This qualitative study, which takes place in a free medical clinic for low-income and uninsured patients, addresses the patients' health literacy and access to health information inside and outside of the clinic setting, as well as the strategies clinic providers use to effectively communicate health information. This study is based on participant observation in an urban clinic in the Northeast, interviews of 22 patients and 20 health-care providers, and direct observation of the patient/provider communication in nine instances. In the clinic, the providers serve as educators for vulnerable, stressed patients, who are adult learners. The patients were interviewed in order to understand their health education needs, their comprehension of the health information that they received at the clinic, and their access to health information outside of the clinic. The providers, who were volunteers at the clinic, were interviewed to understand their strategies to effectively communicate with their patients. This study, therefore, provides insights into how adults learn in nonformal educational settings and what strategies appear to be effective to communicate with people who are marginalized and stressed.
","abstract_html":"<p>This qualitative study, which takes place in a free medical clinic for low-income and uninsured patients, addresses the patients' health literacy and access to health information inside and outside of the clinic setting, as well as the strategies clinic providers use to effectively communicate health information. This study is based on participant observation in an urban clinic in the Northeast, interviews of 22 patients and 20 health-care providers, and direct observation of the patient/provider communication in nine instances. In the clinic, the providers serve as educators for vulnerable, stressed patients, who are adult learners. The patients were interviewed in order to understand their health education needs, their comprehension of the health information that they received at the clinic, and their access to health information outside of the clinic. The providers, who were volunteers at the clinic, were interviewed to understand their strategies to effectively communicate with their patients. This study, therefore, provides insights into how adults learn in nonformal educational settings and what strategies appear to be effective to communicate with people who are marginalized and stressed.</p>","abstract_has_math":false,"creators":["Huntington, Sally Jane"],"institution":null,"degree_name":"Doctor of Philosophy (PhD)","degree_level":"Dissertation","degree_discipline":"Teaching and Leadership","degree_department":null,"school":null,"contributors":["Sandra D. Lane"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2012,"date_issued":"2012-05-01T07:00:00Z","date_published":"2012-05-01T07:00:00Z","updated_at":"2026-07-24T04:54:17Z","subjects":["Adult Education","Health Literacy","Marginalized Patients","Patient-Provider Communication","Education"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://surface.syr.edu/tl_etd/238","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Sandra D. Lane"]},{"key":"dc:creator","label":"Author","values":["Huntington, Sally Jane"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Teaching and Leadership"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Philosophy (PhD)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Adult Education","Health Literacy","Marginalized Patients","Patient-Provider Communication","Education"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://surface.syr.edu/tl_etd/238"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This qualitative study, which takes place in a free medical clinic for low-income and uninsured patients, addresses the patients' health literacy and access to health information inside and outside of the clinic setting, as well as the strategies clinic providers use to effectively communicate health information. This study is based on participant observation in an urban clinic in the Northeast, interviews of 22 patients and 20 health-care providers, and direct observation of the patient/provider communication in nine instances. In the clinic, the providers serve as educators for vulnerable, stressed patients, who are adult learners. The patients were interviewed in order to understand their health education needs, their comprehension of the health information that they received at the clinic, and their access to health information outside of the clinic. The providers, who were volunteers at the clinic, were interviewed to understand their strategies to effectively communicate with their patients. This study, therefore, provides insights into how adults learn in nonformal educational settings and what strategies appear to be effective to communicate with people who are marginalized and stressed.
"]},{"key":"dc:title","label":"Title","values":["\"Roadblocks, Stop Signs\": Health Literacy, Education and Communication at a Free Medical Clinic"]}]}],"canonical_facts":{"dc:contributor":["Sandra D. Lane"],"dc:creator":["Huntington, Sally Jane"],"dc:description.abstract":["This qualitative study, which takes place in a free medical clinic for low-income and uninsured patients, addresses the patients' health literacy and access to health information inside and outside of the clinic setting, as well as the strategies clinic providers use to effectively communicate health information. This study is based on participant observation in an urban clinic in the Northeast, interviews of 22 patients and 20 health-care providers, and direct observation of the patient/provider communication in nine instances. In the clinic, the providers serve as educators for vulnerable, stressed patients, who are adult learners. The patients were interviewed in order to understand their health education needs, their comprehension of the health information that they received at the clinic, and their access to health information outside of the clinic. The providers, who were volunteers at the clinic, were interviewed to understand their strategies to effectively communicate with their patients. This study, therefore, provides insights into how adults learn in nonformal educational settings and what strategies appear to be effective to communicate with people who are marginalized and stressed.
"],"dc:identifier":["https://surface.syr.edu/tl_etd/238"],"dc:subject":["Adult Education","Health Literacy","Marginalized Patients","Patient-Provider Communication","Education"],"dc:title":["\"Roadblocks, Stop Signs\": Health Literacy, Education and Communication at a Free Medical Clinic"],"thesis:degree_discipline":["Teaching and Leadership"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Doctor of Philosophy (PhD)"]},"updated_at":"2026-07-24T04:54:17Z"}