Page 44 - THE DUTCH TALKING TOUCH SCREEN QUESTIONNAIRE

Chapter 2
A Dutch 79 year old uneducated, low health literate female housewife who did not complete the PSC at all was very ashamed of her illiteracy and hid it from everybody outside of her close family and friends. She described that being presented a questionnaire by a physical therapist would be stressful and upsetting to her. She spent a lot of energy masking her illiteracy and worrying about being exposed.
Due to errors in the response process, in twenty-four cases, the PSC generated different information than was intended by its developers. Instead of selecting activities in which respondents were limited they, for instance, selected activities they were able to do or which were important to them, gave them the most joy or which most frequently occurred. A 51 year old low educated low health literate female Turkish volunteer at the mosque who partly completed the PSC explained what she wrote down as her first of five priorities:
“I wrote down: ‘Being a bridge between people of different cultures’, because that is my main goal in life. That’s what drives me. I would love for people to better accept and understand each other. I want to contribute to that.”
Comparing the amount of reported problems related to ‘ease of use’ of the PSC and the nature of these reported problems between different subgroups the following patterns were identified: higher educated and adequate health literate respondents were better able to complete the PSC than lower educated and low health literate respondents. This is also reflected in table 2.1. Lower educated, low health literate and Turkish respondents more often had problems with reading and understanding words and phrases than higher educated, adequate health literate and Dutch respondents. Higher educated, adequate health literate and Dutch respondents more often had problems with interpreting the meaning of the questions and answers given in the questionnaire. Problems in the response process more often led to generation of different information than was intended by the developers of the PSC if respondents were low or moderately educated and low health literate.
PSC usefulness
Forty-four respondents spoke about the usefulness of the PSC in relation to their health care process. Six respondents of diverse health literacy levels and ethnic background stated they did not have
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