Oral literacy demand of prenatal genetic counseling dialogue: Predictors of learning.
Oral literacy demand of prenatal genetic counseling dialogue: Predictors of learning.
复制标题
产前遗传咨询对话的口语识字需求：学习的预测因子。
DOI：
10.1016/j.pec.2009.01.005
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发表时间：
2009
影响因子：
3.5
通讯作者：
Ellington,Lee
中科院分区：
文献类型：
--
作者：
Roter,DebraL;Erby,Lori;Larson,Susan;Ellington,Lee
目的探讨低文化水平被试遗传咨询会话的口头读写需求与遗传相关信息学习能力的关系。方法将96个模拟遗传咨询过程录下来，并向312名被试者播放，让他们想象自己是咨询过程的客户。研究措施包括口头读写能力需求，具体操作如下：(1)关键遗传学术语的使用；(2)信息语境；(3)一般语言复杂性；(4)对话互动性的结构特征。研究结果是遗传相关信息的学习。结果：读写能力有限的受试者（低于八年级水平）在观看更多对话互动和更多个人情境化信息的课程时学到了更多。然而，具有足够识字技能的受试者在低识字要求的课程中往往学得较少。结论医学对话的口头读写需求是低读写对象的学习障碍。然而，对于那些具有较高读写能力的人来说，情况可能并非如此，他们可以理解复杂的语言，并处理高要求会议的密集信息负载。实践意义：为了满足所有患者的教育需求，临床医生必须同时关注患者交流的信息性和口头素养需求。
OBJECTIVETo assess the relationship between the oral literacy demand of genetic counseling sessions and the ability of low literate subjects to learn genetics-related information.METHODSNinety-six simulated genetic counseling sessions were videotaped and shown to 312 subjects recruited to imagine themselves as the session's client. Study measures included oral literacy demand, operationalized as: (1) use of key genetics terms; (2) informational context; (3) general language complexity; and (4) structural characteristics of dialogue interactivity. The study outcome was learning of genetics-related information.RESULTSSubjects with restricted literacy (below 8th grade level) learned more when viewing sessions with greater dialogue interactivity and more personally contextualized information. Subjects with adequate literacy skills, however, tended to learn less in low literacy demand sessions.CONCLUSIONThe oral literacy demand of medical dialogue represents a learning obstacle to low literate subjects. However, this may not be the case for those with greater literacy skills who can understand the complex language and process the dense informational load of high demand sessions.PRACTICE IMPLICATIONSIn order to meet the educational needs of all patients, clinicians must attend to both the informativeness and the oral literacy demand of their communication.