Pediatricians and health literacy: Descriptive results from a national survey

Teri Turner, William L. Cull, Barbara Bayldon, Perri Klass, Lee M. Sanders, Mary Pat Frintner, Mary Ann Abrams, Benard Dreyer

    Research output: Contribution to journalArticle

    Abstract

    OBJECTIVE: To describe pediatricians' self-reported experiences with health literacy, use of basic and enhanced communication techniques, and perceived barriers to effective communication during office visits. DESIGN/METHODS: A national, random sample of 1605 nonretired, posttraining American Academy of Pediatrics members were surveyed in 2007 about health literacy and patient communication as part of the Periodic Survey of Fellows. The response rate was 56% (N = 900). RESULTS: Eight-one percent of the pediatricians were aware of a situation in the previous 12 months in which a parent had not sufficiently understood health information that had been delivered to him or her. In addition, 44% of all pediatricians were aware of a communicationrelated error in patient care within the previous 12 months. Using simple language (99%), repeating key information (92%), and presenting only 2 or 3 concepts at a time (76%) were the most commonly used communication strategies. Enhanced communication techniques recommended by health literacy experts such as teach-back and indicating key points on written educational materials were used less often (23% and 28%, respectively). The most common reported barriers to effective communication were limited time to discuss information (73%), volume of information (65%), and complexity of information (64%). The majority of physicians rated themselves highly in their ability to identify caregiver understanding (64%), but only 21% rated themselves as very good or excellent in identifying a parent with a literacy problem. Fifty-seven percent of the respondents were interested in training to improve communication skills, and 58% reported that they would be very likely to use easy-to-read written materials, if available from the American Academy of Pediatrics. CONCLUSIONS: Pediatricians are aware of health literacy-related problems and the need for good communication with families but struggle with time demands to implement these skills. Despite awareness of communication-related errors in patient care, pediatricians report underutilizing enhanced techniques known to improve communication.

    Original languageEnglish (US)
    JournalPediatrics
    Volume124
    Issue numberSUPPL. 3
    DOIs
    StatePublished - Nov 2009

    Fingerprint

    Health Literacy
    Communication
    Patient Care
    Surveys and Questionnaires
    Pediatricians
    Pediatrics
    Office Visits
    Aptitude
    Caregivers
    Language
    Physicians

    Keywords

    • Communication
    • Health literacy
    • Pediatrician practice

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health

    Cite this

    Turner, T., Cull, W. L., Bayldon, B., Klass, P., Sanders, L. M., Frintner, M. P., ... Dreyer, B. (2009). Pediatricians and health literacy: Descriptive results from a national survey. Pediatrics, 124(SUPPL. 3). https://doi.org/10.1542/peds.2009-1162F

    Pediatricians and health literacy : Descriptive results from a national survey. / Turner, Teri; Cull, William L.; Bayldon, Barbara; Klass, Perri; Sanders, Lee M.; Frintner, Mary Pat; Abrams, Mary Ann; Dreyer, Benard.

    In: Pediatrics, Vol. 124, No. SUPPL. 3, 11.2009.

    Research output: Contribution to journalArticle

    Turner, T, Cull, WL, Bayldon, B, Klass, P, Sanders, LM, Frintner, MP, Abrams, MA & Dreyer, B 2009, 'Pediatricians and health literacy: Descriptive results from a national survey', Pediatrics, vol. 124, no. SUPPL. 3. https://doi.org/10.1542/peds.2009-1162F
    Turner T, Cull WL, Bayldon B, Klass P, Sanders LM, Frintner MP et al. Pediatricians and health literacy: Descriptive results from a national survey. Pediatrics. 2009 Nov;124(SUPPL. 3). https://doi.org/10.1542/peds.2009-1162F
    Turner, Teri ; Cull, William L. ; Bayldon, Barbara ; Klass, Perri ; Sanders, Lee M. ; Frintner, Mary Pat ; Abrams, Mary Ann ; Dreyer, Benard. / Pediatricians and health literacy : Descriptive results from a national survey. In: Pediatrics. 2009 ; Vol. 124, No. SUPPL. 3.
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