Health Literacy and Conflict Decision-Making: Addressing a Growing Concern

Tuesday, 14 July 2009: 8:30 AM

Joyce Miller, DNP, WHNP-BC
Sharon Cannon, EdD, RN, ANEF
Carol Boswell, EdD, RN, CNE, ANEF
Anita Thigpen Perry School of Nursing, Texas Tech University Health Sciences Center, Odessa, TX

Learning Objective 1: discuss a tool development project related to health literacy and conflict decision making for an Hispanic population.

Learning Objective 2: identify the key elements for translating health literacy and conflict decision making tools for addressing changing demographics.


The rising challenges resulting from lack of health care compliance compels the validation of a health education performance tool based on health literacy and decisional conflict that can be used productively in health care settings throughout the nation. The purpose of this study is to establish internal validity of the Spanish versions of the Health Education Level Performance (HELP), Decisional Conflict and Outcomes tools.

The research question for this study is: Does the Spanish version of the HELP and DCS, and Outcome tools result in the same information as the English version of the HELP, DCS, and Outcome tools?


After obtaining IRB approval, thirty Spanish reading individuals will be conveniently recruited and sampled from the Odessa Hispanic Chamber of Commerce. Informed consent will be obtained from all participants. The Spanish versions of the HELP, DCS and Outcomes tools will then be administered. From this convenience sample five participants will be asked to volunteer as an expert panel to confirm Hispanic translation of the Decisional Conflict Scale and Outcomes Tools. At the completion of the study, all questions will be answered and an educational mug with fillings will then be given to the participant as a thank you gesture for their participation.


Data collection and analysis are scheduled to be completed by January, 2009.


Health literacy and decision making are currently promoted by the Institute of Medicine report and Healthy People 2010. With the demographic shift to a majority Hispanic population, this study will assist nurses in a variety of settings to have both English and Hispanic tools to quickly determine the level of health literacy and the impact of an educational program on increased decision making skills.