Sanders, K., The A The sample Health Statistical analyses and Strengths for this Level Low quality purpose of prospective consisted of literacy levels modeling were study was the link Schnepel, L., 6 this study 100 were conducted using SAS formed between Smotherman, was to patients measured by version 9.3. Continuous heath literacy and C., Livingood, assess the qualitative who were using the variables were educational W., Dodani, study. admitted to short form of described by using retention for stroke S., Antonios, of the hospital Test of means, standard patients. Thus patient’s stroke unit Functional deviations (SDs), and determining the N., ... health with a Health medians. Category need for education Silliman, S. literacy to diagnosis Literacy in variables were analyzed based on literacy (2014). stroke of acute Adults using Pearson or levels. The χ Assessing the education ischemic Fisher Exact tests, when limitations to this impact of outcomes, stroke at Standard Joint appropriate. Univariate study was the lack following the Commission and multivariable of evidence health literacy stroke University patient analyses were used to validating the on education education of Florida education identify factors stroke patient retention of in an acute Health in protocols independently educational stroke stroke unit were utilized associated with Stroke outcomes, such as patients. at a Florida. to provide Patient Education long-term retention hospital in Participants patients with Retention (SPER) score. and patient Preventing were appropriate For univariate analysis, adherence or Chronic Florida. identified standardized the differences in the compliance to Disease, 11, A and stroke SPER scores among the medical treatments. 1-10. secondary recruited by education. 3 S-TOFHLA groups The other intention the treating The post were assessed using the limitations the of the neurologist stroke care nonparametric authors recognized study was or a stroke educational For multivariate was the small to assess unit nurse outcomes and analysis, analysis of sample size for the manager. knowledge covariance (ANCOVA) such a large retention was was used to model the population, to be between assessed for data and estimate the able to detect the patient each least squared means. effect of many participant Even after receiving the demographic and upon Joint Commission factors on stroke other discharge standardized occurrence. through the recommended
Sanders, K., Schnepel, L., Smotherman, C., Livingood, W., Dodani, S., Antonios, N., ... Silliman, S. (2014). Assessing the impact of health literacy on education retention of stroke patients. Preventing Chronic Disease, 11, 1-10. The purpose of this study was to assess the of patient’s health literacy to stroke education outcomes, following stroke education in an acute stroke unit at a hospital in Florida. A secondary intention of the study was to assess the between patient and other A prospective qualitative study. The sample consisted of 100 patients who were admitted to the hospital stroke unit with a diagnosis of acute ischemic stroke at the University of Florida Health in Florida. Participants were identified and recruited by the treating neurologist or a stroke unit nurse manager. Health literacy levels were measured by using the short form of Test of Functional Health Literacy in Adults Standard Joint Commission patient education protocols were utilized to provide patients with appropriate standardized stroke education. The post stroke care educational outcomes and knowledge retention was assessed for each participant upon discharge through the Statistical analyses and modeling were conducted using SAS version 9.3. Continuous variables were described by using means, standard deviations (SDs), and medians. Category variables were analyzed using Pearson χ or Fisher Exact tests, when appropriate. Univariate and multivariable analyses were used to identify factors independently associated with Stroke Patient Education Retention (SPER) score. For univariate analysis, the differences in the SPER scores among the 3 S-TOFHLA groups were assessed using the nonparametric For multivariate analysis, analysis of covariance (ANCOVA) was used to model the data and estimate the least squared means. Even after receiving the Joint Commission standardized recommended Strengths for this study was the link formed between heath literacy and educational retention for stroke patients. Thus determining the need for education based on literacy levels. The limitations to this study was the lack of evidence validating the stroke patient educational outcomes, such as long-term retention and patient adherence or compliance to medical treatments. The other limitations the authors recognized was the small sample size for such a large population, to be able to detect the effect of many demographic factors on stroke occurrence. Level 6 Low quality
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