Health literacy

[1]  P. A. Kelly,et al.  Readability of pediatric biomedical research informed consent forms. , 1990, Pediatrics.

[2]  Diane C. Pinakiewicz,et al.  National Patient Safety Foundation: Focus on the Future , 2007 .

[3]  R. Rudd,et al.  Learner Developed Materials: An Empowering Product , 1994, Health education quarterly.

[4]  S. Ratzan,et al.  Health Literacy: A Second Decade of Distinction for Americans , 2010, Journal of health communication.

[5]  D. Schillinger,et al.  Association of health literacy with diabetes outcomes. , 2002, JAMA.

[6]  Terri Ades,et al.  Health Literacy in the Information Age: Communicating Cancer Information to Patients and Families , 2002, CA: a cancer journal for clinicians.

[7]  D. Baker,et al.  Development of a brief test to measure functional health literacy. , 1999, Patient education and counseling.

[8]  Winston R. Liaw,et al.  Clinical and community delivery systems for preventive care: an integration framework. , 2013, American journal of preventive medicine.

[9]  B. Dreyer,et al.  Plain Language Pediatrics: Health Literacy Strategies and Communication Resources for Common Pediatric Topics , 2008 .

[10]  K. Forrest,et al.  Readability of commercial and generic contraceptive instructions. , 1990, Image--the journal of nursing scholarship.

[11]  Jay S. Blanchard,et al.  Illiteracy among Medicaid Recipients and its Relationship to Health Care Costs , 2010, Journal of health care for the poor and underserved.

[12]  D. Baker,et al.  Health literacy and the risk of hospital admission , 1998, Journal of General Internal Medicine.

[13]  Shirley A. Wagoner.  Comprehension Monitoring: What It Is and What We Know About It. , 1983 .

[14]  R. Kurtz,et al.  Patient satisfaction with an informed consent process. , 1997, Cancer practice.

[15]  Dean Schillinger,et al.  Seeing in 3-D: Examining the Reach of Diabetes Self-Management Support Strategies in a Public Health Care System , 2008, Health education & behavior : the official publication of the Society for Public Health Education.

[16]  Stacey L. Sheridan,et al.  Low Health Literacy and Health Outcomes: An Updated Systematic Review , 2011, Annals of Internal Medicine.

[17]  C. K. Mertz,et al.  Comprehension and choice of a consumer-directed health plan: an experimental study. , 2008, The American journal of managed care.

[18]  J. Smylie,et al.  Culture-based literacy and Aboriginal health. , 2006, Canadian journal of public health = Revue canadienne de sante publique.

[19]  J. Firth,et al.  Patient education in rheumatoid arthritis: the effectiveness of the ARC booklet and the mind map. , 2007, Rheumatology.

[20]  L. Hernandez.  Health Literacy: Improving Health, Health Systems, and Health Policy Around the World: Workshop Summary , 2013 .

[21]  G. Elliott,et al.  At the Threshold: The Developing Adolescent , 1990 .

[22]  Barry D. Weiss,et al.  Literacy education as treatment for depression in patients with limited literacy and depression , 2006, Journal of General Internal Medicine.

[23]  W Sumner.  An evaluation of readable preventive health messages. , 1991, Family medicine.

[24]  N Wallerstein,et al.  Health and safety education for worker empowerment. , 1992, American journal of industrial medicine.

[25]  Nancy D Berkman,et al.  Interventions for Individuals with Low Health Literacy: A Systematic Review , 2011, Journal of health communication.

[26]  C. Meade,et al.  Readability of American Cancer Society patient education literature. , 1992, Oncology nursing forum.

[27]  I. Kickbusch,et al.  Health literacy: an essential skill for the twenty‐first century , 2008 .

[28]  Richard A Steinman,et al.  Online Health Information and Low-Literacy African Americans , 2004, Journal of medical Internet research.

[29]  M. Barry,et al.  Video decision support tool for advance care planning in dementia: randomised controlled trial , 2009, BMJ : British Medical Journal.

[30]  B. Cassileth,et al.  Informed consent -- why are its goals imperfectly realized? , 1980, The New England journal of medicine.

[31]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[32]  Matthew E. Falagas,et al.  Mapping Health Literacy Research in the European Union: A Bibliometric Analysis , 2008, PLoS ONE.

[33]  V. Rideout,et al.  Generation M2: Media in the Lives of 8- to 18-Year-Olds , 2010 .

[34]  T. Davis,et al.  Health Literacy and Cancer Communication , 2002, CA: a cancer journal for clinicians.

[35]  Michael L Berbaum,et al.  Implementation and evaluation of a low-literacy diabetes education computer multimedia application. , 2005, Diabetes care.

[36]  Lisa M. Schwartz,et al.  The Role of Numeracy in Understanding the Benefit of Screening Mammography , 1997, Annals of Internal Medicine.

[37]  C. Snow,et al.  Reading Next: A Vision for Action and Research in Middle and High School Literacy , 2004 .

[38]  R. Lueger,et al.  Readability of self-report clinical outcome measures. , 1997, Journal of Clinical Psychology.

[39]  Junling Ren,et al.  Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. , 2002, American journal of public health.

[40]  T. Christoffel.  Health and the Law , 1985 .

[41]  K. Derose,et al.  Limited English Proficiency and Latinos’ Use of Physician Services , 2000, Medical care research and review : MCRR.

[42]  Victor M Montori,et al.  Perspective: The Role of Numeracy in Health Care , 2008, Journal of health communication.

[43]  W. Watson,et al.  Patient Understanding of Emergency Department Discharge Instructions , 1996, Southern medical journal.

[44]  Nancy D Berkman,et al.  Health Literacy: What Is It? , 2010, Journal of health communication.

[45]  J. Liechty.  Health literacy: critical opportunities for social work leadership in health care and research. , 2011, Health & social work.

[46]  Hangwi Tang,et al.  Googling for a diagnosis—use of Google as a diagnostic aid: internet based study , 2006, BMJ : British Medical Journal.

[47]  L. Green,et al.  Health Promotion Planning: An Educational and Environmental Approach , 1991 .

[48]  L. Iezzoni,et al.  Patient-physician communication at hospital discharge and patients' understanding of the postdischarge treatment plan. , 1997, Archives of internal medicine.

[49]  Elizabeth W. Staton,et al.  Patients’ Question-Asking Behavior During Primary Care Visits: A Report From the AAFP National Research Network , 2010, The Annals of Family Medicine.

[50]  E. K. Hill.  Assessing Health Literacy , 2005 .

[51]  J. Klein,et al.  Health information-seeking behaviour in adolescence: the place of the internet. , 2005, Social science & medicine.

[52]  Wendy Gannon,et al.  A WINNING COMBINATION: WOMEN, LITERACY, AND PARTICIPATION IN HEALTH CARE , 2002, Health care for women international.

[53]  J. Bahnson,et al.  Readability of the public education literature on cancer prevention and detection. , 1990, Journal of cancer education : the official journal of the American Association for Cancer Education.

[54]  Andrew Pleasant,et al.  Unweaving the Web: An Exploratory Study of Low-Literate Adults' Navigation Skills on the World Wide Web , 2002, Journal of health communication.

[55]  J. Aucoin.  Nursing: Scope and Standards of Practice , 2004 .

[56]  G. Gigerenzer,et al.  Using icon arrays to communicate medical risks: overcoming low numeracy. , 2009, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[57]  Michael K Paasche-Orlow,et al.  Promoting Health Literacy Research to Reduce Health Disparities , 2010, Journal of health communication.

[58]  Brief report: Resident recognition of low literacy as a risk factor in hospital readmission , 2005 .

[59]  R. Holcombe,et al.  Informed consent for clinical trials: a comparative study of standard versus simplified forms. , 1998, Journal of the National Cancer Institute.

[60]  Jonathan B VanGeest,et al.  Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument , 2011, The Journal of the American Board of Family Medicine.

[61]  N. Lurie,et al.  Disparities and quality improvement: federal policy levers. , 2005, Health affairs.

[62]  P. Freebody,et al.  Literacies programs: Debates and demands in cultural context , 1990 .

[63]  P. Tugwell,et al.  Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. , 1990, The Journal of rheumatology.

[64]  D. Nutbeam.  The evolving concept of health literacy. , 2008, Social science & medicine.

[65]  R. Aungst,et al.  Healthy People 2020 , 2013, American Journal of Kidney Diseases.

[66]  P. Fagan,et al.  Cultural sensitivity and readability of breast and prostate printed cancer education materials targeting African Americans. , 1998, Journal of the National Medical Association.

[67]  Eunice N. Askov,et al.  Practical Assessment of Adult Literacy in Health Care , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[68]  Robert Mittman,et al.  Health e-People: The Online Consumer Experience , 2000 .

[69]  S. Ratzan,et al.  Health literacy: communication for the public good. , 2001, Health promotion international.

[70]  D. Gohdes,et al.  Designing and Evaluating Diabetes Education Material for American Indians , 1990, The Diabetes educator.

[71]  C. Mulrow,et al.  Evaluation of an audiovisual diabetes education program , 1987, Journal of General Internal Medicine.

[72]  A. Bauman,et al.  Asthma information: can it be understood? , 1989 .

[73]  M. Paasche-Orlow.  Caring for patients with limited health literacy: a 76-year-old man with multiple medical problems. , 2011, JAMA.

[74]  B. Weiss,et al.  Relationship between health care costs and very low literacy skills in a medically needy and indigent Medicaid population. , 2004, The Journal of the American Board of Family Practice.

[75]  R. Fleming.  Equity and Excellence: liberating the NHS , 2010 .

[76]  A. Korten,et al.  “Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment , 1997, The Medical journal of Australia.

[77]  M. Taylor,et al.  Assessing literacy for patient teaching: perspectives of adults with low literacy skills. , 1997, Journal of advanced nursing.

[78]  A. Pleasant,et al.  Coming to consensus on health literacy measurement: an online discussion and consensus-gauging process. , 2011, Nursing outlook.

[79]  Uwe H. Bittlingmayer.  Blaming, Producing und Activating the Victim , 2008 .

[80]  Keith Taylor.  Asylum seekers, refugees, and the politics of access to health care: a UK perspective. , 2009, The British journal of general practice : the journal of the Royal College of General Practitioners.

[81]  Josephine M. Mancuso,et al.  Health literacy: a concept/dimensional analysis. , 2008, Nursing & health sciences.

[82]  R. Byrd.  School failure: assessment, intervention, and prevention in primary pediatric care. , 2005, Pediatrics in review.

[83]  D. Blane.  Social determinants of health--socioeconomic status, social class, and ethnicity. , 1995, American journal of public health.

[84]  I. Kickbusch,et al.  Health literacy : the solid facts , 2013 .

[85]  E. Boyko,et al.  Brief questions to identify patients with inadequate health literacy. , 2004, Family medicine.

[86]  J. Wilbur,et al.  Conceptual model of health-related quality of life. , 2005, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[87]  B. Fasolo,et al.  Choosing a high-quality hospital: the role of nudges, scorecard design and information , 2010 .

[88]  B. Dreyer,et al.  Association of low caregiver health literacy with reported use of nonstandardized dosing instruments and lack of knowledge of weight-based dosing. , 2007, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[89]  A. McAlearney,et al.  What makes teens start using and keep using health information web sites? A mixed model analysis of teens with chronic illnesses. , 2011, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[90]  Catherine E. Ross,et al.  The links between education and health. , 1995 .

[91]  S. Lee,et al.  Methodology and Validation of Health Literacy Scale Development in Taiwan , 2010, Journal of health communication.

[92]  Nadia K. Ali.  Are we training residents to communicate with low health literacy patients? , 2013, Journal of community hospital internal medicine perspectives.

[93]  D W Baker,et al.  The relationship of patient reading ability to self-reported health and use of health services. , 1997, American journal of public health.

[94]  E. Gunel,et al.  Development and Validation of a Literacy Assessment Tool for Persons With Diabetes , 2001, The Diabetes educator.

[95]  Dianne Davis,et al.  Patient understanding of food labels: the role of literacy and numeracy. , 2006, American journal of preventive medicine.

[96]  G. Elwyn,et al.  One hundred years ago: Should milk be boiled? , 2002, BMJ : British Medical Journal.

[97]  I. Mühlhauser,et al.  How to measure critical health competences: development and validation of the Critical Health Competence Test (CHC Test) , 2009, Advances in health sciences education : theory and practice.

[98]  Catherine A. Cole,et al.  Age differences in consumers' search for information: Public policy implications. , 1993 .

[99]  Nicholas E Kman,et al.  How we use social media to supplement a novel curriculum in medical education , 2012, Medical teacher.

[100]  J. Catford.  The Bangkok Conference: steering countries to build national capacity for health promotion. , 2005, Health promotion international.

[101]  M. Valerio,et al.  Adolescent health literacy: the importance of credible sources for online health information. , 2012, The Journal of school health.

[102]  N. Artinian,et al.  Functional Health Literacy in An Urban Primary Care Clinic , 2002 .

[103]  M. Mendez,et al.  Computer-assisted self-interviewing: a multimedia approach to dietary assessment. , 1997, The American journal of clinical nutrition.

[104]  Deborah L. Begoray,et al.  A Social Ecological Conceptual Framework for Understanding Adolescent Health Literacy in the Health Education Classroom , 2009, American journal of community psychology.

[105]  J. Rainey,et al.  Health Literacy Instruction and Evaluation among Secondary School Students , 2007 .

[106]  M P McCabe,et al.  Parent, peer, and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls. , 2001, Adolescence.

[107]  S. Kripalani,et al.  Low-literacy interventions to promote discussion of prostate cancer: a randomized controlled trial. , 2007, American journal of preventive medicine.

[108]  David A. Kindig,et al.  Health literacy : a prescription to end confusion , 2004 .

[109]  R. Sege,et al.  Ten years after: examination of adolescent screening questions that predict future violence-related injury. , 1999, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[110]  G. Currier,et al.  Literacy in the psychiatric emergency service. , 2001, The Journal of nervous and mental disease.

[111]  Sarah M. Greene,et al.  How health care systems can begin to address the challenge of limited literacy , 2006, Journal of General Internal Medicine.

[112]  C. Brach,et al.  Attributes of a Health Literate Organization , 2012 .

[113]  J. Wilkinson,et al.  Caregiver Health Literacy and the Use of Child Health Services , 2007, Pediatrics.

[114]  Sandra L. Titus,et al.  Do You Understand?: An Ethical Assessment of Researchers’ Description of the Consenting Process , 1996, The Journal of Clinical Ethics.

[115]  J. Gazmararian,et al.  Successful Enrollment in Text4Baby More Likely With Higher Health Literacy , 2012, Journal of health communication.

[116]  E. Racine,et al.  Literacy, readability and cultural barriers: critical factors to consider when educating older African Americans about anticoagulation therapy. , 2003, Journal of clinical nursing.

[117]  M. Boccia,et al.  The effect of format modifications and reading comprehension on recall of informed consent information by low-income parents: a comparison of print, video, and computer-based presentations. , 2004, Patient education and counseling.

[118]  A. Vass,et al.  Health literacy and Australian Indigenous peoples: an analysis of the role of language and worldview. , 2011, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[119]  D. Schillinger,et al.  Closing the loop: physician communication with diabetic patients who have low health literacy. , 2003, Archives of internal medicine.

[120]  T. Davis,et al.  Reading Deficiencies in Older Patients , 1994, The American journal of the medical sciences.

[121]  Lauren B. Resnick,et al.  The Nature of Literacy: An Historical Exploration. , 1977 .

[122]  Access to and Use of HIV Antiretroviral Therapy: Variation by Race/Ethnicity in Two Public Insurance Programs in the U.S. , 2002 .

[123]  B. Weiss,et al.  The Relationship Between Literacy and Health , 1991, Journal of health care for the poor and underserved.

[124]  Scott K. Simonds,et al.  Health Education and Medical Care: Focus on the Patient* , 1963 .

[125]  M. Drummond,et al.  Health Care Technology: Effectiveness, Efficiency and Public Policy@@@Methods for the Economic Evaluation of Health Care Programmes , 1988 .

[126]  Daniel L. McGee,et al.  Health Status Of Illiterate Adults: Relation Between Literacy And Health Status Among Persons With Low Literacy Skills , 1992, The Journal of the American Board of Family Medicine.

[127]  K. Tones,et al.  Health literacy: new wine in old bottles? , 2002, Health education research.

[128]  S. Gabram,et al.  Informed consent for research: a study to evaluate readability and processability to effect change. , 1995, Journal of investigative medicine : the official publication of the American Federation for Clinical Research.

[129]  S. Fortmann,et al.  Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. , 1992, American journal of public health.

[130]  William B. Hansen,et al.  Handbook of adolescent health risk behavior. , 1996 .

[131]  R H Jackson,et al.  Rapid assessment of literacy levels of adult primary care patients. , 1991, Family medicine.

[132]  Cynthia Baur,et al.  Ten Attributes of Health Literate Health Care Organizations , 2012 .

[133]  Jennifer Gausman Benson,et al.  Comprehension of Written Health Care Information in an Affluent Geriatric Retirement Community: Use of the Test of Functional Health Literacy , 2002, Gerontology.

[134]  Misra-Hebert Ad,et al.  Overcoming health care disparities via better cross-cultural communication and health literacy , 2012 .

[135]  Paul P. Lee,et al.  Health literacy and adherence to glaucoma therapy. , 2006, American journal of ophthalmology.

[136]  Ann-Margaret Navarra,et al.  Health Literacy and Adherence to Antiretroviral Therapy Among HIV‐Infected Youth , 2014, The Journal of the Association of Nurses in AIDS Care : JANAC.

[137]  J. Tolson,et al.  Correlation between self-reported adherence to highly active antiretroviral therapy (HAART) and virologic outcome , 2001, Advances in therapy.

[138]  C. Vancheri.  Innovations in health literacy: workshop summary. , 2011 .

[139]  L. McGuire,et al.  Remembering what the doctor said: organization and adults' memory for medical information. , 1996, Experimental aging research.

[140]  R. Brunnett.  Die Hegemonie symbolischer Gesundheit: Eine Studie zum Mehrwert von Gesundheit im Postfordismus , 2009 .

[141]  D. Schillinger.  Literacy and Health Communication: Reversing the ‘Inverse Care Law’ , 2007, The American journal of bioethics : AJOB.

[142]  L. Hussey.  Minimizing Effects of Low Literacy on Medication Knowledge and Compliance among the Elderly , 1994, Clinical nursing research.

[143]  R. Buchbinder,et al.  Critical appraisal of health literacy indices revealed variable underlying constructs, narrow content and psychometric weaknesses. , 2011, Journal of clinical epidemiology.

[144]  G. Montigny.  Adult Literacy in Canada: Results of a National Study. , 1991 .

[145]  M. Wolf,et al.  What Did the Doctor Say? Health Literacy and Recall of Medical Instructions , 2012, Medical care.

[146]  L R Basara,et al.  Patient package insert readability and design. , 1994, American pharmacy.

[147]  Mark V. Williams,et al.  Relationship of functional health literacy to patients' knowledge of their chronic disease. A study of patients with hypertension and diabetes. , 1998, Archives of internal medicine.

[148]  I. Purves,et al.  A PIL for every ill? Patient information leaflets (PILs): a review of past, present and future use. , 1998, Family practice.

[149]  T. Dornan,et al.  Are Information Leaflets Given to Elderly People with Diabetes Easy to Read? , 1994, Diabetic medicine : a journal of the British Diabetic Association.

[150]  M. Paasche-Orlow,et al.  Health Literacy, Health Inequality and a Just Healthcare System , 2007, The American journal of bioethics : AJOB.

[151]  E. Dexter,et al.  Maternal Schooling and Health-Related Language and Literacy Skills in Rural Mexico , 1998, Comparative Education Review.

[152]  F. Clark,et al.  Occupation in lifestyle redesign: the Well Elderly Study Occupational Therapy Program. , 1998, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[153]  M. Wolf,et al.  Health literacy and patient knowledge in a Southern US HIV clinic , 2004, International journal of STD & AIDS.

[154]  Jubelirer Sj.  Level of reading difficulty in educational pamphlets and informed consent documents for cancer patients. , 1991 .

[155]  B. Weiss,et al.  Communicating with patients who cannot read. , 1997, The New England journal of medicine.

[156]  Sunil Kripalani,et al.  Health literacy and the quality of physician-patient communication during hospitalization. , 2010, Journal of hospital medicine.

[157]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[158]  B. Jolly,et al.  Simplification of emergency department discharge instructions improves patient comprehension. , 1995, Annals of emergency medicine.

[159]  Ina Wallace,et al.  Health literacy interventions and outcomes: an updated systematic review. , 2011, Evidence report/technology assessment.

[160]  B. Mates,et al.  Learning to Love Reading: Interviews With Older Children and Teens , 2004 .

[161]  Stephen L. Brown,et al.  Early adolescents perceptions of health and health literacy. , 2007, The Journal of school health.

[162]  M. Wolf,et al.  Misunderstanding and Potential Unintended Misuse of Acetaminophen Among Adolescents and Young Adults , 2011, Journal of health communication.

[163]  R. Rudd,et al.  Factors influencing nutrition education for patients with low literacy skills. , 1998, Journal of the American Dietetic Association.

[164]  Laurie Anne Ferguson,et al.  Health Literacy: The Road to Improved Health Outcomes , 2011 .

[165]  M. Boice.  Chronic illness in adolescence. , 1998, Adolescence.

[166]  Josip Car,et al.  Interventions for enhancing consumers' online health literacy. , 2011, The Cochrane database of systematic reviews.

[167]  T. Davis,et al.  EFFECTS OF LITERACY ON HEALTH CARE OF THE AGED: IMPLICATIONS FOR HEALTH PROFESSIONALS , 1993 .

[168]  R. Pawlak.  Economic considerations of health literacy. , 2005, Nursing economic$.

[169]  S. Kalichman,et al.  Functional Health Literacy Is Associated With Health Status and Health‐Related Knowledge in People Living With HIV‐AIDS , 2000, Journal of acquired immune deficiency syndromes.

[170]  R. Rudd,et al.  Health and Literacy: A Review of Medical and Public Health Literature , 1999 .

[171]  R. Buchbinder,et al.  Functional health literacy of patients with rheumatoid arthritis attending a community-based rheumatology practice. , 2006, The Journal of rheumatology.

[172]  J. Sallis,et al.  Ecological models of health behavior. , 2008 .

[173]  P. Auinger,et al.  Low literacy and violence among adolescents in a summer sports program. , 1999, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[174]  H. Christensen,et al.  A systematic review of help-seeking interventions for depression, anxiety and general psychological distress , 2012, BMC Psychiatry.

[175]  M. Speece,et al.  Readability of Pediatric Patient Education Materials , 1995, Clinical pediatrics.

[176]  R. Heidel,et al.  Healthy People 2000: national health promotion and disease prevention objectives (excerpts). US Public Health Service. , 1991, Journal of allied health.

[177]  Nina S. Parikh,et al.  The health care experience of patients with low literacy. , 1996, Archives of family medicine.

[178]  L. Wallace,et al.  American Academy of Family Physicians patient education materials: can patients read them? , 2004, Family medicine.

[179]  M. Wolf,et al.  Literacy, race, and PSA level among low-income men newly diagnosed with prostate cancer. , 2006, Urology.

[180]  R W Moore,et al.  Readability of Self-Care Instructional Pamphlets for Diabetic Patients , 1981, Diabetes Care.

[181]  A. Hixon,et al.  Healthy People 2010: the role of family physicians in addressing health disparities. , 2000, American family physician.

[182]  D. Hammerschmidt,et al.  Institutional Review Board (IRB) review lacks impact on the readability of consent forms for research. , 1992, The American journal of the medical sciences.

[183]  Andrew Pleasant,et al.  Elaborating a Definition of Health Literacy: A Commentary , 2003, Journal of health communication.

[184]  S. Ratzan.  The National Health Literacy Action Plan: The Time Has Come for Action , 2010, Journal of health communication.

[185]  Nina S. Parikh,et al.  Patients' Shame and Attitudes Toward Discussing the Results of Literacy Screening , 2007, Journal of health communication.

[186]  E. J. Mayeaux,et al.  Rapid estimate of adult literacy in medicine: a shortened screening instrument. , 1993, Family medicine.

[187]  C. Byrd-Bredbenner,et al.  The Ability of Elderly Women to Perform Nutrition Facts Label Tasks and Judge Nutrient Content Claims , 2001 .

[188]  Nancy Gaston,et al.  Guidelines: Writing for Adults with Limited Reading Skills. , 1988 .

[189]  Peggy W. Murphy,et al.  Rapid Estimate of Adult Literacy in Medicine (REALM): A Quick Reading Test for Patients. , 1993 .

[190]  D. Brown,et al.  Health literacy: universal precautions needed. , 2004, Journal of allied health.

[191]  D. Roter,et al.  Current perspectives on patient education in the US. , 2001, Patient education and counseling.

[192]  C. McGuire,et al.  Office of Educational Research and Improvement , 1999 .

[193]  Stephen W. Hwang,et al.  The effect of illustrations on patient comprehension of medication instruction labels , 2005 .

[194]  K D Hopper,et al.  Informed consent forms for clinical and research imaging procedures: how much do patients understand? , 1995, AJR. American journal of roentgenology.

[195]  Rachelle Buchbinder,et al.  The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ) , 2013, BMC Public Health.

[196]  Mark A. Kutner,et al.  The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. NCES 2006-483. , 2006 .

[197]  D. Cegala,et al.  Components of Patients' and Doctors' Perceptions of Communication Competence During a Primary Care Medical Interview , 1996 .

[198]  F. Wood.  Health Literacy in a Rural Clinic , 2005 .

[199]  K. Luker,et al.  Readability of patient information booklets for women with breast cancer. , 1997, Patient education and counseling.

[200]  A. Foltz,et al.  Reading level, learning presentation preference, and desire for information among cancer patients. , 1996, Journal of cancer education : the official journal of the American Association for Cancer Education.

[201]  Priscilla L. Stephenson,et al.  Community partnerships for health information training: medical librarians working with health-care professionals and consumers in Tennessee. , 2004, Health information and libraries journal.

[202]  H. Scott,et al.  Consumer access to health information on the internet: health policy implications , 2005, Australia and New Zealand health policy.

[203]  P. Garrud,et al.  Using multimedia for patient information--a program about nocturnal enuresis. , 1998, British journal of urology.

[204]  P. Elkind,et al.  Theater as a mechanism for increasing farm health and safety knowledge. , 2002, American journal of industrial medicine.

[205]  A. Jadad,et al.  Analysis of cases of harm associated with use of health information on the internet. , 2002, JAMA.

[206]  R. Flesch.  How to test readability , 1951 .

[207]  Perri Klass,et al.  Literacy and child health: a systematic review. , 2009, Archives of pediatrics & adolescent medicine.

[208]  R. Hackett,et al.  Spreading the News: Social Determinants of Health Reportage in Canadian Daily Newspapers , 2007 .

[209]  Louis M. Rocconi.  The Impact of Learning Communities on First Year Students’ Growth and Development in College , 2011 .

[210]  Sarah-Jayne Blakemore,et al.  Adolescence: a foundation for future health , 2012, The Lancet.

[211]  F. M. Baker,et al.  Congruence between education and reading levels of older persons. , 1996, Psychiatric services.

[212]  M. Paasche-Orlow,et al.  The role of numeracy on cancer screening among urban women. , 2007, American journal of health behavior.

[213]  D. M. Williams,et al.  Emergency department discharge instructions and patient literacy: a problem of disparity. , 1996, The American journal of emergency medicine.

[214]  R. Kravitz,et al.  Health information on the Internet: accessibility, quality, and readability in English and Spanish. , 2001, JAMA.

[215]  E. C. Hanson-Divers,et al.  Developing a Medical Achievement Reading Test to Evaluate Patient Literacy Skills: A Preliminary Study , 1997, Journal of health care for the poor and underserved.

[216]  Brietta R. Clark.  Using Law to Fight a Silent Epidemic: The Role of Health Literacy in Health Care Access, Quality, and Cost , 2011, Annals of health law.

[217]  Martin Fishbein,et al.  Misconceptions about the Fishbein model: Reflections on a study by Songer-Nocks , 1976 .

[218]  Edward T. Cokely,et al.  Measuring Risk Literacy: The Berlin Numeracy Test , 2012, Judgment and Decision Making.

[219]  Tessa Jolls,et al.  Media Literacy—A National Priority for a Changing World , 2004 .

[220]  C. Bennett,et al.  Functional health literacy: an issue in African-American and other ethnic and racial communities. , 2004, Journal of National Black Nurses' Association : JNBNA.

[221]  R. Flesch.  A new readability yardstick. , 1948, The Journal of applied psychology.

[222]  J. Culpepper.  National Center for Educational Statistics , 2007 .

[223]  Marjorie S. Rosenthal,et al.  The effect of a literacy training program on family medicine residents. , 2004, Family medicine.

[224]  Ian M. Bennett,et al.  Screening for low literacy among adult caregivers of pediatric patients. , 2003, Family medicine.

[225]  A. Bandura.  Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[226]  C. Griffith,et al.  Residents' Ability to Identify Patients with Poor Literacy Skills , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[227]  A. Pelletier,et al.  Patients' understanding and use of snack food package nutrition labels. , 2004, The Journal of the American Board of Family Practice.

[228]  J. Feinglass,et al.  Health Literacy and Mortality Among Elderly Persons , 2007 .

[229]  Harry Cayton,et al.  The flat-pack patient? Creating health together. , 2006, Patient education and counseling.

[230]  R. Devellis,et al.  Cross-Cultural Translation , 1994 .

[231]  G. Morrow,et al.  How readable are subject consent forms? , 1980, JAMA.

[232]  Geoffrey L. Cohen,et al.  Adolescent oral sex, peer popularity, and perceptions of best friends' sexual behavior. , 2003, Journal of pediatric psychology.

[233]  H. Hemming,et al.  Building knowledge in literacy and health. , 2006, Canadian journal of public health = Revue canadienne de sante publique.

[234]  Stacey L. Sheridan,et al.  Literacy and Health Outcomes: Summary , 2004 .

[235]  T. Koepsell,et al.  The impact of low health literacy on surgical practice. , 2004, American journal of surgery.

[236]  R. F. Larson,et al.  Medical vocabulary knowledge among hospital patients , 1962 .

[237]  D. Nutbeam.  Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century , 2000 .

[238]  V Wadey,et al.  THE EFFECTIVENESS OF PATIENT VERBALIZATION ON INFORMED CONSENT , 1995, Canadian journal of surgery. Journal canadien de chirurgie.

[239]  C. M. Boyle.  Difference Between Patients' and Doctors' Interpretation of Some Common Medical Terms , 1970, British medical journal.

[240]  S. Levin.  Pilot Study of a Cafeteria Program Relying Primarily on Symbols to Promote Healthy Choices , 1996 .

[241]  M. Valerio,et al.  Recommendations for Advancing Health Literacy Measurement , 2013, Journal of health communication.

[242]  J. Gazmararian,et al.  Understanding health literacy : implications for medicine and public health , 2005 .

[243]  W P McKinney,et al.  Educating patients with limited literacy skills: the effectiveness of printed and videotaped materials about colon cancer. , 1994, American journal of public health.

[244]  Patricia Garcia,et al.  The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. , 2002, American journal of obstetrics and gynecology.

[245]  B. Hodges,et al.  Health Education and Behavior: Are School Health Educators in Denial? , 2005 .

[246]  T. Davis,et al.  Literacy in patients with a chronic disease: systemic lupus erythematosus and the reading level of patient education materials. , 1997, The Journal of rheumatology.

[247]  Joel E Gallant,et al.  Tenofovir DF, emtricitabine, and efavirenz vs. zidovudine, lamivudine, and efavirenz for HIV. , 2006, The New England journal of medicine.

[248]  J. Eldridge,et al.  An application of health literacy research. , 2004, Applied Nursing Research.

[249]  D W Baker,et al.  The association between age and health literacy among elderly persons. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[250]  M. Biros,et al.  The relationship between chronic illness, chronic pain, and socioeconomic factors in the ED. , 2011, The American journal of emergency medicine.

[251]  E. J. Mayeaux,et al.  Improving patient education for patients with low literacy skills. , 1996, American family physician.

[252]  R. Rudd.  Improving Americans' health literacy. , 2010, The New England journal of medicine.

[253]  L G Branch,et al.  Educational status and active life expectancy among older blacks and whites. , 1993, The New England journal of medicine.

[254]  J. Schaefer,et al.  Collaborative Management of Chronic Illness , 1997, Annals of Internal Medicine.

[255]  Yuet W. Cheung,et al.  Family, School, Peer, and Media Predictors of Adolescent Deviant Behavior in Hong Kong , 1997 .

[256]  P. Whitten,et al.  Tools for assessing the quality and accessibility of online health information: initial testing among breast cancer websites , 2013, Informatics for health & social care.

[257]  K A Dunn,et al.  Discharge instructions: do illustrations help our patients understand them? , 1995, Annals of emergency medicine.

[258]  D. Entwisle.  Schools and the adolescent. , 1990 .

[259]  Terry Davis,et al.  The role of health literacy in patient-physician communication. , 2002, Family medicine.

[260]  Tracy L. Scott,et al.  Health Literacy and Preventive Health Care Use Among Medicare Enrollees in a Managed Care Organization , 2002, Medical care.

[261]  Community accessibility of health information and the consequent impact for translation into community languages , 2011 .

[262]  M. Wolf,et al.  Health literacy and functional health status among older adults. , 2005, Archives of internal medicine.

[263]  David R. Williams,et al.  Social sources of racial disparities in health. , 2005, Health affairs.

[264]  Dilaver Tengilimoğlu,et al.  SOSYAL PAZARLAMA KAPSAMINDA DUMANSIZ HAVA SAHASI: ÖRNEK BİR UYGULAMA , 2013 .

[265]  Matthew E Falagas,et al.  Health literacy research in Europe: a snapshot. , 2006, European journal of public health.

[266]  M. Wolf,et al.  Health literacy: an overlooked factor in understanding HIV health disparities. , 2007, American journal of preventive medicine.

[267]  V. K. Jain,et al.  A method for decreasing patients' medication errors , 1977, Psychological Medicine.

[268]  J. Prochaska,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1992, The American psychologist.

[269]  L. G. Doak,et al.  Improving comprehension for cancer patients with low literacy skills: Strategies for clinicians , 1998, CA: a cancer journal for clinicians.

[270]  Young Ik Cho,et al.  Health literacy, social support, and health: a research agenda. , 2004, Social science & medicine.

[271]  C. Zarcadoolas,et al.  The simplicity complex: exploring simplified health messages in a complex world. , 2011, Health promotion international.

[272]  G. McCloskey.  Wide Range Achievement Test-Revised , 1987 .

[273]  John D. Piette,et al.  Physician notification of their diabetes patients’ limited health literacy: A randomized, controlled trial , 2005, Journal of General Internal Medicine.

[274]  T. Benham-Deal,et al.  Are Health Educators in Denial or Facing Reality? Demonstrating Effectiveness Within a School Accountability System , 2006 .

[275]  Mark V. Williams,et al.  Test of Functional Health Literacy in Adults , 2016 .

[276]  Montalto Nj,et al.  Functional health literacy in adults in a rural community health center. , 2001 .

[277]  I. Ajzen,et al.  Understanding Attitudes and Predicting Social Behavior , 1980 .

[278]  K. Singleton,et al.  Understanding cultural and linguistic barriers to health literacy. , 2009, Kentucky nurse.

[279]  J. Feldman,et al.  National trends in educational differentials in mortality. , 1989, American journal of epidemiology.

[280]  T. Smith,et al.  Closing the comprehension gap: low literacy and the Cancer Information Service. , 1993, Journal of the National Cancer Institute. Monographs.

[281]  K. Braun,et al.  The Influence of Community and Individual Health Literacy on Self-Reported Health Status , 2014, Journal of General Internal Medicine.

[282]  Mark V. Williams,et al.  Health literacy and knowledge of chronic disease. , 2003, Patient education and counseling.

[283]  Carlos A Estrada,et al.  Literacy and Numeracy Skills and Anticoagulation Control , 2004, The American journal of the medical sciences.

[284]  S. Kripalani,et al.  Predictors of medication self-management skill in a low-literacy population , 2006, Journal of General Internal Medicine.

[285]  L. Nielsen-Bohlman,et al.  What Is Health Literacy , 2004 .

[286]  N. Stocks,et al.  Health literacy--a new concept for general practice? , 2009, Australian family physician.

[287]  K. Glanz,et al.  Health Behavior and Health Education , 1990 .

[288]  J. Hill.  A practical guide to patient education and information giving. , 1997, Bailliere's clinical rheumatology.

[289]  Wanzhu Tu,et al.  Pharmacist Intervention to Improve Medication Adherence in Heart Failure , 2007, Annals of Internal Medicine.

[290]  Venk Kandadai,et al.  Build It, and Will They Come? Unexpected Findings From a Study on a Web-Based Intervention to Improve Colorectal Cancer Screening , 2012, Journal of health communication.

[291]  Shalini G. Forbis,et al.  Health literacy and pediatric health. , 2007, Current problems in pediatric and adolescent health care.

[292]  J. House,et al.  Socioeconomic disparities in health change in a longitudinal study of US adults: the role of health-risk behaviors. , 2001, Social science & medicine.

[293]  H. Palacio,et al.  Responding to Racial and Ethnic Disparities in Use of HIV Drugs: Analysis of State Policies , 2002, Public health reports.

[294]  Michael K. Paasche-Orlow,et al.  The prevalence of limited health literacy , 2005, Journal of General Internal Medicine.

[295]  M. Rich.  Health Literacy via Media Literacy , 2004 .

[296]  H. Fineberg.  Public health and medicine where: the twain shall meet. , 2011, American journal of preventive medicine.

[297]  N. Saufl.  2009 National Patient Safety Goals. , 2009, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses.

[298]  L M Kirk,et al.  Patient education pamphlets about prevention, detection, and treatment of breast cancer for low literacy women. , 1996, Patient education and counseling.

[299]  K. Viswanath,et al.  Health Information Seeking Partially Mediated the Association between Socioeconomic Status and Self-Rated Health among Hong Kong Chinese , 2013, PloS one.

[300]  L. Sanders,et al.  Number of children's books in the home: an indicator of parent health literacy. , 2004, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[301]  Jeffrey N Katz,et al.  A randomized controlled trial of an intervention to reduce low literacy barriers in inflammatory arthritis management. , 2009, Patient education and counseling.

[302]  Kathleen N. Lohr,et al.  A Systematic Review of the Literature , 2004 .

[303]  G. Ingersoll,et al.  Online Forum Messages Posted by Adolescents With Type 1 Diabetes , 2004, The Diabetes educator.

[304]  L. Coats,et al.  Prenatal literature testing: A pilot project , 1992, Journal of Community Health.

[305]  Mark A. Kutner,et al.  The Health Literacy of American Adults:Results from the 2003 National Assessment of Adult Literacy. , 2006 .

[306]  Helen Osborne,et al.  Health Literacy from A to Z: Practical Ways to Communicate Your Health Message , 2004 .

[307]  Edward B. Fry,et al.  Fry's Readability Graph: Clarifications, Validity, and Extension to Level 17. , 1977 .

[308]  Seth C. Kalichman,et al.  Adherence to combination antiretroviral therapies in HIV patients of low health literacy , 1999, Journal of General Internal Medicine.

[309]  Valerie Njie,et al.  Internet Usage by Low-Literacy Adults Seeking Health Information: An Observational Analysis , 2004, Journal of medical Internet research.

[310]  Y Peterburg,et al.  Health literacy in health systems: perspectives on patient self-management in Israel. , 2001, Health promotion international.

[311]  C. Mullins,et al.  Health disparities: a barrier to high-quality care. , 2005, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[312]  L. Gottfredson.  Why g matters: The complexity of everyday life , 1997 .

[313]  I. Kickbusch,et al.  Advancing health literacy: a global challenge for the 21st century , 2000 .

[314]  C. Farkas,et al.  An evaluation of the readability of prenatal health education materials. , 1987, Canadian journal of public health.

[315]  B. Rimer,et al.  Informed decision making: What is its role in cancer screening? , 2004, Cancer.

[316]  S. Kalichman,et al.  Nurse‐Delivered Antiretroviral Treatment Adherence Intervention for People With Low Literacy Skills and Living With HIV/AIDS , 2005, The Journal of the Association of Nurses in AIDS Care : JANAC.

[317]  D. Roter,et al.  Worker Produced Health Education Material for the Construction Trades , 1986, International quarterly of community health education.

[318]  I. Sharif,et al.  Health literacy among Spanish-speaking Latino parents with limited English proficiency. , 2005, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[319]  M. Wolf,et al.  Health literacy and health risk behaviors among older adults. , 2007, American journal of preventive medicine.

[320]  A. Dixon,et al.  Is greater patient choice consistent with equity? The case of the English NHS , 2006, Journal of health services research & policy.

[321]  C. K. Mertz,et al.  Less Is More in Presenting Quality Information to Consumers , 2007, Medical care research and review : MCRR.

[322]  Sharon Friel,et al.  Closing the gap in a generation: health equity through action on the social determinants of health , 2008, The Lancet.

[323]  B. Weiss.  20 Common Problems in Primary Care , 1998 .

[324]  J. Manganello.  Health literacy and adolescents: a framework and agenda for future research. , 2007, Health education research.

[325]  D. Nutbeam,et al.  Health promotion glossary (1998) , 1998 .

[326]  L. Callister,et al.  Patient‐centered care and adherence: Definitions and applications to improve outcomes , 2008, Journal of the American Academy of Nurse Practitioners.

[327]  Jane Taggart,et al.  A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors , 2012, BMC Family Practice.

[328]  L. G. Doak,et al.  Teaching Patients With Low Literacy Skills , 1985 .

[329]  M. Grossman.  On the Concept of Health Capital and the Demand for Health , 1972, Journal of Political Economy.

[330]  Elizabeth C. Whipple,et al.  Reaching and Teaching Teens: Adolescent Health Literacy and the Internet , 2008 .

[331]  G. E. Kline,et al.  The elderly and informed consent: effects of vocabulary level and corrected feedback. , 1981, Experimental aging research.

[332]  Jay M Bernhardt,et al.  Public health literacy in America: an ethical imperative. , 2005, American journal of preventive medicine.

[333]  Judith A. Hall,et al.  Doctors Talking With Patients/Patients Talking With Doctors: Improving Communication in Medical Visits , 1992 .

[334]  F. Pyrczak.  APPLICATION OF SOME PRINCIPLES OF READABILITY RESEARCH IN THE PREPARATION OF PATIENT PACKAGE INSERTS , 1979 .

[335]  P. Edwards,et al.  Building healthy public policy. , 2006, Canadian journal of public health = Revue canadienne de sante publique.

[336]  R D Powers,et al.  Emergency department patient literacy and the readability of patient-directed materials. , 1988, Annals of emergency medicine.

[337]  G. Harry McLaughlin,et al.  SMOG Grading - A New Readability Formula. , 1969 .

[338]  J. Parsons,et al.  Health literacy and antiretroviral adherence among HIV-infected adolescents. , 2010, Patient education and counseling.

[339]  J. de Haes,et al.  Doctor-patient communication: a review of the literature. , 1995, Social science & medicine.

[340]  Cynthia Baur,et al.  New federal policy initiatives to boost health literacy can help the nation move beyond the cycle of costly 'crisis care'. , 2012, Health affairs.

[341]  H. Singer.  An Historical Perspective , 1995 .

[342]  Meade Cd,et al.  Consent forms: how to determine and improve their readability. , 1992 .

[343]  Pratik Shukla,et al.  Readability assessment of internet-based patient education materials related to uterine artery embolization. , 2013, Journal of vascular and interventional radiology : JVIR.

[344]  Dean Schillinger,et al.  Functional health literacy and the quality of physician-patient communication among diabetes patients. , 2004, Patient education and counseling.

[345]  P. Fagan,et al.  The readability levels of cancer-prevention materials targeting African Americans. , 2009, Journal of cancer education : the official journal of the American Association for Cancer Education.

[346]  J. Comings.  Women's Literacy: The Connection to Health and Family Planning. , 1994 .

[347]  Ian M. Bennett,et al.  Combining cancer control information with adult literacy education: opportunities to reach adults with limited literacy skills. , 2003, Cancer control : journal of the Moffitt Cancer Center.

[348]  Don Nutbeam,et al.  Health promotion glossary. , 1986, Health promotion.

[349]  Darcy A. Freedman,et al.  Public health literacy defined. , 2009, American journal of preventive medicine.

[350]  R. Cooper,et al.  Enhancing teacher health literacy in school health promotion: a vision for the new millennium. , 2001, The Journal of school health.

[351]  D. Karus,et al.  Racial differences in attitudes toward protease inhibitors among older HIV-infected men , 2000, AIDS care.

[352]  T. Sentell,et al.  Importance of adult literacy in understanding health disparities , 2006, Journal of General Internal Medicine.

[353]  M. Paasche-Orlow,et al.  Health literacy, antiretroviral adherence, and HIV-RNA suppression , 2006, Journal of general internal medicine.

[354]  A. Berg,et al.  Assessing the psychiatric patient's ability to meet the literacy demands of hospitalization. , 1980, Hospital & community psychiatry.

[355]  C. Bennett,et al.  Relation between literacy, race, and stage of presentation among low-income patients with prostate cancer. , 1998, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[356]  Michael J. Miller,et al.  Factors associated with medication refill adherence in cardiovascular-related diseases , 2006, Journal of General Internal Medicine.

[357]  R. N. Grosse,et al.  Literacy and health status in developing countries. , 1989, Annual review of public health.

[358]  K. Hopper,et al.  The readability of currently used surgical/procedure consent forms in the United States. , 1998, Surgery.

[359]  K. Pettigrew,et al.  Theories for practitioners: two frameworks for studying consumer health information-seeking behavior. , 1999, Bulletin of the Medical Library Association.

[360]  M. Schapira,et al.  Predictors of pessimistic breast cancer risk perceptions in a primary care population , 2004, Journal of General Internal Medicine.

[361]  H. M. Dreher,et al.  The Concept of Health Literacy Within the Older Adult Population , 2010, Holistic nursing practice.

[362]  Michael K. Paasche-Orlow,et al.  Health Literacy and 30-Day Postdischarge Hospital Utilization , 2012, Journal of health communication.

[363]  C. Meade,et al.  Patient literacy and the readability of smoking education literature. , 1989, American journal of public health.

[364]  L. Leger,et al.  Schools, health literacy and public health: possibilities and challenges. , 2001 .

[365]  J. Merz,et al.  How age, outcome severity, and scale influence general medicine clinic patients’ interpretations of verbal probability terms , 1994, Journal of general internal medicine.

[366]  Tamara Sawyer.  The Office of Minority Health , 2013, Asian American and Pacific Islander journal of health.

[367]  J. Schensul,et al.  The challenge of using Likert-type scales with low-literate ethnic populations. , 1997, Nursing research.

[368]  Helen Keleher,et al.  Health Literacy in Primary Health Care , 2007 .

[369]  Benjamin Littenberg,et al.  The Single Item Literacy Screener: Evaluation of a brief instrument to identify limited reading ability , 2006, BMC family practice.

[370]  E. Marx,et al.  Promoting health literacy through the health education assessment project. , 2007, The Journal of school health.

[371]  R. Ostini,et al.  Advancing health literacy through primary health care systems , 2010 .

[372]  Andrew Pleasant,et al.  Advancing Health Literacy: A Framework for Understanding and Action , 2006 .

[373]  M. Wolf,et al.  The causal pathways linking health literacy to health outcomes. , 2007, American journal of health behavior.

[374]  V. Master,et al.  Multimedia version of a standard medical questionnaire improves patient understanding across all literacy levels. , 2009, The Journal of urology.

[375]  Michael D. Barnes,et al.  Integrating Web 2.0 in Health Education Preparation and Practice , 2008 .

[376]  M. Fouad,et al.  A hypertension control program tailored to unskilled and minority workers. , 1997, Ethnicity & disease.

[377]  Gregory Makoul,et al.  Literacy, self-efficacy, and HIV medication adherence. , 2007, Patient education and counseling.

[378]  John R. Bormuth,et al.  READABILITY--A NEW APPROACH. , 1966 .

[379]  C. Meade,et al.  Improving patient comprehension of literature on smoking. , 1989, American journal of public health.

[380]  A. Rademaker,et al.  Health care provider-directed intervention to increase colorectal cancer screening among veterans: results of a randomized controlled trial. , 2005, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[381]  M. Zimmerman.  Developing Health and Family Planning Print Materials for Low-Literate Audiences: A Guide. , 1989 .

[382]  D. Wanless.  Securing Our Future Health: Taking a Long-Term View. Conclusions and recommendations , 2002 .

[383]  W. Spivey.  Informed consent for clinical research in the emergency department. , 1989, Annals of Emergency Medicine.

[384]  Andrew Pleasant,et al.  Understanding health literacy: an expanded model. , 2005, Health promotion international.

[385]  C. Hill,et al.  Risks associated with low functional health literacy in an Australian population , 2009, The Medical journal of Australia.

[386]  B. B. Brown,et al.  Peer groups and peer cultures. , 1990 .

[387]  M. Wolf,et al.  Relation between literacy and HIV treatment knowledge among patients on HAART regimens , 2005, AIDS care.

[388]  J. Dollahite,et al.  Readability of printed sources of diet and health information. , 1996, Patient education and counseling.

[389]  D W Baker,et al.  Health literacy among Medicare enrollees in a managed care organization. , 1999, JAMA.

[390]  M. Wolf,et al.  Misunderstanding of prescription drug warning labels among patients with low literacy. , 2006, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[391]  P. Davies,et al.  Googling children's health: reliability of medical advice on the internet , 2010, Archives of Disease in Childhood.

[392]  Matthew S. Eastin,et al.  Credibility Assessments of Online Health Information: The Effects of Source Expertise and Knowledge of Content , 2006, J. Comput. Mediat. Commun..

[393]  L. Leslie,et al.  Indicators of Reading Difficulty: Discrimination between Instructional- and Frustration-Range Performance of Functionally Illiterate Adults. , 1988 .

[394]  T. Davis,et al.  The gap between patient reading comprehension and the readability of patient education materials. , 1990, The Journal of family practice.

[395]  D. Schillinger,et al.  Functional Health Literacy and Medication Use: The Pharmacist's Role , 2003, The Annals of pharmacotherapy.

[396]  Andrew Steptoe,et al.  Functional health literacy and health-promoting behaviour in a national sample of British adults , 2007, Journal of Epidemiology & Community Health.

[397]  Kristine Yaffe,et al.  Limited Literacy in Older People and Disparities in Health and Healthcare Access , 2006, Journal of the American Geriatrics Society.

[398]  M. Fine,et al.  Understanding racial disparities in HIV using data from the veterans aging cohort 3-site study and VA administrative data. , 2003, American journal of public health.

[399]  Howard Pope,et al.  Internet use among people living with HIV/AIDS: coping and health-related correlates. , 2005, AIDS patient care and STDs.

[400]  David R. Williams,et al.  Measuring social class in US public health research: concepts, methodologies, and guidelines. , 1997, Annual review of public health.

[401]  C. Arnold,et al.  A polio immunization pamphlet with increased appeal and simplified language does not improve comprehension to an acceptable level. , 1998, Patient education and counseling.

[402]  R. Hasnain-Wynia,et al.  Promoting health care equity: is health literacy a missing link? , 2010, Health services research.

[403]  M. Villaire,et al.  Health literacy: the low-hanging fruit in health care reform. , 2009, Journal of health care finance.

[404]  R. Ashcroft.  Standing up for the medical rights of asylum seekers , 2005, Journal of Medical Ethics.

[405]  Yaakov Stern,et al.  Literacy and Memory Decline Among Ethnically Diverse Elders , 2003, Journal of clinical and experimental neuropsychology.

[406]  E. Gordon,et al.  Beyond the Basics: Designing a Comprehensive Response to Low Health Literacy , 2007, The American journal of bioethics : AJOB.

[407]  S. Dray,et al.  Literacy and health: towards a methodology for investigating patients' participation in healthcare , 2007 .

[408]  M. Wolf,et al.  Development and Validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen): A Tool to Screen Adolescents for Below-Grade Reading in Health Care Settings , 2006, Pediatrics.

[409]  P. Gordon,et al.  Communication Strategies in Caring for the Underserved , 2010, Journal of health care for the poor and underserved.

[410]  Nina S. Parikh,et al.  Shame and health literacy: the unspoken connection. , 1996, Patient education and counseling.

[411]  R. Marks.  Ethics and Patient Education: Health Literacy and Cultural Dilemmas , 2009, Health promotion practice.

[412]  M. Dignan,et al.  The use of illustrations and narrative text style to improve readability of a health education brochure. , 1992, Journal of cancer education : the official journal of the American Association for Cancer Education.

[413]  Michael K. Paasche-Orlow,et al.  Evidence Does Not Support Clinical Screening of Literacy , 2008, Journal of general internal medicine.

[414]  E. Broadbent,et al.  Further development of an illness perception intervention for myocardial infarction patients: a randomized controlled trial. , 2009, Journal of psychosomatic research.

[415]  J. Feinglass,et al.  In search of 'low health literacy': threshold vs. gradient effect of literacy on health status and mortality. , 2010, Social science & medicine.

[416]  Parisa Aslani,et al.  Enhancing patient education about medicines: factors influencing reading and seeking of written medicine information , 2006, Health expectations : an international journal of public participation in health care and health policy.

[417]  C. Baur.  Calling the nation to act: implementing the national action plan to improve health literacy. , 2011, Nursing outlook.

[418]  I. Kickbusch.  Responding to the health society. , 2007, Health promotion international.

[419]  Darren A. DeWalt,et al.  Health Literacy and Child Health Outcomes: A Systematic Review of the Literature , 2009, Pediatrics.

[420]  Alan C. Evans,et al.  Brain development during childhood and adolescence: a longitudinal MRI study , 1999, Nature Neuroscience.

[421]  David A. Kindig,et al.  COMMITTEE ON HEALTH LITERACY , 2004 .

[422]  Gerardine Doyle,et al.  Health literacy and public health: A systematic review and integration of definitions and models , 2012, BMC Public Health.

[423]  Tp Lam,et al.  Low literacy Chinese patients: how are they affected and how do they cope with health matters? A qualitative study , 2004, BMC public health.

[424]  T. Sentell.  Implications for reform: survey of California adults suggests low health literacy predicts likelihood of being uninsured. , 2012, Health affairs.

[425]  Junling Ren,et al.  Health literacy and use of outpatient physician services by medicare managed care enrollees , 2004, Journal of General Internal Medicine.

[426]  D. Baker.  The meaning and the measure of health literacy , 2006, Journal of general internal medicine.

[427]  M. Kreuter,et al.  Health Literacy INDEX: Development, Reliability, and Validity of a New Tool for Evaluating the Health Literacy Demands of Health Information Materials , 2012, Journal of health communication.

[428]  H. Palacio,et al.  Effect of Race and/or Ethnicity in Use of Antiretrovirals and Prophylaxis for Opportunistic Infection: A Review of the Literature , 2002, Public health reports.

[429]  K. Reddy,et al.  Report on Tobacco Control in India , 2004 .

[430]  Keith J Petrie,et al.  Changing Illness Perceptions After Myocardial Infarction: An Early Intervention Randomized Controlled Trial , 2002, Psychosomatic medicine.

[431]  Elson Pr.  Literacy and health. , 1993, AARN news letter.

[432]  B. Weiss,et al.  Misperceptions of medical understanding in low-literacy patients: implications for cancer prevention. , 2006, Cancer control : journal of the Moffitt Cancer Center.

[433]  Gerardine Doyle,et al.  Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q) , 2013, BMC Public Health.

[434]  E. J. Mayeaux,et al.  Reading ability in patients in substance misuse treatment centers. , 1993, The International journal of the addictions.

[435]  Monika Jungbauer-Gans,et al.  Erklärungsansätze sozial differenzierter Gesundheits- chancen , 2006 .

[436]  J. Gazmararian,et al.  Impact of health literacy on socioeconomic and racial differences in health in an elderly population , 2006, Journal of General Internal Medicine.

[437]  C. Elder,et al.  Up to a quarter of the Australian population may have suboptimal health literacy depending upon the measurement tool: results from a population-based survey. , 2009, Health promotion international.

[438]  K. Viswanath,et al.  The communications revolution and cancer control , 2005, Nature Reviews Cancer.

[439]  P. Butow,et al.  Misunderstanding in cancer patients: why shoot the messenger? , 1999, Annals of oncology : official journal of the European Society for Medical Oncology.

[440]  I. Kickbusch,et al.  Health literacy: addressing the health and education divide. , 2001, Health promotion international.

[441]  Joanne R. Nurss,et al.  Diabetes in Urban African Americans: Functional Health Literacy of Municipal Hospital Outpatients With Diabetes , 1997, The Diabetes educator.

[442]  Irwin S. Kirsch,et al.  Adult literacy in America , 1993 .

[443]  P. Auinger,et al.  Increased behavior problems associated with delayed school entry and delayed school progress. , 1997, Pediatrics.

[444]  D. Roter,et al.  Patient adherence to HIV medication regimens: a review of published and abstract reports. , 2002, Patient education and counseling.

[445]  P. A. Kelly,et al.  Physician overestimation of patient literacy: a potential source of health care disparities. , 2007, Patient education and counseling.

[446]  Scott K. Simonds,et al.  Health Education as Social Policy , 1974 .

[447]  C. Mancuso,et al.  Impact of health literacy on longitudinal asthma outcomes , 2006, Journal of General Internal Medicine.

[448]  J. Sikorski.  Academic Underachievement and School Refusal , 1996 .

[449]  D. French,et al.  Illness perceptions predict attendance at cardiac rehabilitation following acute myocardial infarction: a systematic review with meta-analysis. , 2006, Journal of psychosomatic research.

[450]  J. F. Sturr,et al.  Informed Consent for Research , 1986, Journal of the American Geriatrics Society.

[451]  Nina S. Parikh,et al.  Inadequate functional health literacy among patients at two public hospitals. , 1995, JAMA.

[452]  T. Hartman,et al.  Focus group responses of potential participants in a nutrition education program for individuals with limited literacy skills. , 1994, Journal of the American Dietetic Association.

[453]  L. Renaud,et al.  Critical analysis on best practices in health literacy. , 2006, Canadian journal of public health = Revue canadienne de sante publique.

[454]  S. Ratzan,et al.  Health literacy: a policy challenge for advancing high-quality health care. , 2003, Health affairs.

[455]  Mary T Roth,et al.  Health Literacy: A Review , 2002, Pharmacotherapy.

[456]  C. Kaestle,et al.  Literacy and reading performance in the United States, from 1880 to the present , 1987 .

[457]  D. Chisolm,et al.  Measuring adolescent functional health literacy: a pilot validation of the Test of Functional Health Literacy in Adults. , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[458]  ESL for Action: Problem Posing at Work , 1989 .

[459]  D. Karras,et al.  Comprehension of discharge instructions by patients in an urban emergency department. , 1995, Annals of emergency medicine.

[460]  R. Rothman,et al.  Low Numeracy Skills Are Associated With Higher BMI , 2008, Obesity.

[461]  Anthony F Jorm.  Mental health literacy: empowering the community to take action for better mental health. , 2012, The American psychologist.

[462]  Joseph Mathew,et al.  Readability of Consent Forms in Schizophrenia Research , 2002, The Australian and New Zealand journal of psychiatry.

[463]  S. Kalichman,et al.  Health literacy and health-related knowledge among persons living with HIV/AIDS. , 2000, American journal of preventive medicine.

[464]  S. Wieser,et al.  The costs of limited health literacy: a systematic review , 2009, International Journal of Public Health.

[465]  Peter Knapp,et al.  "User-testing" as a method for testing the fitness-for-purpose of written medicine information. , 2011, Patient education and counseling.

[466]  D. DeWalt,et al.  A heart failure self-management program for patients of all literacy levels: A randomized, controlled trial [ISRCTN11535170] , 2006, BMC Health Services Research.

[467]  K. Kamal,et al.  The West Virginia Health Education Assessment Project. , 2005, The Journal of school health.

[468]  M. Zanchetta,et al.  Health literacy within the reality of immigrants' culture and language. , 2006, Canadian journal of public health = Revue canadienne de sante publique.

[469]  Matthias Cavassini,et al.  Correlates of Self-Reported Nonadherence to Antiretroviral Therapy in HIV-Infected Patients: The Swiss HIV Cohort Study , 2006, Journal of acquired immune deficiency syndromes.

[470]  Elizabeth Mogford,et al.  Teaching critical health literacy in the US as a means to action on the social determinants of health. , 2011, Health promotion international.

[471]  J. Gazmararian,et al.  The impact of low health literacy on the medical costs of Medicare managed care enrollees. , 2005, The American journal of medicine.

[472]  Judy A Shea,et al.  Association of health literacy with self-management behavior in patients with diabetes. , 2004, Diabetes care.

[473]  S. M. Rogers,et al.  Effect of low medical literacy on health survey measurements. , 2002, American journal of public health.

[474]  Glyn Elwyn,et al.  Putting patients first , 2012, BMJ : British Medical Journal.

[475]  K. Glanz,et al.  Readability and content analysis of print cholesterol education materials. , 1990, Patient education and counseling.

[476]  A. Lloyd,et al.  The extent of patients' understanding of the risk of treatments. , 2001, Quality in health care : QHC.

[477]  T. Hartman,et al.  Results of a Community-Based Low-Literacy Nutrition Education Program , 1997, Journal of Community Health.

[478]  Judith A. Hall,et al.  Meta-analysis of Correlates of Provider Behavior in Medical Encounters , 1988, Medical care.

[479]  Andrew Steptoe,et al.  Association between low functional health literacy and mortality in older adults: longitudinal cohort study , 2012, BMJ : British Medical Journal.

[480]  Catherine E. Snow,et al.  The Theoretical Basis For Relationships Between Language and Literacy in Development , 1991 .

[481]  P. Cole.  Human rights and the national interest: migrants, healthcare and social justice , 2007, Journal of Medical Ethics.

[482]  J. Haggerty,et al.  Literacy in primary care populations: is it a problem? , 2003, Canadian journal of public health = Revue canadienne de sante publique.

[483]  D. Baker,et al.  Inadequate literacy is a barrier to asthma knowledge and self-care. , 1998, Chest.

[484]  C. Mayhorn,et al.  Refining teratogen warning symbols for diverse populations. , 2007, Birth defects research. Part A, Clinical and molecular teratology.

[485]  N. Wallerstein,et al.  Health and safety education for workers with low-literacy or limited-English skills. , 1992, American journal of industrial medicine.

[486]  H. Schumacher,et al.  Comparison of literacy level of patients in a VA arthritis center with the reading level required by educational materials. , 1992, Arthritis care and research : the official journal of the Arthritis Health Professions Association.

[487]  M. Wieland,et al.  Risk factors predictive of poor quality preparation during average risk colonoscopy screening: the importance of health literacy. , 2010, Journal of gastrointestinal and liver diseases : JGLD.

[488]  Khan Mk,et al.  Health literacy: report of the Council on Scientific Affairs. Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association. , 1999, JAMA.

[489]  R A Greenes,et al.  Characteristics of Consumer Terminology for Health Information Retrieval , 2002, Methods of Information in Medicine.

[490]  R. Desjardins,et al.  Health Literacy in Canada: A Healthy Understanding , 2008 .

[491]  Michael K Paasche-Orlow,et al.  The implications of health literacy on patient–provider communication , 2007, Archives of Disease in Childhood.

[492]  E. Arkin,et al.  Making Health Communication Programs Work. A Planner's Guide. , 1989 .

[493]  Ann E. Kurth,et al.  Self-Report Measures of Antiretroviral Therapy Adherence: A Review with Recommendations for HIV Research and Clinical Management , 2006, AIDS and Behavior.

[494]  H. Taub,et al.  Readability of informed consent forms for research in a Veterans Administration medical center. , 1983, JAMA.

[495]  D. Roter,et al.  Community-produced materials for health education. , 1981, Public health reports.

[496]  S. Preston,et al.  Educational differentials in mortality: United States, 1979-85. , 1996, Social science & medicine.

[497]  Wayne Usher,et al.  Types of Social Media (Web 2.0) Used by Australian Allied Health Professionals to Deliver Early Twenty-First-Century Practice Promotion and Health Care , 2011, Social work in health care.

[498]  Dianne Davis,et al.  Association of Numeracy and Diabetes Control , 2008, Annals of Internal Medicine.

[499]  Alexa T McCray,et al.  Application of Information Technology: Promoting Health Literacy , 2005, J. Am. Medical Informatics Assoc..

[500]  Spadero Dc,et al.  Assessing readability of patient information materials , 1983 .

[501]  S. Pang,et al.  Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. , 2008, Journal of advanced nursing.

[502]  R. Rudd,et al.  Social marketing for public health. , 1993, Health affairs.

[503]  Carol E Golin,et al.  Knowledge of antiretroviral regimen dosing and adherence: a longitudinal study. , 2003, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[504]  Simon P. Kim,et al.  Health Literacy and Shared Decision Making for Prostate Cancer Patients with Low Socioeconomic Status , 2001, Cancer investigation.

[505]  Anna Ercoli Schnitzer,et al.  Health Literacy: A Survey of the Issues and Solutions , 2011 .

[506]  J. Nurss.  Difficulties in Functional Health Literacy Screening in Spanish-Speaking Adults. , 1995 .

[507]  B. McNeal,et al.  Comprehension Assessment of Diabetes Education Program Participants , 1984, Diabetes Care.

[508]  R. Kleinstein,et al.  Healthy People 2010--vision objectives for the nation. , 2000, Optometry.

[509]  M. Rao,et al.  What did the doctor say? , 2007, Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology.

[510]  A. Bandura.  Health promotion from the perspective of social cognitive theory , 1998 .

[511]  E. J. Mayeaux,et al.  Reading ability of parents compared with reading level of pediatric patient education materials. , 1994, Pediatrics.

[512]  R. Byrd,et al.  Increased drug use among old-for-grade adolescents. , 1996, Archives of pediatrics & adolescent medicine.

[513]  M. Wolf,et al.  Literacy and Learning in Health Care , 2009, Pediatrics.

[514]  R. Levine,et al.  Maternal literacy and health care in three countries: a preliminary report. , 1994, Health transition review : the cultural, social, and behavioural determinants of health.

[515]  Improvement,et al.  Adult literacy in America : a first look at the results of the National Adult Literacy Survey , 1993 .

[516]  M. Becker.  The Health Belief Model and Sick Role Behavior* , 1974 .

[517]  Jeffrey Jones,et al.  Communicating information to patients: the use of cartoon illustrations to improve comprehension of instructions. , 1996, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[518]  R. Ladd.  Patients without choices: the ethics of decision-making in emergency medicine. , 1985, The Journal of emergency medicine.

[519]  Verina Wild,et al.  The Impact of Social Media on Medical Professionalism: A Systematic Qualitative Review of Challenges and Opportunities , 2013, Journal of medical Internet research.

[520]  C. Parvanta,et al.  Essentials of Public Health Communication , 2010 .

[521]  D. Chinn.  Critical health literacy: a review and critical analysis. , 2011, Social science & medicine.

[522]  D. Harman,et al.  Adult Illiteracy in the United States: A Report to the Ford Foundation , 1979 .

[523]  R L Holloway,et al.  Patient comprehension of written drug information. , 1980, American journal of hospital pharmacy.

[524]  P. P. Lee,et al.  Literacy levels of ophthalmic patient education materials. , 1997, Survey of ophthalmology.

[525]  R. Brey,et al.  Enhancing health literacy through accessing health information, products, and services: an exercise for children and adolescents. , 2007, The Journal of school health.

[526]  C. Feied,et al.  Functional illiteracy among emergency department patients: a preliminary study. , 1993, Annals of emergency medicine.

[527]  Michael K Paasche-Orlow,et al.  Tailored education may reduce health literacy disparities in asthma self-management. , 2005, American journal of respiratory and critical care medicine.

[528]  B. Weiss,et al.  Quick Assessment of Literacy in Primary Care: The Newest Vital Sign , 2005, The Annals of Family Medicine.

[529]  A. Goldstein,et al.  Consent form readability in university-sponsored research. , 1996, The Journal of family practice.

[530]  R. Jackson,et al.  Intervention to increase mammography utilization in a public hospital , 2007, Journal of General Internal Medicine.

[531]  R. Buchbinder,et al.  Health literacy and beliefs among a community cohort with and without chronic low back pain , 2010, PAIN.

[532]  C. Arnold,et al.  Knowledge and attitude on screening mammography among low‐literate, low‐income women , 1996, Cancer.

[533]  W. Chodzko-Zajko,et al.  Impact of Older Adults' Reading Ability on the Comprehension and Recall of Cholesterol Information , 1997 .

[534]  S. Parashar.  Moving beyond the mother-child dyad: women's education, child immunization, and the importance of context in rural India. , 2005, Social science & medicine.

[535]  D K Yue,et al.  Low Literacy: A Problem in Diabetes Education , 1993, Diabetic medicine : a journal of the British Diabetic Association.

[536]  E. J. Mayeaux,et al.  Literacy and self-reported educational levels in relation to Mini-mental State Examination scores. , 1995, Family medicine.

[537]  Daiker Bl.  Evaluating health and safety lectures: how to measure lucidity. , 1992 .

[538]  C. Griffith,et al.  A shortened instrument for literacy screening , 2003, Journal of General Internal Medicine.

[539]  M. Swanson,et al.  The effect of reading ability and response formats on patients' abilities to respond to a patient satisfaction scale. , 2001, Journal of continuing education in nursing.

[540]  J. Fortenberry,et al.  Relation of health literacy to gonorrhoea related care. , 2001, Sexually transmitted infections.

[541]  A. Chesson,et al.  Comparing the Effectiveness of Video and Written Material for Improving Knowledge Among Sleep Disorders Clinic Patients With Limited Literacy Skills* , 2000, Southern medical journal.

[542]  C. Demmer.  Attitudes toward HIV protease inhibitors and medication adherence in an inner city HIV population. , 2003, AIDS patient care and STDs.

[543]  L. Kolbe.  A framework for school health programs in the 21st century. , 2005, The Journal of school health.

[544]  R. Parker.  Health literacy: a challenge for American patients and their health care providers , 2000 .

[545]  T. Hartman,et al.  Evaluation of the literacy level of participants in an urban expanded food and nutrition education program , 1994 .

[546]  A. Johnson,et al.  Written and verbal information versus verbal information only for patients being discharged from acute hospital settings to home: systematic review. , 2005, Health education research.

[547]  A. Edwards,et al.  The development of health literacy in patients with a long-term health condition: the health literacy pathway model , 2012, BMC Public Health.

[548]  D. Cegala,et al.  The effects of patient communication skills training on compliance. , 2000, Archives of family medicine.

[549]  A. Jotkowitz,et al.  Health Literacy, Access to Care and Outcomes of Care , 2007, The American journal of bioethics : AJOB.