Health literacy assessment: relexicalising a US test for a South African population
- Hunt, Sally, Dowse, Roslind, La Rose, Christopher M
- Authors: Hunt, Sally , Dowse, Roslind , La Rose, Christopher M
- Date: 2009
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/139131 , vital:37708 , DOI: 10.2989/SALALS.2008.26.2.7.571
- Description: The problems of illiteracy in health contexts have been well documented in the literature and include such serious repercussions as medication non-compliance and failure to seek medical help during the course of an illness. The Rapid Estimate of Adult Literacy in Medicine (REALM) is a standardised health literacy test developed in the United States that has been previously administered and researched in South Africa (Lecoko, 2000). It is an objective vocabulary test, designed as a screening instrument to identify the health literacy levels of patients in clinics, which uses item recognition of 66 health-related words. Lecoko found that, in a South African setting, only 8 out of the 66 words in the US-developed test could be deemed acceptable. Therefore, the current study focused on the principled relexicalisation of the REALM, using words gathered from health information and promotional texts in local clinics, hypothesising that this would improve its applicability. After administration to a statistically similar group of respondents, the number of acceptable words on the test increased from eight to 38. Thus it is concluded that principled relexicalisation may be one way of improving the applicability of standardised health literacy tests to local populations and settings. However, the limitations of standardised tests may prove to be a significant barrier overshadowing the value of relexicalisation.
- Full Text:
- Date Issued: 2009
- Authors: Hunt, Sally , Dowse, Roslind , La Rose, Christopher M
- Date: 2009
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/139131 , vital:37708 , DOI: 10.2989/SALALS.2008.26.2.7.571
- Description: The problems of illiteracy in health contexts have been well documented in the literature and include such serious repercussions as medication non-compliance and failure to seek medical help during the course of an illness. The Rapid Estimate of Adult Literacy in Medicine (REALM) is a standardised health literacy test developed in the United States that has been previously administered and researched in South Africa (Lecoko, 2000). It is an objective vocabulary test, designed as a screening instrument to identify the health literacy levels of patients in clinics, which uses item recognition of 66 health-related words. Lecoko found that, in a South African setting, only 8 out of the 66 words in the US-developed test could be deemed acceptable. Therefore, the current study focused on the principled relexicalisation of the REALM, using words gathered from health information and promotional texts in local clinics, hypothesising that this would improve its applicability. After administration to a statistically similar group of respondents, the number of acceptable words on the test increased from eight to 38. Thus it is concluded that principled relexicalisation may be one way of improving the applicability of standardised health literacy tests to local populations and settings. However, the limitations of standardised tests may prove to be a significant barrier overshadowing the value of relexicalisation.
- Full Text:
- Date Issued: 2009
Discourse domination?: the role of gender in seminar interaction
- De Klerk, Vivian A, Hunt, Sally
- Authors: De Klerk, Vivian A , Hunt, Sally
- Date: 2004
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/139160 , vital:37710 , https://www.ajol.info/index.php/salas/article/view/6501
- Description: This paper focuses on the effect of the gender of participants on the discourse patterns of university seminars, and compares the interaction patterns in two undergraduate seminars with those in two post-graduate seminars at Rhodes University. In the undergraduate seminars, two different groups of students at first year level in different disciplines were videotaped. The major difference was in terms of composition: in one seminar, there were equal numbers of male and female students, while in the other, female students dominated numerically (75%). In addition, five of the six formed a close-knit group of friends, which proved to be an important factor in the analysis. At the postgraduate level, the student participants were identical and met in the same venue and at the same time on two successive days to discuss the same topic (affirmative action in the workplace). The important difference between the two classes was the fact that the first seminar was led by a female tutor and the second seminar by a male tutor, both under 40 years of age and white, both members of staff in the department, and both known to the students. The discourse patterns in these two sets of seminars were analysed in order to investigate the ways in which the gender of tutors and students influenced the floor-winning and floor-holding conventions of participants.
- Full Text:
- Date Issued: 2004
- Authors: De Klerk, Vivian A , Hunt, Sally
- Date: 2004
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/139160 , vital:37710 , https://www.ajol.info/index.php/salas/article/view/6501
- Description: This paper focuses on the effect of the gender of participants on the discourse patterns of university seminars, and compares the interaction patterns in two undergraduate seminars with those in two post-graduate seminars at Rhodes University. In the undergraduate seminars, two different groups of students at first year level in different disciplines were videotaped. The major difference was in terms of composition: in one seminar, there were equal numbers of male and female students, while in the other, female students dominated numerically (75%). In addition, five of the six formed a close-knit group of friends, which proved to be an important factor in the analysis. At the postgraduate level, the student participants were identical and met in the same venue and at the same time on two successive days to discuss the same topic (affirmative action in the workplace). The important difference between the two classes was the fact that the first seminar was led by a female tutor and the second seminar by a male tutor, both under 40 years of age and white, both members of staff in the department, and both known to the students. The discourse patterns in these two sets of seminars were analysed in order to investigate the ways in which the gender of tutors and students influenced the floor-winning and floor-holding conventions of participants.
- Full Text:
- Date Issued: 2004
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