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Journal article
Development and pilot evaluation of literacy-adapted diabetes and CVD education in urban, diabetic African Americans
Journal of general internal medicine : JGIM, v 23(9), pp 1491-1494
01 Sep 2008
PMID: 18521688
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND: Despite prevalent low literacy nationally, empirical research on the development and testing of literacy-adapted patient education remains limited.
OBJECTIVE: To describe procedures for developing and evaluating usability and acceptability of an adapted diabetes and CVD patient education.
DESIGN: Materials adaptation for literacy demand and behavioral activation criteria, and pre-/post-test intervention evaluation design.
PARTICIPANTS: Pilot sample of 30 urban African-American adults with type 2 diabetes with Below Average literacy (n=15) and Average literacy (n=15).
MEASUREMENTS: Wide Range Achievement Test (WRAT-3, Reading), assessment of diabetes and CVD knowledge, and patient rating scale.
RESULTS: Reading grade levels were: > 12th, 30%; 10th-12th, 20%; 7th-9th, 10%; 4th-6th grade, 10%; and <= 3rd grade or unable to complete WRAT-3, 30%. Education materials were modified to a reading level of 4th grade. Knowledge improved for Below Average (2.7 to 4.7, p=0.005) and Average (3.8 to 5.7, p=0.002) literacy groups, with up to a ten-fold increase, at post-education, in the number of participants responding correctly to some content items. The print materials and class received maximum usability and acceptability ratings from patients.
CONCLUSIONS: Development of patient education meeting very low literacy criteria was feasible, effective for knowledge acquisition, and highly acceptable irrespective of literacy level.
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Details
- Title
- Development and pilot evaluation of literacy-adapted diabetes and CVD education in urban, diabetic African Americans
- Creators
- Felicia Hill-Briggs - Johns Hopkins School of MedicineRonda Renosky - Pennsylvania State UniversityMariana Lazo - College Station Medical CenterLee Bone - Bloomberg (United States)Martha Hill - Johns Hopkins UniversityDavid Levine - Johns Hopkins UniversityFrederick L. Brancati - College Station Medical CenterMark Peyrot - College Station Medical Center
- Publication Details
- Journal of general internal medicine : JGIM, v 23(9), pp 1491-1494
- Publisher
- Springer Nature
- Number of pages
- 4
- Grant note
- K01HL076644 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA M01RR000052 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) M01-RR00052 / Johns Hopkins University School of Medicine General Clinical Research Center; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) National Center for Research Resources/NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) K01HL076644 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) P30DK079637 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) 7-06-IN-07 / American Diabetes Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000258578800032
- Scopus ID
- 2-s2.0-50049099401
- Other Identifier
- 991020550339004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services