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Although it is difficult to measure reading demands comprehensively, there are several reasonably good measures of individual reading capacities. The REALM is a item word recognition and pronunciation test that measures the domain of vocabulary. Baseline conceptual knowledge is another resource an individual possesses when trying to understand new health information. Studies have shown that most people in the United States have a poor understanding of science. However, measuring general health knowledge is obviously challenging, and no instrument has been widely used. For researchers, knowledge is more often viewed narrowly as an outcome or intermediate outcome that will be measured to see whether an intervention improved very specific knowledge, attitudes, and behaviors, as shown in the box on the right-hand side of Figure 1. To date, measures have focused on specific conditions such as asthma, hypertension, diabetes, and heart failure. It is essential that we learn more about how well Americans can read and comprehend health-related materials that they encounter in everyday life A study published in Clinical Nutrition showed that aged white wine has more heart healthy benefits than gin

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