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Surgeon General’s Workshop on Improving Health Literacy The National Assessment of Adult Literacy: Health Literacy Results September 7, 2006 Grover J. (Russ) Whitehurst Director Institute of Education Sciences Discussion Topics Measuring health literacy

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Discussion Topics

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  1. Surgeon General’s Workshop on Improving Health LiteracyThe National Assessment of Adult Literacy: Health Literacy ResultsSeptember 7, 2006Grover J. (Russ) WhitehurstDirectorInstitute of Education Sciences

  2. Discussion Topics • Measuring health literacy • Comparing health literacy with other types of literacy • Reporting the results • Describing adults with Below Basic and Basic Health Literacy

  3. National Assessment of Adult Literacy (NAAL) • Assessment of the English literacy of U.S. adults • Prose, Document, Quantitative Scales • Conducted in 1992 and 2003 • Nationally representative sample of more than 19,000 adults age 16 and older • One-on-one administration in households and prisons

  4. Descriptions of Literacy Levels Proficient Can perform complex and challenging literacy activities Intermediate Can perform moderately challenging literacy activities Basic Can perform simple everyday literacy activities Below Basic Can perform no more than the most simple and concrete literacy activities Proficient Can perform complex and challenging literacy activities Intermediate Can perform moderately challenging literacy activities Basic Can perform simple everyday literacy activities Below Basic Can perform no more than the most simple and concrete literacy activities Nonliterate in English—unable to complete a minimum number of screening tasks or could not be tested because did not speak English or Spanish

  5. Measuring Health Literacy • The health literacy tasks encompassed three domains of information: clinical, prevention, and navigation of the health care system • The health literacy scale did not measure the ability to obtain information from nonprint sources

  6. Health Literacy & Literacy Are Closely Related Similarities: • Both involve the ability to recognize and understand words, search text, and make text-based inferences Differences: • The health literacy scale required some information about health and the U.S. health system, including : • common health-related vocabulary • typical structure of written health materials • workings of the health care system

  7. Vaccination Schedule Question: Refer to the chart to answer the following question. How many polio vaccinations should children have received by the time they are 7 years old?

  8. X-ray Instructions Question: Refer to the X-ray instructions below to answer the following question. What can you drink the morning of your X-ray?

  9. Sample Task From the Alternative Assessment Question: What does the label say a person should doin case of an overdose?

  10. Overlap Between Below Basic and Nonliterate in English

  11. Percentage of Adults in Each Literacy Level: 2003

  12. Percentage of Adults With Below Basic Health Literacy in each Prose, Document and Quantitative Literacy Level

  13. Percentage of Adults in the Below Basic Health Literacy NAAL Population: 2003 1The “Did not obtain health information over the Internet” category does not include prison inmates because they do not have access to the Internet. 2Disabilities include vision, hearing, learning disability, and other health problems. SOURCE: U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, 2003 National Assessment of Adult Literacy (NAAL).

  14. Percentage of Adults in Each Health Literacy Level, by Educational Attainment : 2003 NOTE: Adults are defined as people 16 years of age and older living in households or prisons.  Adults who could not be interviewed due to language spoken or cognitive or mental disabilities (3 percent in 2003) are excluded from this figure. SOURCE: U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, 2003 National Assessment of Adult Literacy.

  15. Percentage of Adults in Each Health Literacy Level, by Languages Spoken Before Starting School: 2003 NOTE: Adults are defined as people 16 years of age and older living in households or prisons.  Adults who could not be interviewed due to language spoken or cognitive or mental disabilities (3 percent in 2003) are excluded from this figure. SOURCE: U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, 2003 National Assessment of Adult Literacy.

  16. Percentage of Adults in Each Health Literacy Level, by Self-Assessment of Overall Health: 2003 NOTE: Adults are defined as people 16 years of age and older living in households or prisons.  Adults who could not be interviewed due to language spoken or cognitive or mental disabilities (3 percent in 2003) are excluded from this figure. SOURCE: U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, 2003 National Assessment of Adult Literacy.

  17. Upcoming Reports Expected Release • Literacy In Everyday Life: A report of literacy in family, workplace, and community Fall 06 • Literacy Behind Bars: Report on a nationally representative sample of adult inmates in state and federal prisons. Winter 07 • Basic Reading Skills and the Literacy of America’s Least Literate Adults: Report onthe oral reading fluency and performance of a supplemental sample of the least literate adults. Spring 07

  18. NAAL Web-Site: http://nces.ed.gov/naal

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