Marilyn M. Schapira|Kathlyn E. Fletcher|Mary Ann Gilligan|Toni King|Purushottam W. Laud|Barbara Matthews|Joan Neuner|Elisabeth Hayes
A Framework for Health Numeracy: How Patients Use Quantitative Skills in Health Care
Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin
abstract objective study develop conceptual framework construct health numeracy based patient perceptions using crosssectional qualitative design interested participants n 59 meeting eligibility criteria age 4074 english speaking assigned one six focus groups stratified gender educational level low medium high fiftythree percent male 47 female sixtyone percent white nonhispanic 39 minority race ethnicity participants randomly selected three primary care sites associated academic medical center focus group discussions held may 2004 focused numbers used health care setting data presented clinical trials explore quantitative information used health communication decision making focus groups audio videotaped verbatim transcripts prepared analyzed framework health numeracy developed reflect themes emerged three broad conceptual domains health numeracy identified primary numeric skills applied health numeracy interpretive health numeracy across domains results suggested numeracy contains emotional component positive negative affect reflected patient numeracy statements conclude health numeracy multifaceted construct includes applied interpretive components influenced patient affect work funded nci grant 5r01ca105621 work presented society medical decision making meeting boston usa october 2006