Health Literacy Among Parents of Pediatric Patients Seen in the Emergency Department

BACKGROUND: Health literacy is an important predictor of healthcare outcomes, but research on this topic has largely been absent from the emergency medicine literature.OBJECTIVE: We measured the prevalence of health literacy in parents or guardians of pediatric patients seen in the emergency departm...

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Main Authors: Tran, T. Paul, Robinson, Laura M, Keebler, John R, Walker, Richard A, Wadman, Michael C
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2008-08-01
Series:Western Journal of Emergency Medicine
Subjects:
Online Access:http://escholarship.org/uc/item/1dz4g1b3
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author Tran, T. Paul
Robinson, Laura M
Keebler, John R
Walker, Richard A
Wadman, Michael C
author_facet Tran, T. Paul
Robinson, Laura M
Keebler, John R
Walker, Richard A
Wadman, Michael C
author_sort Tran, T. Paul
collection DOAJ
description BACKGROUND: Health literacy is an important predictor of healthcare outcomes, but research on this topic has largely been absent from the emergency medicine literature.OBJECTIVE: We measured the prevalence of health literacy in parents or guardians of pediatric patients seen in the emergency department (ED).METHODS: This was an observational study conducted in a Midwestern urban, university-based, tertiary, Level 1 trauma center ED with 33,000 visits/year. Using convenience sampling during a three-month period, English-speaking parents or guardians of pediatric patients (< 19 yrs.) were asked to complete the short version of the Test of Functional Health Literacy for Adults (s-TOFHLA). Parents/guardians were excluded if they had uncorrected visual impairment, required an interpreter, had altered mental status, or if the patients they accompanied were the subjects of a medical or trauma activation.RESULTS: Of the 188 parents or guardians approached, six did not consent or withdrew, one was excluded, leaving 181 (96.3%) in the study. Of these, 19 (10.5%) had either "marginal" or "inadequate" health literacy, while 162 (89.5%, 95% CI: 84.1%, 93.6%) had "adequate" health literacy.CONCLUSION: A large majority (89.5%) of English-speaking parents or guardians of pediatric patients evaluated in the ED have adequate health literacy. This data may prompt ED professionals to adjust their communication styles in the evaluation of children. Future multi-center studies are needed to confirm the findings in this pilot study.
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spelling doaj.art-f5409a903e8f424180af04b6c27215372022-12-22T03:15:48ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182008-08-0193130134Health Literacy Among Parents of Pediatric Patients Seen in the Emergency DepartmentTran, T. PaulRobinson, Laura MKeebler, John RWalker, Richard AWadman, Michael CBACKGROUND: Health literacy is an important predictor of healthcare outcomes, but research on this topic has largely been absent from the emergency medicine literature.OBJECTIVE: We measured the prevalence of health literacy in parents or guardians of pediatric patients seen in the emergency department (ED).METHODS: This was an observational study conducted in a Midwestern urban, university-based, tertiary, Level 1 trauma center ED with 33,000 visits/year. Using convenience sampling during a three-month period, English-speaking parents or guardians of pediatric patients (< 19 yrs.) were asked to complete the short version of the Test of Functional Health Literacy for Adults (s-TOFHLA). Parents/guardians were excluded if they had uncorrected visual impairment, required an interpreter, had altered mental status, or if the patients they accompanied were the subjects of a medical or trauma activation.RESULTS: Of the 188 parents or guardians approached, six did not consent or withdrew, one was excluded, leaving 181 (96.3%) in the study. Of these, 19 (10.5%) had either "marginal" or "inadequate" health literacy, while 162 (89.5%, 95% CI: 84.1%, 93.6%) had "adequate" health literacy.CONCLUSION: A large majority (89.5%) of English-speaking parents or guardians of pediatric patients evaluated in the ED have adequate health literacy. This data may prompt ED professionals to adjust their communication styles in the evaluation of children. Future multi-center studies are needed to confirm the findings in this pilot study.http://escholarship.org/uc/item/1dz4g1b3Health LiteracyPediatricsEmergency MedicineEmergency Department
spellingShingle Tran, T. Paul
Robinson, Laura M
Keebler, John R
Walker, Richard A
Wadman, Michael C
Health Literacy Among Parents of Pediatric Patients Seen in the Emergency Department
Western Journal of Emergency Medicine
Health Literacy
Pediatrics
Emergency Medicine
Emergency Department
title Health Literacy Among Parents of Pediatric Patients Seen in the Emergency Department
title_full Health Literacy Among Parents of Pediatric Patients Seen in the Emergency Department
title_fullStr Health Literacy Among Parents of Pediatric Patients Seen in the Emergency Department
title_full_unstemmed Health Literacy Among Parents of Pediatric Patients Seen in the Emergency Department
title_short Health Literacy Among Parents of Pediatric Patients Seen in the Emergency Department
title_sort health literacy among parents of pediatric patients seen in the emergency department
topic Health Literacy
Pediatrics
Emergency Medicine
Emergency Department
url http://escholarship.org/uc/item/1dz4g1b3
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