Assessing a Patient Preferred Learning style and Motivation to Learn

By Thomas Bauer Moderator | 10 Jan, 2017

To place my comments into perspective the Department of Health and Human Services study revealed 9 out of 10 American do not receive health information in a way they can use or understand. I believe the spirit of the Joint Commission regulation is to enhance the transfer of knowledge by identifying and addressing the barriers to learning... One of which is preferred learning style. While we all have preferred methods of learning research has shown a multi-modal approach is advantageous. I am most familiar with patient stated assessments to determine preference. I would love to hear of others methods that have been used that are effective and efficient in today;s workflow.
One area of required assessment is the primary learners desire and motivation to learn. I would love to learn from this community what tools have been used. Is this a possible use of the ACE or PAM instruments?

With in the spirit of the Joint Commission requirements is the assessment of the secondary learner. This is of growing importance as the Lay Care Givers acts are being rapidly adopted in each state requiring hospitals to ask all admissions if they would like to designate a lay care giver who will be involved in their preparation and discharge. The Lay Care Giver Acts differ by state. From a health literacy perspective the training of an additional learner as well all know is a best practice and an effective instrument in addressing some barriers to education. Like others I believe the "Universal Precautions for Low Health Literacy" provides significant guidance.

Additional requirements as part of the Accountable Care Act also provide continued emphasis on providing patient education in the patients preferred language as well as addressing low vision and hearing loss among other conditions.

I look forward to this ongoing discussion



bonny mcclain Replied at 7:03 AM, 11 Jan 2017

Hi Thomas,

I often develop survey instruments for a variety of pharmaceutical stakeholders including patients (advocacy groups). I have found the following two articles to be instrumental in developing a sound and rigorous methodology for assessment of readiness to change and for developing measurable behavioral outcomes.

I am happy to continue the conversation...

Attached resources:

William Tarpai Replied at 7:48 PM, 23 Jan 2017

Thanks for starting this discussion and contributing the 2 documents. Paying attention to health care before need arrises or some traumatic happens does NOT seem to be something something we do well in general.

That said, focusing on 'well-being, and preventative care' has certainly helped change my behavior regarding paying attention to my personal health care.

A/Prof. Terry HANNAN Replied at 7:54 PM, 23 Jan 2017

William, your posting reminded me of this quote from 1993 by James Fries. In a way it reflects how far we have not come in some domains of health care delivery. I hope it is relevant.

“Preventable illness makes up approximately 70% of the burden of illness and associated costs and preventable causes account for eight of the nine leading categories and for 980,000 deaths per year.” J Fries and others, Reducing health care costs by reducing the need and demand for medical services. N Eng J Med 329:5;1993;321-5