ACCESS TO HEALTH WITH READABLE IMMUNIZATION INFORMATION

描述（改编自研究者摘要）：国家成人 扫盲调查（NALS）（1993年）表明，9 000万（47%的成年人） 人口的阅读和理解能力较差。此最新信息 强调了在发展患者时考虑识字的重要性 教育和同意治疗材料。病人教育文献 在全国范围内普遍使用的关于免疫接种的不是“用户 “特别是对低收入的城市客户。在这些文献中 是提供给父母的关于孩子免疫接种的材料 需要，包括同意治疗，父母不能充分 理解。增长最快的人口群体、少数民族和 弱势群体没有享受到全面保健的好处。 主流健康教育往往无法触及这一人群。即使 有几个经济，社会和基本健康的好处， 在这个国家有数百万的儿童没有接种疫苗 在适当的建议时间表内。教育程度有限，大家庭 规模小、社会经济收入低、种族或少数群体成员， 在公共机构接受医疗保健的单亲家庭， 免疫系列的延迟都被发现与未能 使儿童免疫（罗宾逊，斯蒂芬和林恩，1993）。父母们 的幼儿无法利用保健系统， 按照适当免疫接种时间表为儿童进行免疫接种， 他们可能无法阅读和/或理解提供给 他们的健康中心和免疫诊所。具体目标是 为期两年的研究是（1）开发两种患者的改良版本 白喉、破伤风和百日咳治疗信息/同意书小册子 麻疹、腮腺炎和风疹，以降低阅读水平， 多元文化敏感性;（2）评估阅读和理解能力 城市低收入免疫接种者（父母）的比例，以及（3） 对132名低收入城市客户的随机临床试验 （父母）以确定是否修改版本的免疫接种/同意 治疗小册子导致对关键信息的更好理解。

DESCRIPTION (As Adapted from the Investigator's Abstract): The National Adult Literacy Survey (NALS)(1993) suggest that 90 million (47% of the adult population have poor reading and comprehension skills. This recent information highlights the importance of considering literacy when developing patient education and consent for treatment materials. The patient education literature commonly used throughout the nation concerning immunization is not "user friendly," especially for the low-income urban client. Among this literature are materials offered to parents regarding their children's' immunization needs, including a consent for treatment, that parents cannot adequately comprehend. The fastest growing population groups, minorities and the disadvantaged, are not reaping the benefits of comprehensive health care. Mainstream health education often fails to reach this population. Even though there are several economic, social, and essential health benefits of immunizations, millions of children in this country and not receiving vaccines within the appropriate recommended schedules. Limited education, large family size, low socioeconomic income, members of an ethnic or minority groups, receiving health care in a public agency single parent families and starting the immunization series late were all found to be correlates with failure to immunize children (Robinson, Stephen, & Linn, 1993). One of the reasons parents of young children do not access the health system and fail to obtain immunization for their children of follow proper immunization schedules, is that they may not be able to read and/or comprehend the information provided to them by the health centers and immunization clinics. The specific aims of this two year long investigation are to (1) develop modified versions of two patient information/consent for treatment pamphlets, Diphtheria, Tetanus, and Pertussis and Measles, Mumps, and Rubella, to lower the reading levels and increase multi-cultural sensitivity; (2) assess the reading and comprehension abilities of low income urban clients in immunization clients (parents), and (3) conduct a randomized clinical trial on a sample of 132 low income urban clients (parents) to determine if the modified version of the immunization/consent for treatment pamphlet result in greater comprehension of critical information.