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Published on: August 1, 2019
Health Literacy among Parents of Pediatric Patients
T Paul Tran1, Laura M Robinson, John R Keebler
1University of Nebraska Medical Center.
Insights
Most parents (89.5%) have adequate health literacy when accompanying children in the emergency department (ED). This finding suggests healthcare providers may need to adapt communication strategies for pediatric patient guardians in the ED.
Area of Science:
- Emergency Medicine
- Health Literacy Research
- Pediatric Healthcare
Background:
- Health literacy significantly impacts healthcare outcomes.
- Limited research exists on health literacy within emergency medicine.
- Understanding patient health literacy is crucial for effective care.
Purpose of the Study:
- To determine the prevalence of health literacy among parents/guardians of pediatric patients in an emergency department (ED).
- To establish a baseline understanding of health literacy in this specific patient population.
Main Methods:
- Observational study at a Level 1 trauma center ED.
- Convenience sampling of English-speaking parents/guardians of pediatric patients (<19 years).
- Utilized the short version of the Test of Functional Health Literacy for Adults (s-TOFHLA).
Main Results:
- 181 parents/guardians completed the study.
- 10.5% demonstrated "marginal" or "inadequate" health literacy.
- 89.5% (95% CI: 84.1%, 93.6%) possessed "adequate" health literacy.
Conclusions:
- A significant majority of parents/guardians have adequate health literacy.
- Findings may encourage emergency department professionals to modify communication approaches for pediatric evaluations.
- Further multi-center research is recommended to validate these pilot study results.
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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