Applicability of the REALM health literacy test to an English second-language South African population:
- Dowse, Roslind, Lecoko, Motlalepule L E, Ehlers, Martina S
- Authors: Dowse, Roslind , Lecoko, Motlalepule L E , Ehlers, Martina S
- Date: 2010
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156798 , vital:40051 , https://doi.org/10.1007/s11096-010-9392-y
- Description: Objective and setting. To investigate health literacy in an English second language population using the REALM test, to evaluate its appropriateness and to compare health literacy between four different education categories. Setting Primary healthcare clinics and participant homes in Grahamstown, South Africa.
- Full Text:
- Date Issued: 2010
- Authors: Dowse, Roslind , Lecoko, Motlalepule L E , Ehlers, Martina S
- Date: 2010
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156798 , vital:40051 , https://doi.org/10.1007/s11096-010-9392-y
- Description: Objective and setting. To investigate health literacy in an English second language population using the REALM test, to evaluate its appropriateness and to compare health literacy between four different education categories. Setting Primary healthcare clinics and participant homes in Grahamstown, South Africa.
- Full Text:
- Date Issued: 2010
Health literacy assessment: relexicalising a US test for a South African population
- Hunt, Sally, Dowse, Roslind, La Rose, Christopher M
- Authors: Hunt, Sally , Dowse, Roslind , La Rose, Christopher M
- Date: 2009
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/139131 , vital:37708 , DOI: 10.2989/SALALS.2008.26.2.7.571
- Description: The problems of illiteracy in health contexts have been well documented in the literature and include such serious repercussions as medication non-compliance and failure to seek medical help during the course of an illness. The Rapid Estimate of Adult Literacy in Medicine (REALM) is a standardised health literacy test developed in the United States that has been previously administered and researched in South Africa (Lecoko, 2000). It is an objective vocabulary test, designed as a screening instrument to identify the health literacy levels of patients in clinics, which uses item recognition of 66 health-related words. Lecoko found that, in a South African setting, only 8 out of the 66 words in the US-developed test could be deemed acceptable. Therefore, the current study focused on the principled relexicalisation of the REALM, using words gathered from health information and promotional texts in local clinics, hypothesising that this would improve its applicability. After administration to a statistically similar group of respondents, the number of acceptable words on the test increased from eight to 38. Thus it is concluded that principled relexicalisation may be one way of improving the applicability of standardised health literacy tests to local populations and settings. However, the limitations of standardised tests may prove to be a significant barrier overshadowing the value of relexicalisation.
- Full Text:
- Date Issued: 2009
- Authors: Hunt, Sally , Dowse, Roslind , La Rose, Christopher M
- Date: 2009
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/139131 , vital:37708 , DOI: 10.2989/SALALS.2008.26.2.7.571
- Description: The problems of illiteracy in health contexts have been well documented in the literature and include such serious repercussions as medication non-compliance and failure to seek medical help during the course of an illness. The Rapid Estimate of Adult Literacy in Medicine (REALM) is a standardised health literacy test developed in the United States that has been previously administered and researched in South Africa (Lecoko, 2000). It is an objective vocabulary test, designed as a screening instrument to identify the health literacy levels of patients in clinics, which uses item recognition of 66 health-related words. Lecoko found that, in a South African setting, only 8 out of the 66 words in the US-developed test could be deemed acceptable. Therefore, the current study focused on the principled relexicalisation of the REALM, using words gathered from health information and promotional texts in local clinics, hypothesising that this would improve its applicability. After administration to a statistically similar group of respondents, the number of acceptable words on the test increased from eight to 38. Thus it is concluded that principled relexicalisation may be one way of improving the applicability of standardised health literacy tests to local populations and settings. However, the limitations of standardised tests may prove to be a significant barrier overshadowing the value of relexicalisation.
- Full Text:
- Date Issued: 2009
Using pictograms in a patient information leaflet to communicate antiretroviral medicines information to HIV/AIDS patients in rural South Africa:
- Authors: Dowse, Roslind
- Date: 2009
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/156817 , vital:40053 , ISBN
- Description: The objectives were to design a simple, illustrated patient information leaflet for the antiretroviral regimen of stavudine, lamivudine and efavirenz and to evaluate its readability and acceptability in the local Xhosa population. In order to achieve this, a further objective was to design and evaluate illustrations to include in the patient information leaflet which were culturally acceptable and well interpreted. Illustrations or pictograms were designed to illustrate selected instructions appearing in the patient information leaflet and were individually tested in 30 Xhosa participants who had a maximum of 8 years of formal schooling. Results were used to improve the pictograms for inclusion in the patient information leaflet. The patient information leaflet was designed and tested in sixty Xhosa participants with varied levels of education who had stated they could read. Demographic data were collected and they were then asked to read the patient information leaflet, available in both English and isiXhosa, and a series of questions was asked to assess its comprehension and acceptability. The overall average rate of understanding was 95. Six of the 20 questions were located and understood by all participants, and only two questions resulted in less than an 85 correct response. Physical appearance and quantity of information were highly rated and all participants were enthusiastic about the inclusion of pictograms.
- Full Text:
- Date Issued: 2009
- Authors: Dowse, Roslind
- Date: 2009
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/156817 , vital:40053 , ISBN
- Description: The objectives were to design a simple, illustrated patient information leaflet for the antiretroviral regimen of stavudine, lamivudine and efavirenz and to evaluate its readability and acceptability in the local Xhosa population. In order to achieve this, a further objective was to design and evaluate illustrations to include in the patient information leaflet which were culturally acceptable and well interpreted. Illustrations or pictograms were designed to illustrate selected instructions appearing in the patient information leaflet and were individually tested in 30 Xhosa participants who had a maximum of 8 years of formal schooling. Results were used to improve the pictograms for inclusion in the patient information leaflet. The patient information leaflet was designed and tested in sixty Xhosa participants with varied levels of education who had stated they could read. Demographic data were collected and they were then asked to read the patient information leaflet, available in both English and isiXhosa, and a series of questions was asked to assess its comprehension and acceptability. The overall average rate of understanding was 95. Six of the 20 questions were located and understood by all participants, and only two questions resulted in less than an 85 correct response. Physical appearance and quantity of information were highly rated and all participants were enthusiastic about the inclusion of pictograms.
- Full Text:
- Date Issued: 2009
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