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Sandra Smith, MPH , PhD
University of Washington
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Co-Authors & Funders
Elizabeth Moore, PhD University of Washington
Sandra Mobley RN , PhDSuzanne Thomas APRN, PhDDonald Sutherland, PhD Medical College of Georgia
Agency for Healthcare Research & Quality NIH Office of Behavioral & Social Science
ResearchNational Institute for Child Health & Human
Development
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Home Visitors Research Network
SitesEnterprise Community Healthy Start
GA
Healthy Families IN MOM Program IN
Healthy Families of Grant Co
IN
CHIP of Roanoke
VAPartnership for Strengthening Families
MTEarly Head Start Monterey Office of Ed
CA
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Racial/Ethnic Distribution
N=2532 Parent/Child Pairs
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Reflection: the 4th R
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Functional Literacies
Literacy used for practical purposes
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Functional Health Literacy Use healthcare
Manage personal & family health
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http://www.brookespublishing.com
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Overall FHL improved over time in home visiting p<.001
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Poor readers made greatest gains p<.001
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All ages progressed P<.001Teens made greatest gains p<.05
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All races improved. Patterns differ
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Lower functioning ~ greater gains
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In Attrition
LSP Score <4Score >=4
Score <4 Score >=4
1, AP57
82.6%12
17.4% %=(LSP N Out)/(LSP N-1 In)
↓2, PP28
40.6%41
59.4%
3, PP17
33.3%34
66.7%8
28.6%10
24.4%
4, PP6
17.6%28
82.4%8
47.1%9
26.5%
5, PP3
17.6%14
82.4%3
50.0%14
50.0%
Attrition Unrelated to Scores
Health Care Literacy: NHS Clients with One AP and at Least One PP LSP Attrition was not related to scores at PP3, 4, or 5 compared to baseline (AP1,PP2), using Fisher’s Exact Probability (two-sided) p<.05. n=69
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Matched Comparison:with & without home visits
p<.001
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Questions? [email protected]