0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Literacy and Informed Consent A Case for Literacy Screening in Glaucoma Research

Kelly W. Muir, MD; Paul P. Lee, MD, JD
Arch Ophthalmol. 2009;127(5):698-699. doi:10.1001/archophthalmol.2009.59.
Text Size: A A A
Published online

Extract

The National Adult Literacy Survey of 1992 alerted educators and policymakers to a previously underrecognized problem: nearly one-fourth of the American adult population is functionally illiterate.1 More recently, the medical community has become aware of the prevalence of inadequate health literacy, or the inability to comprehend written material in a health care setting. In 1 study involving more than 2500 patients in 2 urban hospitals, 42% of subjects could not understand written instructions for taking medication on an empty stomach.2 Importantly, functional health literacy is lower in older age cohorts in the United States.3 In a sample of English-speaking adults aged 60 years and older, less than 20% demonstrated adequate health literacy skills.2 The age-related decline in health literacy skills persists even when cognitive function is taken into account.3 Although educational attainment and literacy are not interchangeable, the 2 concepts are closely related (average reading skills are generally 3-5 grade levels lower than the last year of school completed). The US Census Bureau data from 2007 reveal that 86% of Americans aged 18 to 74 years identify themselves as high school graduates compared with only 73% of Americans aged 75 years and older.4 Societal constraints on educational attainment may help explain this discrepancy. A child aged 14 years in 1936 in the middle of the Great Depression may not have had the opportunity to complete high school. That same child would have been aged 85 years in 2007.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

39 Views
6 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed
Are the results credible?

Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed
Was the Choice of Participants or Observations Explicit and Comprehensive?

brightcove.createExperiences();