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Diabetes Education and Health Literacy and Numeracy Resources12, 13

Utilize the following resources to assess and educate diabetes patients in literacy and numeracy.

Literacy Assessment for Diabetes (LAD)20

60-item list of common diabetes terms for patients to read aloud; used to assess literacy and estimate reading level

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Diabetes Numeracy Test (DNT)21

43-item objective nutrition label and diabetes word problems; used to assess diabetes literacy and numeracy

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Agency for Healthcare Research and Quality (AHRQ) Health Literacy Universal Precautions Toolkit22

Toolkit that includes evidence-based practices to improve healthcare professionals’ ability to provide health literate communication

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Diabetes Literacy and Numeracy Education Toolkit (DLNET)23

Toolkit that contains 24 chapters of diabetes education, especially for patients with poor health literacy and numeracy skills

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The Partnership to Improve Diabetes Education (PRIDE) Toolkit24

Builds upon the DLNET toolkit; includes 30 education modules that encourage diabetes self-management; available in English and Spanish

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  1. Health literacy tool shed. Boston Univeristy, CommunicateHealth, NIH NLM. Updated 28 November 2020. Accessed 28 November 2020. https://healthliteracy.bu.edu/
  2. Caruso R, Magon A, Baroni I, et al. Health literacy in type 2 diabetes patients: a systematic review of systematic reviews. Acta Diabetol. 2018;55(1):1-12. doi:10.1007/s00592-017-1071-1
  1. Huizinga MM, Elasy TA, Wallston KA. Development and validation of the Diabetes Numeracy Test (DNT). BMC Health Serv Res. 2008;8:96. doi:10.1186/1472-6963-8-96
  2. Cornett S. Assessing and addressing health literacy. Online J Issues Nurs. 2009;14(3):2. doi:10.3912/OJIN.Vol14No03Man02
  3. AHRQ health literacy universal precautions toolkit. Agency for Healthcare Research and Quality. April 2010. Updated September 2020. Accessed 28 November 2020. https://www.ahrq.gov/health-literacy/improve/precautions/index.html
  4. Wolff K, Cavanaugh K, Malone R, et al. The Diabetes Literacy and Numeracy Education Toolkit (DLNET): materials to facilitate diabetes education and management in patients with low literacy and numeracy skills. Diabetes Educ. 2009;35(2):233-236, 238-241, 244-245. doi:10.1177/0145721709331945
  5. Wolff K, Chambers L, Bumol S, et al. The PRIDE (Partnership to Improve Diabetes Education) toolkit. Development and evaluation of novel literacy and culturally sensitive diabetes education materials. Diabetes Educ. 2016;42(1):23-33. doi:10.1177/0145721715620019