Health Literacy Studies and NCSALL logo
   
 

Literacy and Health in America offers a schema for examining health materials, tasks, and skills within five commonly used groupings: health promotion, health protection, disease prevention, health care and maintenance, and navigation. The table below offers a brief description of each of these groups of activities with examples of a range of materials that adults use and the associated tasks they undertake.

Health Activities, Materials, and Tasks

Health Activities

Focus

Materials Adults are Expected to Use

Tasks Adults are Expected to Accomplish

Health Promotion

Enhance and maintain health

Label on a can of food or recipes.

Articles in newspapers and magazines

Charts and graphs such as the Body Mass Index.

Health education materials

Purchase food

Prepare a dish from a recipe

Plan exercise

Maintain healthy habits [nutrition, sleep, exercise]

Take care of one’s health and that of family members

Health Protection

Safeguard health of individuals and communities

A newspaper chart about air quality

A water report in the mail

A health and safety posting at work

A label on a cleaning product

Decide among product options

Use products safely

Vote on community issues

Avoid harmful exposures

Disease Prevention

Take preventive measures and engage in screening and early detection

Postings for inoculations & screening

Letters [test results]

Articles in newspapers and magazines

Graphs, charts

Take preventive action

Determine risk

Engage in screening or diagnostic tests

Follow up

 

Health Care & Maintenance

Seek care and form a partnership with a health professional such as a doctor or dentist or nurse

Health education

Health history forms

Labels on medicine

Develop plan for taking medicine as described

Health education booklets

Directions for using a tool such as a peak flow meter

Schedule and keep appointment

Seek professional care when needed

Describe symptoms

Follow directions

Measure symptoms

Maintain health with chronic disease [follow regimen, monitor symptoms, adjust regimen as needed, seek care as appropriate]

Navigation

Access needed services, and get coverage and benefits

Application forms

Statements of rights and responsibilities

Informed consent forms

Benefit packages

Locate facilities

Apply for benefits

Fill out forms

Offer informed consent

This table is drawn from: Rudd RE, Kirsch I, Yamamoto K. Literacy and Health in America. ETS Policy Report #19. Princeton NJ: Educational Testing Services. 2004.