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Computer-assisted health literacy intervention proposal

Aguiluz-Abunto, Maria (2016) Computer-assisted health literacy intervention proposal. Master Essay, University of Pittsburgh.

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Abstract

Health literacy is the ability to obtain, process, and understand health information needed to make informed health decisions. Low health literacy and limited English proficiency (LEP) are associated with poor health outcomes. Poor health outcomes from misunderstanding of prescription medications and reduced medication adherence results in frequent hospitalizations and higher health care costs. The burden disproportionately affects the Spanish-speaking population and exacerbates health consequences. Spanish dominant patients may not have the capacity to understand basic health information for appropriate health decisions and services. Poor communication between health care providers and English-limited patients may lead to impaired patient comprehension. Interventions are needed to build health literacy and address the barriers in communication. The public health significance of the study is the use of communication technologies to cost-effectively increase the availability of interpretation services in healthcare settings, ultimately impacting the health of Latino populations. This research proposes to implement a pilot study to evaluate a culturally and linguistically appropriate audio-visual language tool conducted in affiliation with the University of Pittsburgh. The project will involve partnerships with the Program for Health Care to the Underserved (PHCUP) at two free clinic sites, the Birmingham Free Clinic and the 9th St. Clinic. A mixed methods research study will explore the research question: “Are Spanish-speaking Latinos with language barriers more likely to understand and follow medication regimen using a culturally appropriate computer-assisted video instruction compared to using the usual paper instruction?” The proposed pilot study will demonstrate that computer-illustrated medication instructions improve medication understanding among Latino patients recruited from a safety-net clinic. Illustrated medication instructions can be a useful adjunct to traditional medication information and the teach-back method. Further research is needed to determine the effect of computer-assisted medication instructions on medication-taking behavior and clinical outcomes. Recommendations to develop a culturally appropriate and effective tool to improve medication management can address barriers to health literacy among Latinos, and may lead to improvements in care and a reduction in health disparities.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Aguiluz-Abunto, Mariamba31@pitt.eduMBA31
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFinegold, Daviddnf@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberElias, Thistleelias@pitt.eduUNSPECIFIEDUNSPECIFIED
Date: April 2016
Date Type: Submission
Defense Date: 2016
Submission Date: 31 March 2016
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: Health, Literacy
Date Deposited: 07 Sep 2016 17:21
Last Modified: 06 Sep 2017 05:55
URI: http://d-scholarship.pitt.edu/id/eprint/27413

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