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Health Literacy. Specialists: Connie Arnold, PhD Associate Professor of Medicine Terry Davis, PhD Professor of Medicine and Pediatrics. Health Literacy : the Intersection of Patient skills and System Demands. Health Literacy. IOM Report (2004)

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health literacy
Health Literacy

Specialists:

Connie Arnold, PhD

Associate Professor of Medicine

Terry Davis, PhD

Professor of Medicine and Pediatrics

health literacy the intersection of patient skills and system demands
Health Literacy : the Intersection of Patient skills and System Demands

Health Literacy

  • IOM Report (2004)
    • 90 million adults have trouble understanding/acting on health information
  • Healthy People 2020
    • Improve health communication (plain language materials)
  • Joint Commission (2007)
    • Patients must be given information they understand

* US DHHS, May 27, 2010. (www.health.gov/communication/HLactionplan)

slide3

High school dropout rate in LA 29%

47% graduates go on to a 4 year college

43% need remedial classes

Only 3 of 5 TOPS students graduate college in 6 years

low literacy is a national problem national adult literacy survey
Low Literacy is a National Problem(National Adult Literacy Survey)

% Adults with Level 1 Literacy Skills

22% U.S. Adults are Level 1

Adults > 65 (49%), Chronic Illness (42%) African-American (41%) Hispanic (52%)

National Institute for Literacy 1998; National Adult Literacy Survey 1993 Tables 1.1.A 1.1B 1.2 A1.2 B

low literacy rates by parish
Low Literacy Rates By Parish

% Adults with Level 1 Literacy Skills

28% Louisiana Adults are Level 1

National Institute for Literacy 1998

literacy definition requirements expand with increasing demands of society
Literacy Definition (Requirements) Expand With Increasing Demands Of Society

Literacy

“…at a level needed to function on the job and in society.”

Read

Write

Problem

Solving

Internet

Skills

Math Skills

Communicate

National Literacy Act, 1991; S. White, Project Director NAALS 2016

numeracy a hidden problem understanding food labels
Numeracy: A Hidden ProblemUnderstanding Food Labels

You drink this whole bottle of soda. How many grams of total carbohydrates does it contain?

67.5 grams

32% answered correctly

200 primary care patients

73% private insurance

67% at least some college

78% read > 9th grade

37% math > 9th grade

Rothman R, Am J Prev Med, 2006

slide8

Video

Its easy to make a mistake

health information needs to be improved we can help
Health Information Needs To Be Improved – We can Help

Oral Communication:

  • Not clear to patient
  • Too much medical jargon
  • Not focused on what patient needs to know and do

Patient Education is often NOT:

  • Easy to read, understand, act on
  • Organized from patient’s perspective
  • Focused on behavior as well as knowledge

Questionnaires are often:

  • Not clearly understood
  • Likert format can be confusing

Consent and HIPAA Documents are:

  • Too long, too much information, too complex
7 steps to improve oral communication
7 Steps to Improve Oral Communication
  • Slow down
  • Avoid medical jargon, use living room language
  • Limit information – write brief take home information
  • Focus on need to know and do. Patients also need to know the benefits of what they are doing.
  • Use pictures, teaching tools (pamphlets, brown bag medications)
  • Repeat and summarize information
  • Teach back/show back to confirm understanding
a good model for patient education
A Good Model for Patient Education
  • Patientnot disease
  • ‘Need to know and do’

Help patients change health behavior:

  • Increase knowledge and confidence managing disease
  • Help patients solve self-care problems
  • Over 5 million copies have been distributed by the American College of Physicians Foundation

Guides focused on:

pictures can be good teaching tools
Pictures Can be Good Teaching Tools

Patients may not understand or use measurements

health literacy consultation
Health Literacy Consultation

We can help you:

  • Develop questionnaires that patients can understand.
  • Lower the reading level and simplify Consent and HIPAA Documents.
  • Develop patient education and health information that is understandable and actionable.
  • Enhance oral communication.