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Updated: Jun 11, 2026
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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
¿Puede este paciente leer y entender información médica escrita?
Benjamin J Powers1, Jane V Trinh, Hayden B Bosworth
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, 508 Fulton St, Durham, NC 27705, USA. power017@mc.duke.edu
JAMA
|July 8, 2010
Resumen
Los instrumentos breves pueden ayudar a identificar a los pacientes con conocimientos limitados de salud. Las preguntas sobre la confianza para rellenar formularios médicos y usar un lector subrogado son moderadamente efectivas para este cribado.
Área de la Ciencia:
- Investigación de alfabetización en salud Investigación de alfabetización en salud
- Herramientas de evaluación clínica Herramientas de evaluación clínica
- Educación del Paciente Educación del Paciente
Sus antecedentes:
- La alfabetización limitada de los pacientes aumenta los riesgos para la salud.
- Los médicos a menudo evalúan inexactamente los niveles de alfabetización de los pacientes.
Objetivo del estudio:
- Revisar sistemáticamente la precisión de los instrumentos breves para la identificación de pacientes con alfabetización limitada.
Principales métodos:
- Búsqueda en la literatura inglesa (1969-2010) para estudios sobre la evaluación de la alfabetización en salud.
- Se incluyeron estudios prospectivos de pacientes adultos que evaluaban instrumentos breves en comparación con un estándar de referencia.
Principales resultados:
- Se evaluaron seis instrumentos en 10 estudios.
- El Nuevo Signo Vital (inglés) mostró una precisión moderada.
- Las preguntas de un solo elemento sobre lectores sustitutos y confianza con los formularios fueron moderadamente efectivas.
Conclusiones:
- Varias preguntas breves, de un solo elemento pueden identificar eficazmente a los pacientes con alfabetización limitada.
- Estas herramientas ayudan a reconocer rápidamente a las personas que necesitan apoyo en alfabetización.
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