Does Health Literacy Level Influence the Effectiveness of a Kiosk-Based Intervention Delivered in the Pediatric Emergency Department?

Clinical Pediatrics
Wendy C ShieldsAndrea C Gielen

Abstract

This study assesses parents' literacy skills and evaluates how literacy levels influenced the effectiveness of a health communication intervention designed to improve safety knowledge in low-income, urban families. A total of n = 450 parents of children aged 4 to 66 months completed the Rapid Estimate of Adult Literacy in Medicine (REALM) and participated in a randomized trial of an injury prevention intervention delivered via computer kiosk in a pediatric emergency department. A safety knowledge test was administered by telephone 2 to 4 weeks later. More than one-third of parents were assessed by the REALM to have marginal (30%) or inadequate (8%) reading levels; the remaining 62% of parents had adequate reading levels. REALM scores were independently associated with knowledge gains for poison storage and smoke alarms. Participants reading level had an independent and significant effect on safety knowledge outcomes. Literacy level should be considered in all patient education efforts.

References

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Citations

Apr 18, 2017·Academic Pediatrics·Suzanne BenoKathy Boutis
Nov 10, 2016·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Andrea Carlson Gielen
Jun 4, 2019·Pediatrics in Review·Andrea K MorrisonH Shonna Yin
Jan 15, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michelle L MacyRebecca M Cunningham
Oct 27, 2016·Child: Care, Health and Development·N L WeaverM Jaques

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Software Mentioned

Safety in Seconds
REALM

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