Elaine Wittenberg?Lyles|Joy Goldsmith|Debra Parker Oliver|George Demiris|Robin L. Kruse|Stephanie Van Stee
Exploring Oral Literacy in Communication With Hospice Caregivers
Markey Cancer Center|University of Kentucky|Young Harris College|University of Missouri|University of Washington|University of Missouri|University of Kentucky
contextlow oral literacy identified barrier pain management informal caregivers receive verbal instructions pain medication pain protocolsobjectivesto examine recorded communication hospice staff informal caregivers explore caregiver experiencesmethodsusing transcripts interactions n 47 oral literacy features analyzed examining generalized language complexity using fleschkincaid grading scale dialogue interactivity defined talking turns interaction time means longitudinal followup measures caregiver anxiety quality life perception pain management knowledge comfort providing pain medication satisfaction examined explore relationship oral literacyresultscommunication team members caregivers averaged fourthgrade level fleschkincaid scale indicating communication easy understand reading ease associated r 067 p 005 caregiver understanding comfort pain management perceived barriers caregiver pain management lower sessions increased use passive sentences r 061 p 001 suggesting passive voice accurate indicator language complexity caregiver understanding comfort administering pain medications r 082 p 001 caregiver quality life r 049 p 005 negatively correlated dialogue paceconclusionas grade level talk caregivers hospice teams increased associated caregiver anxiety increased caregivers higher anxiety also experienced greater difficulty understanding pain medication management specific adjustments hospice teams make improve caregiver experiences identified