Evaluating comprehension of written pharmacy materials: Preliminary experience with the Cloze procedure
Miller, Michael J.
DeWitt, Jane E.
Murr, Anne H.
Davis, Caitlin M.
Sager, Emily R.
MetadataShow full item record
Objective: The objective of this research was to assess reading comprehension of a pharmacy-related educational pamphlet using the cloze procedure in subjects expected to exhibit a wide range of health literacy proficiency. Methods: The cloze procedure, a technique for assessing reading comprehension, was applied to an educational pamphlet describing safe medication practices written at the seventh grade level. Sixty subjects were recruited from a university community and affiliated adult literacy center. Consenting subjects were asked to complete a background interview, the Very Short Test of Functional Health Literacy in Adults (VS-TOFHLA) and the newly developed, pharmacy-relevant comprehension assessment. Subject performance on the VS-TOFHLA and newly developed pharmacy-relevant comprehension assessment were described and compared to assess reliability and validity. Results: A final sample of 52 subjects was analyzed. Mean age of the sample was 46.3 years (sd=12.9 years). Respondents were predominantly white (88%), female (83%) and college graduates (73%). The mean score on the VS-TOFHLA was 95.4% with all but one (2%) of the subjects demonstrating adequate functional health literacy. The mean score on the pharmacy-relevant comprehension assessment was 57.9%. Internal consistencies of the VS-TOFHLA and the pharmacy-relevant comprehension assessment were 0.95 and 0.91 respectively. Scores on the pharmacy-relevant comprehension assessment and the VS-TOFHLA were highly correlated (r=0.72, p<0.0001). Performance on the pharmacy-relevant comprehension assessment indicated approximately 57% of respondents with some college or less would need supplemental teaching about the pharmacy-relevant passage or would find it unsuitable for adequate understanding. Approximately 24% of the college graduates would need supplemental teaching. Conclusions: There is a lack of tools that can be used to assess patient comprehension of pharmacy-relevant information. This study indicates promise for using the cloze procedure for assessing patient comprehension of pharmacy-relevant educational materials.
Showing items related by title, author, creator and subject.
Kirkpatrick, Sharon (Drake University, 1979-01)The Problem. The existence of self-abusive behavior among mentally retarded individuals is a continuing challenge for those who work with them. Several treatment techniques are available for reducing or eliminating such ...
Martin, Cheryl Blunck (Drake University, 1993-11)Bone Marrow Transplantation (BMT) has progressed from an experimental therapy to a viable treatment for cancer. While the prospects for long-term survival following the procedure has increased, little is known about the ...
Donahue, Judith K. (Drake University, 1993-05)This work was a replication of a study in which the level of physical activity in women following myocardial infarction (MI) was compared to their level of activity before MI. An extension of the initial work included an ...