MismatchbetweenLiteracyandReadability.docVIP

Mismatch between Literacy and Readability A substantial portion of the literature on health literacy addresses the problem of the basic literacy level of the patient, the readability of the health-related materials that the patient is expected to read, and the frequent mismatch between the two. 大量有关于健康素养的文献论述了病人基本知识水平、病人所希望阅读的健康相关资料的可读性和通常这两者之间的不匹配的问题。 This has led to the development of a variety of instruments to measure the health literacy level of the patient as well as to the use of a number of existing readability instruments to calibrate the reading level of health texts. 这导致了各种各样测试病人健康素养水平的工具的发展和利用大量已有的可读性文书来校正卫生文本的阅读水平的现象。 The rapid estimate of adult literacy in medicine (REALM) was first developed in the early 1990s and is a test that is intended for easy and quick use in the health care setting. 在医学领域快速估计成人识字水平最初是在20世纪90年代初发展起来的，这是一个在健康护理环境下方便、快速的测试。 It consists of 66 words arranged in three columns in increasing order of number of syllables and difficulty. 它包含了66个字，这些字按照字母的顺序和难度以升序排列成3列。 Patients are asked to read the words aloud, and the grade-level reading ability of the patients is assessed based on the number of words they are able to read and pronounce correctly. 病人们按要求大声读出这些字，病人阅读能力的级别基于他们能够读出的词的数量和是否发音正确来评估。 The instrument was validated against other reading recognition tests, and others have developed versions of the REALM for specific medical specialty areas or specific tasks. 这个工具比其它阅读验证测试和那些专门为医学领域的特殊领域或者专门任务而开发的在医学领域快速估计成人识字水平（REALM）的版本更有效力。 The primary advantage of the REALM test is that it takes only a few minutes to administer. It is seen as a useful indicator of whether a patient can read at all, and it gives some indication of the level of ability. However, it says little about whether patients comprehend the words they are reading. REALM测试的主要优点是她仅仅需要几分钟的时间来实施。它被看成衡量一个病人能否阅读的有用的指标，而且它也表示了一定阅读水平。不过，它并不能说明病人是否理解了他们读到的词。 The test of functional health literacy in adults (TOFHLA) and its shortened version, the S-TOFHLA, were developed