The healthcare system requires consumers to be active participants in their care by making decisions in conjunction with their provider; managing complex medication regimens and scheduling appropriate medical visits in a timely fashion. Health literacy for racial and ethnic minority elders, is an often ignored national problem that must be addressed through research-driven initiatives that are tied to metrics that measure improvement across providers, health plans, and healthcare organizations. To address this problem, the authors implemented an adaptation of two evidenced-based educational interventions into a practice improvement project. The intervention format included a self-guided training on health literacy and ethnogeriatrics for anesthesia providers in clinical practice that was initially reviewed and evaluated by an expert panel. A pilot training was conducted with a convenience sample of 26 anesthesia providers who care for geriatric patients from ethnic and racial minority backgrounds. The educational intervention resulted in an increase in knowledge-based test scores, and an increase in a health literacy oriented attitude. However, anesthesia providers were less likely to use the teach-back or show-me method with low literate patients. Recommendations for future work include revisions to the education intervention and testing with a larger sample, providing an in-person training course, and disbursing the training to other clinicians.
","abstract_html":"<p>The healthcare system requires consumers to be active participants in their care by making decisions in conjunction with their provider; managing complex medication regimens and scheduling appropriate medical visits in a timely fashion. Health literacy for racial and ethnic minority elders, is an often ignored national problem that must be addressed through research-driven initiatives that are tied to metrics that measure improvement across providers, health plans, and healthcare organizations. To address this problem, the authors implemented an adaptation of two evidenced-based educational interventions into a practice improvement project. The intervention format included a self-guided training on health literacy and ethnogeriatrics for anesthesia providers in clinical practice that was initially reviewed and evaluated by an expert panel. A pilot training was conducted with a convenience sample of 26 anesthesia providers who care for geriatric patients from ethnic and racial minority backgrounds. The educational intervention resulted in an increase in knowledge-based test scores, and an increase in a health literacy oriented attitude. However, anesthesia providers were less likely to use the teach-back or show-me method with low literate patients. Recommendations for future work include revisions to the education intervention and testing with a larger sample, providing an in-person training course, and disbursing the training to other clinicians.</p>","abstract_has_math":false,"creators":["Spence, Autumn"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Lois Sadler"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2018,"date_issued":"2018-01-01T08:00:00Z","date_published":"2018-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:00Z","subjects":["anesthesia","ethnogeriatrics","health literacy","training"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1077","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Lois Sadler"]},{"key":"dc:creator","label":"Author","values":["Spence, Autumn"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["anesthesia","ethnogeriatrics","health literacy","training"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1077"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The healthcare system requires consumers to be active participants in their care by making decisions in conjunction with their provider; managing complex medication regimens and scheduling appropriate medical visits in a timely fashion. Health literacy for racial and ethnic minority elders, is an often ignored national problem that must be addressed through research-driven initiatives that are tied to metrics that measure improvement across providers, health plans, and healthcare organizations. To address this problem, the authors implemented an adaptation of two evidenced-based educational interventions into a practice improvement project. The intervention format included a self-guided training on health literacy and ethnogeriatrics for anesthesia providers in clinical practice that was initially reviewed and evaluated by an expert panel. A pilot training was conducted with a convenience sample of 26 anesthesia providers who care for geriatric patients from ethnic and racial minority backgrounds. The educational intervention resulted in an increase in knowledge-based test scores, and an increase in a health literacy oriented attitude. However, anesthesia providers were less likely to use the teach-back or show-me method with low literate patients. Recommendations for future work include revisions to the education intervention and testing with a larger sample, providing an in-person training course, and disbursing the training to other clinicians.
"]},{"key":"dc:title","label":"Title","values":["Integrating Health Literacy And Ethnogeriatric Training For Anesthesia Providers To Improve Perioperative Care Of The Geriatric Patient"]}]}],"canonical_facts":{"dc:contributor":["Lois Sadler"],"dc:creator":["Spence, Autumn"],"dc:description.abstract":["The healthcare system requires consumers to be active participants in their care by making decisions in conjunction with their provider; managing complex medication regimens and scheduling appropriate medical visits in a timely fashion. Health literacy for racial and ethnic minority elders, is an often ignored national problem that must be addressed through research-driven initiatives that are tied to metrics that measure improvement across providers, health plans, and healthcare organizations. To address this problem, the authors implemented an adaptation of two evidenced-based educational interventions into a practice improvement project. The intervention format included a self-guided training on health literacy and ethnogeriatrics for anesthesia providers in clinical practice that was initially reviewed and evaluated by an expert panel. A pilot training was conducted with a convenience sample of 26 anesthesia providers who care for geriatric patients from ethnic and racial minority backgrounds. The educational intervention resulted in an increase in knowledge-based test scores, and an increase in a health literacy oriented attitude. However, anesthesia providers were less likely to use the teach-back or show-me method with low literate patients. Recommendations for future work include revisions to the education intervention and testing with a larger sample, providing an in-person training course, and disbursing the training to other clinicians.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1077"],"dc:subject":["anesthesia","ethnogeriatrics","health literacy","training"],"dc:title":["Integrating Health Literacy And Ethnogeriatric Training For Anesthesia Providers To Improve Perioperative Care Of The Geriatric Patient"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:00Z"}