Universal and language-specific predictors of early word reading in a foreign language:An analysis of the skills that underlie reading acquisition in three different orthographies

A central question in the field of foreign language acquisition is whether the processes involved in reading development in a foreign language are universal or dependent on characteristics of the specific language involved. We investigated the impact of orthographic depth and writing system on word reading acquisition in a foreign orthography, by studying children who are proficient readers in the transparent alphabetic Dutch orthography and who learn to read simultaneously in the transparent alphabetic Spanish orthography, the nontransparent alphabetic French orthography and the nonalphabetic Chinese orthography. Results showed that the skills that underlie foreign language word reading are not universal, but are different for alphabetic and nonalphabetic orthographies, and are also different for transparent and nontransparent alphabetic orthographies, albeit to a lesser extent. Word reading acquisition in transparent alphabetic Spanish depended mainly on reading skills in the native language. In contrast, in nontransparent alphabetic French and nonalphabetic Chinese, word reading was mainly influenced by cognitive skills: French word reading by phonological awareness and verbal intelligence, and Chinese word reading by verbal and nonverbal intelligence. Findings thus suggest that the processes underlying foreign language word reading acquisition are not universal but rather depend on the specific language involved

Supporting patients with low health literacy: what role do radiation therapists play?

Purpose: Health literacy plays a key role in a patient’s ability to use health information and services, and can affect health outcomes. This study aimed to explore radiation therapists’ perspectives on how they support people with lower health literacy who are undergoing radiotherapy. Methods: Semi-structured interviews were conducted with 25 radiation therapists working in radiation oncology departments in New South Wales, Australia. Results: The four key themes were (1) the process of identifying a patient with low health literacy, (2) the perceived consequences of low health literacy, (3) managing and responding to the needs of different health literacy groups and (4) recommendations to address low health literacy in radiotherapy. Radiation therapists appeared to make an informal, intuitive judgment about a patient’s health literacy, using a variety of verbal and non-verbal cues as well as impromptu conversations with the multi-disciplinary team. Patients perceived to have lower health literacy were described as having greater difficulties assimilating knowledge and engaging in self-care. Although participants reported communicating to patients at a basic level initially, they subsequently tailored their communication to match a patient’s health literacy. Strategies reported to communicate to low health literacy groups ranged from using lay language with minimal medical terminology, using visual aids (photos), using analogies, reiterating information and asking family members with higher literacy to attend consultations. Conclusion: A more structured approach to supporting patients with low health literacy and integrating health literacy training in radiation oncology departments may help to minimise the adverse outcomes typically experienced by this population