Table 2.
Health literacy knowledge∗, attitudes§, and OSCE station scores∗∗, N = 25.
| Knowledge | Pretest Correct N (%) |
Posttest Correct N (%) |
p value |
|---|---|---|---|
| (1) How many Americans read at or below the 5th grade level according to NALS | 5 (29.4) | 4 (22.2) | 0.625 |
| (2) How many Americans have fair to low health literacy | 5 (27.8) | 6 (33.3) | 1.000 |
| (3) Definition of health literacy | 6 (33.3) | 14 (77.8) | 0.008± |
| (4) Age groups likely to have low health literacy and worse health outcomes | 14 (77.8) | 15 (83.3) | 1.000 |
| (5) Communication styles among patients with limited health literacy | 13 (72.2) | 10 (55.6) | 0.250 |
| (6) Three questions that the Ask Me 3 Program comprises | 2 (11.1) | 17 (94.4) | 0.000 |
| (7) Definition of the “teach-back” method | 12 (66.7) | 16 (88.9) | 0.125 |
| (8) Health literacy assessment methods currently used. | 13 (72.2) | 17 (94.4) | 0.125 |
| Total score mean (SD) | 4.0 (1.41) | 5.5 (1.50) | 0.001 + |
|
| |||
| Attitudes | Pretest Mean (SD) |
Posttest Mean (SD) |
|
|
| |||
| (1) Health literacy is a serious medical issue | 4.50 (0.51) | 4.33 (0.49) | 0.180 |
| (2) It is my responsibility, as a physician, to address my patient's health literacy | 4.17 (0.51) | 4.33 (0.49) | 0.180 |
| (3) I am confident I can recognize a patient with low health literacy | 3.72 (0.67) | 4.06 (0.56) | 0.058 |
| (4) I have the appropriate level of skills and training to help my patients with low health literacy | 3.78 (0.65) | 4.00 (0.61) | 0.157 |
| (5) Patients with low health literacy should be referred to a health educator or a social worker for health education | 3.61 (0.98) | 3.44 (1.29) | 0.467 |
|
| |||
| OSCE station scores | Control Mean (SD) |
Didactic Mean (SD) |
|
|
| |||
| (1) Obtaining the Newest Vital Sign (NVS) | 5.0 (1.53) | 5.8 (1.99) | 0.459 |
| (2) Teach-back method for asthma | 17.4 (5.53) | 17.1 (5.00) | 0.480 |
| (3) Explaining the DASH diet to a hypertensive patient using Ask Me 3 | 11.9 (3.24) | 12.0 (2.61) | 0.760 |
| (4) Working with an interpreter | 15.9 (0.39) | 14.5 (2.72) | 0.075 |
∗Total scores ranged from 0 to 8.
+Significant, p < 0.05, McNemar's test.
±Significant, p < 0.05, Wilcoxon signed-rank test.
§Five-point Likert Scale (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, and 5 = strongly disagree); Wilcoxon signed rank test was used to test significance.
∗∗OSCE station 1 scores: 0 to 8; OSCE station 2 scores: 0 to 22; OSCE station 3 scores: 0 to 16; OSCE station 4 scores: 0 to 16; Mann-Whitney U test was used to test significance.