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Discharge instruction comprehension and adherence errors: Interrelationship between plan complexity and parent health literacy

The Journal of Pediatrics Jun 29, 2019

Glick AF, et al. - In this prospective cohort study of English/Spanish-speaking parents (n = 165) of children ≤12 years discharged on ≥1 daily medication from an urban, public hospital, researchers investigated connections between parent health literacy, discharge plan complexity, and parent comprehension of and adherence to inpatient discharge instructions. Data reported that error rates were highest for comprehension of medication side effects (50%), adherence to medication dose (34%), and return precaution (78%) instructions. Comprehension errors were linked to adherence errors. Findings suggested an association of discharge plan complexity with comprehension and adherence errors. Low health literacy was indirectly linked to adherence errors by comprehension errors. The link between plan complexity and comprehension errors was greater in parents with low vs adequate health literacy. Overall, the authors concluded that in comprehension and adherence errors, parent health literacy and discharge plan complexity play key roles.
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