Health Literacy in Pediatrics - McMaster Pediatrics Residency Program

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Activity 1: Assessing health literacyThe Newest Vital Sign is a screening tool to identify patients at risk for lowhealth literacy. The NVS consists of a nutrition label accompanied by six questionsthat assess the patient’s reading and numeracy skills. The tool can be administeredin a clinical setting in just three minutes.Scoring:0 to 1 = Low health literacy is likely (greater than 50% chance that patienthas marginal or inadequate health literacy and is at significant riskfor poor health outcomes)2 to 3 = Low health literacy is possible4 to 6 = Adequate health literacyThe score provides information about the patient that will allow health careproviders to adapt their communication practices in an effort to achieve betterhealth outcomes.1. Simulation: In your group, choose one person to play the role of a parent andanother person to be the pediatric resident. The setting is a hospital pediatricoutpatient clinic. This is the child’s first visit. At this clinic, a health literacy test isadministered to a parent/caregiver as part of the family’s initial assessment.2. Assess the parent’s health literacy:The resident gives the parent the nutrition label. The parent can refer to it whileanswering questions. It is not necessary to give parents time to review the labelbefore asking the questions. Rather, they will review the label as they are askedand answer the questions.The resident asks the questions and records the patient’s responses on thescoring sheet, which contains the correct answers. Repeat questions as needed.Based on the number of correct responses, the physiotherapist estimates thepatient's health literacy level.3. After the simulated assessment, discuss the experience of “health literacy screening”from the perspective of the parent and the resident.4. What health literacy skills does the NVS measure? What health literacy skills are notmeasured?5. Discuss the advantages and disadvantages of assessing patients’ health literacy inthe clinical setting. What is your group’s recommendation regarding routine healthliteracy screening?
Newest Vital Sign – Ice cream label
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Health Literacy in Pediatrics - McMaster Pediatrics Residency Program

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