Beyond an apple a day providing consumer health information at your library
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Beyond an Apple a Day: Providing Consumer Health Information at Your Library. National Network of Libraries of Medicine http://nnlm.gov (800) 338-7657. Agenda. History & evolution of consumer health Health information needs of patrons Challenges of providing CH services

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Beyond an apple a day providing consumer health information at your library

Beyond an Apple a Day: Providing Consumer Health Information at Your Library

National Network of Libraries of Medicine

http://nnlm.gov

(800) 338-7657


Agenda

Agenda

  • History & evolution of consumer health

  • Health information needs of patrons

  • Challenges of providing CH services

  • Collection development

  • Consumer health on the internet

  • The reference interview

  • Ethics

  • Outreach

  • Marketing


Consumer health then and now

Consumer Health – then and now…

  • 1972 Patient Bill of Rights

    Realities of Health Care today:

  • Patients are now asked to make decisions about their own disease process.

  • Most patients do not have the tools to make these kinds of decisions

  • Libraries can help!


Evolution of e patients

evolution of e-patients

  • In 2000, 52 million Americans searched the internet for health

  • In 2002, 73 million…

  • In 2006, “Googling for a diagnosis” [BMJ]

  • In 2006, only one quarter of online health seekers said they always or usually check the source and date of health information online!

  • e-patients!


Health literacy

Health Literacy

  • The ability to read, understand and act on health information [Pfizer 2002]

  • The degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions [Healthy People 2010]


Beyond an apple a day providing consumer health information at your library

What is the strongest predictor of an individual’s health status?

  • Age

  • Income

  • Employment status

  • Educations

  • Literacy skills

  • Racial/ethnic group


Fill in the blanks

Fill in the blanks

  • One out of ? American adults reads at the 5th grade level or below, and the average.

    one out of 5

  • American reads at the 8th to 9th grade level, yet most health care materials are written above the ? grade level.

    10th grade


Discussion

Discussion

Thoughts on health literacy

and how it impacts

the individual and society?


Why is health literacy so critical

Why is health literacy so critical?

  • Essential life skill

  • Public health imperative

  • Essential part of social capital

  • Critical economic issue

    Source: “Navigating Health: The Role of Health Literacy”, Kickbusch


Resources for health literacy

Resources for health literacy

  • MedlinePlus – Easy to read

    • easy to read resources and a how to write easy to read page

    • Ask Me 3, Partnership for Clear Health Communication

      • 1. What is my main problem?

      • 2. What do I need to do?

      • 3. Why is it important for me to do this?


Sharing

Sharing

  • Take 10 minutes to discuss with a partner or a group, some examples of consumer health questions.

  • We wrap up this activity with a discussion of your examples together as a class.


Challenges of the reference interview in the context of health information

Challenges of the reference interview in the context of health information

  • Not being familiar with the resources

  • Medical terminology

  • Knowing how much to ask

  • Using open ended questions

  • Being aware of body language

  • Not offering personal experiences

  • Others?


The reference interview

The Reference Interview

…in the context of health information

  • Be empathetic

  • Be an active listener

  • Use open ended questions

  • Respect privacy / confidentiality

  • Be prepared for emotions

  • Be aware of body language

  • Do not be afraid to refer the patron back to his/her health care provider


Disclaimers caution statements

Disclaimers + caution statements

  • “Materials in the Resource Center represent the opinions of the authors and are intended as a complement, not a substitute for the advice of your healthcare providers.”


Ethical guidelines

Ethical Guidelines

  • Privacy / Confidentiality

  • Know the limits of your collection

  • Do not interpret medical information

  • Use a disclaimer or caution statement


Planning the service

Planning the service

  • Needs assessment

    • DRG’s

    • Leapfrog

    • Health grades

  • Analyze the demographics of your community

    • CDC Faststats

    • Kaiser State Health Facts

    • Public Library Geographic Database


Considerations of starting a ch service at your library

Considerations of starting a CH Service at your Library?


Collection development

Collection Development

  • Book lists on CAPHIS

    • UCONN Healthnet

    • Bibel, B. Library Journal


Consumer health on the internet

Consumer Health on the Internet

  • The ABC’s of evaluation

    • Accuracy

    • Authority

    • Bias

    • Currency

    • Coverage

    • And, user friendliness


Beyond an apple a day providing consumer health information at your library

http://medlineplus.gov


Beyond an apple a day providing consumer health information at your library

http://medlineplus.gov/golocal


Beyond an apple a day providing consumer health information at your library

http://nihseniorhealth.gov


Nihseniorhealth gov

NIHSeniorHealth.gov


Beyond an apple a day providing consumer health information at your library

http://clinicaltrials.gov


Beyond an apple a day providing consumer health information at your library

http://nccam.nih.gov


Beyond an apple a day providing consumer health information at your library

http://nlm.nih.gov


Beyond an apple a day providing consumer health information at your library

http://dirline.nlm.nih.gov


Beyond an apple a day providing consumer health information at your library

http://healthhotlines.nlm.nih.gov


Beyond an apple a day providing consumer health information at your library

http://gateway.nlm.nih.gov


Beyond an apple a day providing consumer health information at your library

http://cancer.gov


Beyond an apple a day providing consumer health information at your library

http://druginfo.nlm.nih.gov


Beyond an apple a day providing consumer health information at your library

http://dailymed.nlm.nih.gov


Beyond an apple a day providing consumer health information at your library

http://dietarysupplements.nlm.nih.gov


Beyond an apple a day providing consumer health information at your library

http://drugdigest.org


Beyond an apple a day providing consumer health information at your library

http://www.patientinform.org/


Questions thus far

Questions thus far?


Hands on exercises

Hands on Exercises

1) What is cholelithiasis?

2) Find a video for caregiver support of Alzheimer’s Disease.

3) My husband burned his hand on our outdoor grill. He said that he thought he should put butter on it. What is the best thing to do for a minor burn?

4) What is Pyelonephritis and how is it treated?

5) My daughter is attending college in Chicago. She is having headaches and a stuffy nose. Our primary care doctor said she probably is allergic to something. Can you help us find a good allergist in Chicago?


Hands on exercises cont

Hands on Exercises (cont.)

6) I heard that black cohosh is good for menopausal symptoms. Is it safe to take? Is there any evidence that it is effective for menopause?

7) What is the ideal blood pressure?

 8) My friend needs to find a nursing home for her father within 10 miles of Burlington, VT.

 9) Are there any current clinical trials for complementary and alternative treatment of fibromyalgia?

10) I read an article in Consumer Reports on Health that said excessive calcium intake from calcium enriched foods (like Calcium enriched OJ) could cause kidney stones. How much calcium is too much?


Break

break


Collaboration health information outreach

Collaboration +Health information outreach


Nn lm funded projects

NN/LM funded projects


Potential collaborators

Potential Collaborators

Source: City of Somerville


Beyond an apple a day providing consumer health information at your library

http://caphis.mlanet.org/


Beyond an apple a day providing consumer health information at your library

http://nnlm.gov/evaluation


Beyond an apple a day providing consumer health information at your library

http://healthlit.org/pdfs/AAASFINAL.pdf


10 top reasons to market your library

10 top reasons to market your library?

  • Competition for customers

  • Competition for resources

  • Maintain your relevance

  • Stop being taken for granted

  • Promote an updated image

  • Visibility

  • Valuable community resource

  • Rising expectations

  • Survival

  • Beneficial to library image

    Source:

    University of Illinois Current LIS Clips

    http://clips.lis.uiuc.edu/2003_09.html


Marketing

Marketing

  • Sharing: Get together in groups of 2 or 3 and come up with a couple of good marketing ideas to share.

  • We will discuss them as a group.


Other ideas

Other ideas:

  • Bookmarks, websites, press releases, lecture series, videos in hospital waiting room, screening clinics, health fairs, Information Rx, newsletter, public speaking to community groups, pedometer program, consumer health database searching series.


Informationrx org

InformationRx.org


The elevator speech

The Elevator Speech

In 15 seconds or less:

  • Who we are?

  • What we do?

  • Why does it matter?

  • Once again, thank you.

    InfoPeople, Building Leadership Skills: Community Engagement, 2007


Questions

QUESTIONS?


Reflection

Reflection

  • Think of the three most important take home messages from today’s presentation.

  • Think of three people to share this information.


Thank you

Thank you!

Contact information:

http://nnlm.gov

(800) 338-7657

Course developed by Michelle Eberle and Terri Ottosen

This project is supported under contract #N01-LM-6-3508 with the NN/LM New England Region and contract # N01-LM-6-3502 with the Southeastern Atlantic Region from the National Library of Medicine.


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