Carol J. Howe|Daisha J. Cipher|Judy L. LeFlore|Terri H. Lipman
Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach
Texas Christian University|The University of Texas at Arlington|The University of Texas at Arlington|University of Pennsylvania
low health literacy associated poor communication adults providers little known parents health literacy influences communication pediatric encounters examined parent health literacy affected communication parents diabetes educators pediatric diabetes clinic mixed methods study conducted including crosssectional survey 162 parents semistructured interviews subsample 24 parents child type 1 diabetes parent child characteristics parents report quality communication parent health literacy assessed logistic regression performed determine associations health literacy 4 subscales interpersonal processes care ipc survey directed content analyses interview data completed although health literacy significantly associated ipc subscales results directed content analyses revealed different communication experiences parents health literacy classification low health literate parents confused diabetes jargon preferred handson teaching wished information communicated simple language broken key points repeated parents adequate health literacy wanted comprehensive information communicated ongoing dialogue findings indicate learnerdriven curricula may appropriate diabetes education