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, .
Knowledge
Pretest Correct (%)
Posttest Correct (%)
value
(1) How many Americans read at or below the 5th grade level according to NALS
5 (29.4)
4 (22.2)
0.625
(2) How many Americans have fair to low health literacy
5 (27.8)
6 (33.3)
1.000
(3) Definition of health literacy
6 (33.3)
14 (77.8)
0.008±
(4) Age groups likely to have low health literacy and worse health outcomes
14 (77.8)
15 (83.3)
1.000
(5) Communication styles among patients with limited health literacy
13 (72.2)
10 (55.6)
0.250
(6) Three questions that the Ask Me 3 Program comprises
2 (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+
Attitudes
Pretest Mean (SD)
Posttest Mean (SD)
(1) Health literacy is a serious medical issue
4.50 (0.51)
4.33 (0.49)
0.180
(2) It is my responsibility, as a physician, to address my patient’s health literacy
4.17 (0.51)
4.33 (0.49)
0.180
(3) I am confident I can recognize a patient with low health literacy
3.72 (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 literacy
3.78 (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 education
3.61 (0.98)
3.44 (1.29)
0.467
OSCE station scores
Control 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 asthma
17.4 (5.53)
17.1 (5.00)
0.480
(3) Explaining the DASH diet to a hypertensive patient using Ask Me 3
11.9 (3.24)
12.0 (2.61)
0.760
(4) Working with an interpreter
15.9 (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.
