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AddressingtheCognitiveAddressingtheCognitive

toBridgetheFunctionaltoBridgetheFunctionalHHealthealthLiteracyGapLiteracyGap

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ComprehensionComprehension

ExecutionExecution

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Accordingto

one

study,

patients,

on

average,

forget

half

According

to

one

study,

patients,

on

average,

forget

half

ofwhattheyweretoldbyadoctorwithin5minutesofofwhattheyweretoldbyadoctorwithin5minutesof

eav ngt eoutpat entconsu tat onroom. ayereav ngt eoutpat entconsu tat onroom. ayer

1990)1990)

ccor ngtoanot erstu y,on y37 o pat entscou ccor ngtoanot erstu y,on y37 o pat entscou

recalltheirdiagnosisandtreatmentandfollowrecalltheirdiagnosisandtreatmentandfollowupplanupplancorrectly,immediatelyafterbeingdischargefromtheEDcorrectly,immediatelyafterbeingdischargefromtheED

(LoganPD

1996).

(Logan

PD

1996).

Accordin toourownstud ,immediaterecallrateisaboutAccordin toourownstud ,immediaterecallrateisabout

44%anddelayedrecallis27%.(Zeng 2008)44%anddelayedrecallis27%.(Zeng 2008)

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SimplerlanguageSimplerlanguage

Actionable

informationActionable

information

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VocabularyVocabulary

Example:

Example:

ress g:ress g: quacequace w w er xer x over sover s

Dressing:CoverthewoundwithDressing:CoverthewoundwithAquacelAquacel AGwithaAGwithakerlixkerlixwrapchangeddailywrapchangeddaily

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Visual

SimilarityVisualSimilarity

ArbitraryConventionArbitraryConvention AbstractConventionAbstractConvention

ConcreteConventionConcreteConvention

TransposedConventionTransposedConvention

SemanticAssociationSemanticAssociation ComparisonorContrastComparisonorContrast

Exemplification:SingularExemplification:Singular

..

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Eas Difficult

Comprehension

You can drive in 2 days.n Easy The top number of your blood

pressure should be less than 1201.

Executi

ifficult Try to eat < 25 grams of fat every

day and < 10 grams of saturatedDiabetes Control: HbA1C less than7.0%3.

D a .

1 Comprehension: the concept of blood pressure is difficult because it involves several interrelated concepts such as normal and

abnormal ranges, measurement (mmHg), causes and consequences of hyper- and hypotension, among others.

2 Execution: difficult because it involves estimatin the amount of fat in each ortion of food eaten throu hout the da . Each meal

demands decisions regarding how much to consume based on the remaining amount of the daily allowance of fat.

3 Comprehension: the concept of glycated hemoglobin, its function, clinical meaning, and measurement is fairly difficult to grasp.

Execution: difficult because bringing down HBA1C involves continuous monitoring of blood sugar, diet, exercise, and medicationregimen.

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PreciseNoliftingmorethan10poundsfor1week.

Imprecise Dostrengthbuildingexercisesusinglightweightstoincreaseyour

strengt

an

musc e

tone.

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CompleteYouwillneedtowearthemonitoreverydayfor60days.

Incomplete Checkeverydayforsignsofinfection.

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ProperYoumaycall8015813949MondayFriday 8am4pm withany

uestions.

Improper Callyourdoctorifyougain23pounds overnightor

5

poun s n

a

wee .

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MetricYoushouldnoteatmorethan2000mgofsaltdaily.

U.S. Units Donotliftmorethan10poundsfor1week.

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AbstractDonotliftmorethan10poundsfor1week.

Concrete Donotliftmorethan10poundsfor1week.(Agallonofmilk=8

poun s.

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CalculationMakeafollowupappointmentin3month.

No MakeafollowupappointmentinJune.