Health literacy and the provision of information to women with breast cancer.

Cox, N., Bowmer, C. and Ring, A. (2010) Health literacy and the provision of information to women with breast cancer. Clinical Oncology, 23 (3), 223 - 227. (doi:10.1016/j.clon.2010.11.010).

Abstract

Aims: Health literacy and functional health literacy are important for patients with cancer, as key information regarding treatment complications and clinicaltrials is often imparted using written educational material. This study measured the health literacy and functional health literacy levels in a population ofwomen with breast cancer and compared these with the level of written information provided.Materials and methods: A cross-sectional survey of women with stage I-III breast cancer attending an outpatient clinic was conducted. Health literacy levelswere assessed using the Rapid Estimate of Adult Literacy in Medicine (REALM) score and functional health literacy was assessed using three validated screeningquestions. Patient education materials were assessed using the Simple Measure of Gobbledygook (SMOG) and Flesch Reading Ease (FRE) systems.Results: One hundred and twenty-seven women were recruited. For patients, the mean REALM score was 64.3 (US 9th grade/reading age 14 years). The meanSMOG score of patient education materials was 80.5 (reading age 17 years). The mean FRE score of patient education materials was 55.7 (reading age 15-17years). All patient information sheets assessed were written at 8th grade (reading age 13 years) and as a result up to 9% of patients would be unable to readthem. Nineteen per cent of the population had inadequate functional health literacy.Conclusions: Health literacy levels were high in the population studied. However, the reading level of written patient information was also high, meaning thatup to 9% of patients would be unable to read the information provided. Functional health literacy levels were lower, with 19% of patients having inadequateability. This means that although most patients are able read the information sheets provided, there is a larger proportion that would be unable to understandand act upon this information. Patient education materials should be written at an appropriate level and different modalities of communication should be usedto ensure adequate comprehension.

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Contributors

Author: N. Cox

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