Literacy - Answers -Includes reading level, basic computation and problem solving, and the ability to
recognize the need for information and to locate needed information
LITERACY LEVELS - Answers US Government conducted a National Adult Literacy Survey (NALS) in
1992 & 2003 thus came about the ff literacy levels:
Level 1 - Below basic - Answers ●Ranges from non-literate in English to the ability to find simple
information in a prose text (ordinary writing made up of sentences & paragraphs)
●Can perform simple math such as addition
●Ex. Members of ethnic community or racial
minority groups
Disabled people -visual & hearing problems
Level 2 - Basic - Answers ●Understands information in short prose texts with everyday language
●Can use numbers to solve simple one-step arithmetic problems such as comparing two prices
Level 3 - Intermediate - Answers ●Understands and can locate information in fairly dense prose and
documents and can make simple inferences from them
●Can solve quantitative problems even when the necessary steps are not obvious
READING LEVELS - Answers •Be aware of the discrepancy between reading level and grade level
-often completed a grade level but
reading level is not the same
•Many printed educational materials (PEMs) like pamphlets, booklets and information sheets, and
consent forms exceed the understanding capacity of many
Factors that contribute to reading difficulty of PEMs and Web sites:
•Long sentences and polysyllabic words - Answers -giftbox, lunchbox, desktop, handstand etc.
Complex sentences and paragraph structure - Answers -Ex. The human brain never stops working
until
you stand up to speak in public.
Use of technical terminology - Answers -bandwidth, bluetooth, broadband, cookie,
malware
Inclusion of abstract concepts— - Answers no physical referral
-love, freedom, success, morality
Mechanical factors: - Answers print size and type, color contrasts, density of the text
THE IMPORTANCE OF ADEQUATE LITERACY - Answers ●Low literacy contributes to the increasing cost
of health care because "people with low literacy skills seem to put off disease prevention actions and
wait longer before seeking medical help
●Low compliance to treatment regimen
●PEMs are used to supplement oral teaching, give instruction sheets for oral medication, carrying out
treatments
ASSESSING LITERACY - Answers Clues on reading or comprehension problems:
•Not even attempting to read printed material
•Asking to take PEMs home to discuss with a significant other
•Claiming that eyeglasses were left at home
•Stating that they cannot read something because they are too tired or they do not feel well
•Avoiding discussion of written material or not asking questions about it
•Mouthing words as they try to read
•Tests to measure literacy: - Answers ●REALM (Rapid Estimate of Adult Literacy in Medicine)
●WRAT (Wide Range Achievement Test)
-Both measures the basic reading skill of decoding words (recognizing letters that form words and
then pronouncing the words correctly
-Do not measure reading comprehension
-2-3 minutes to administer
●REALM (Rapid Estimate of Adult Literacy in Medicine) - Answers ●A reading test that requires
patients to pronounce common medical and anatomical words