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Health literacy and cancer prevention: Two new instruments to assess comprehension
Meyers Primary Care Institute Publications and Presentations
  • Kathleen M. Mazor, University of Massachusetts Medical School
  • Douglas W. Roblin, Kaiser Permanente
  • Andrew E. Williams, Kaiser Permanente
  • Sarah M. Greene, Group Health Center for Health Studies
  • Bridget Gaglio, Kaiser Permanente
  • Terry S. Field, University of Massachusetts Medical School
  • Mary E. Costanza, University of Massachusetts Medical School
  • Paul K. J. Han, Center for Outcomes Research and Evaluation
  • Laura Saccoccio, University of Massachusetts Medical School
  • Josephine Calvi, Kaiser Permanente
  • Erica Cove, University of Massachusetts Medical School
  • Rebecca Cowan, Kaiser Permanente
UMMS Affiliation
Meyers Primary Care Institute; Department of Medicine
Date
1-11-2012
Document Type
Article
Medical Subject Headings
Health Literacy; Neoplasms; Early Detection of Cancer; Comprehension; Patient Education as Topic
Abstract
OBJECTIVES: Ability to understand spoken health information is an important facet of health literacy, but to date, no instrument has been available to quantify patients' ability in this area. We sought to develop a test to assess comprehension of spoken health messages related to cancer prevention and screening to fill this gap, and a complementary test of comprehension of written health messages. METHODS: We used the Sentence Verification Technique to write items based on realistic health messages about cancer prevention and screening, including media messages, clinical encounters and clinical print materials. Items were reviewed, revised, and pre-tested. Adults aged 40-70 participated in a pilot administration in Georgia, Hawaii, and Massachusetts. RESULTS: The Cancer Message Literacy Test-Listening is self-administered via touchscreen laptop computer. No reading is required. It takes approximately 1 hour. The Cancer Message Literacy Test-Reading is self-administered on paper. It takes approximately 10min. CONCLUSIONS: These two new tests will allow researchers to assess comprehension of spoken health messages, to examine the relationship between listening and reading literacy, and to explore the impact of each form of literacy on health-related outcomes. PRACTICE IMPLICATIONS: Researchers and clinicians now have a means of measuring comprehension of spoken health information.
Comments

Citation: Patient Educ Couns. 2012 Jan 11. [Epub ahead of print] DOI 10.1016/j.pec.2011.12.009

Related Resources
Link to article in PubMed
PubMed ID
22244323
Citation Information
Kathleen M. Mazor, Douglas W. Roblin, Andrew E. Williams, Sarah M. Greene, et al.. "Health literacy and cancer prevention: Two new instruments to assess comprehension" (2012) ISSN: 1873-5134
Available at: http://works.bepress.com/terry_field/80/