International Journal of Family Medicine / 2015 / Article / Tab 2

Research Article

Training Family Medicine Residents in Effective Communication Skills While Utilizing Promotoras as Standardized Patients in OSCEs: A Health Literacy Curriculum

Table 2

Health literacy knowledge, attitudes§, and OSCE station scores, .

KnowledgePretest
Correct
(%)
Posttest
Correct
(%)
value

(1) How many Americans read at or below the 5th grade level according to NALS5 (29.4)4 (22.2)0.625
(2) How many Americans have fair to low health literacy5 (27.8)6 (33.3)1.000
(3) Definition of health literacy6 (33.3)14 (77.8)0.008±
(4) Age groups likely to have low health literacy and worse health outcomes14 (77.8)15 (83.3)1.000
(5) Communication styles among patients with limited health literacy13 (72.2)10 (55.6)0.250
(6) Three questions that the Ask Me 3 Program comprises2 (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+

AttitudesPretest
Mean (SD)
Posttest
Mean (SD)

(1) Health literacy is a serious medical issue4.50 (0.51)4.33 (0.49)0.180
(2) It is my responsibility, as a physician, to address my patient’s health literacy4.17 (0.51)4.33 (0.49)0.180
(3) I am confident I can recognize a patient with low health literacy3.72 (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 literacy3.78 (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 education3.61 (0.98)3.44 (1.29)0.467

OSCE station scoresControl
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 asthma17.4 (5.53)17.1 (5.00)0.480
(3) Explaining the DASH diet to a hypertensive patient using Ask Me 311.9 (3.24)12.0 (2.61)0.760
(4) Working with an interpreter15.9 (0.39)14.5 (2.72)0.075

Total scores ranged from 0 to 8.
+Significant, , McNemar’s test.
±Significant, , 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.