student at a fourth grade reading 
level would take one look at the "long words" and not even try to read 
them. This could cause confusion about which material to read.

I reviewed the instructions on prepping for a colonoscopy with 
Phosphosoda. I very much like the approach and the directions are 
clear. However, with very little effort, some of the vocabulary could 
be simplified to make the information more available to the less 
literate reader.

Some examples - arrange, escort, procedure (test), rescheduled, arrive, 
special, confirm, according, include. These words could be replaced 
without "talking down" to the reader and yet clarify the information 
for a low-literacy reader.

"Review the diet you need to follow for the next 2 days. Plan your 
meals according to this diet."
Translation - "These steps say what you can eat for 2 days before the 
test. Make sure you eat only these foods."

"Drink at least 8 glasses of water throughout the day"
Translation - "You must drink 8 or more glasses of water on this day. 
Do not drink it all at once."

The two sentences "Stop eating seeds, popcorn, nuts and whole grains" 
and "Do not eat any solid food after midnight" are clear, simple and to 
the point, although a definition of "whole grains" might help.

I am excited about this project and plan to review your site in more 
depth. It is gratifying to see such an effort made towards health 
literacy. Now if we could only teach enough low-literacy people to use 
computers, so we can direct them to your site....

Laurie Anson, RN
Noxen, PA
Bradford-Wyoming County Literacy Program



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