ACCESS TO HEALTH WITH READABLE IMMUNIZATION INFORMATION

描述(改编自《调查员摘要》)：国家成人 识字调查(NALS)(1993)表明，9000万人(47%的成年人 人们的阅读和理解能力很差。这一最新信息 强调在培养病人时考虑识字的重要性 关于治疗材料的教育和同意。耐心教育文献 全国各地普遍使用的关于免疫接种的不是“用户” 友好，尤其是对低收入城市客户来说。在这些文献中 是否向父母提供了关于子女免疫接种的材料 需要，包括同意治疗，而父母不能充分满足 理解。增长最快的人口群体、少数族裔和 弱势群体没有享受到全面医疗保健的好处。 主流健康教育往往无法覆盖到这一人群。即使 它有几个经济、社会和基本的健康益处 免疫接种，这个国家数以百万计的儿童没有接种疫苗 在适当的推荐时间表内。有限的教育，大家庭 规模大，社会经济收入低，少数民族或少数群体成员， 在公共机构接受单亲家庭的医疗保健，并开始 迟来的免疫接种系列都被发现与未能 为儿童接种疫苗(Robinson，Stephen，&Linn，1993)。父母的原因之一是 的幼儿不能进入卫生系统，并且无法获得 为他们的子女接种疫苗遵循适当的免疫计划，是 他们可能无法阅读和/或理解提供给 他们被卫生中心和免疫诊所。这样做的具体目的是 为期两年的研究是为了(1)开发两名患者的改良版本 关于治疗手册、白喉、破伤风和百日咳的信息/同意 以及麻疹、腮腺炎和风疹，以降低阅读水平并增加 跨文化敏感度；(2)评估阅读和理解能力 城市低收入人群在免疫服务对象(家长)中的行为 132例城市低收入人群的随机临床试验 (家长)确定修改后的免疫接种/同意版本是否 治疗手册有助于更好地理解关键信息。

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.