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Let’s Create Materials Patient’s Can Read  And Understand Betty J. Westmoreland, MBEd, CPA President Pritchett & Hull Associates, Inc.
Objectives ,[object Object],[object Object],[object Object],Upon completion of this presentation, you should be able to:
Answers Needed ,[object Object],[object Object],[object Object]
How do we assess our patients’ ability to read and understand our teaching?
Literacy ,[object Object]
Scope of the Problem ,[object Object],[object Object]
National Adult Literacy Survey (1992) ,[object Object],[object Object]
Low-literacy is Prevalent Among All Ages and Ethnic Groups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Literacy ,[object Object]
Significance ,[object Object],[object Object]
Literacy and Health ,[object Object],[object Object],[object Object],[object Object],[object Object],Weiss, et al., Illiteracy among Medicaid recipients (1991) Baker, et al., Functional health literacy, self reported health status (1997)
Health Literacy Research ,[object Object],[object Object],[object Object],[object Object],Williams MV, Parker RM, Baker DW, et al. Inadequate Functional Health Literacy Among Patients at Two Public Hospitals. JAMA. 1995; 274:1677-1682.
Source: IMS America, 1997
Patients at Risk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Illiteracy means being unable to read or write Low-literacy does not mean illiterate
Comprehension ,[object Object]
Logic Language Experience Comprehension
Patient Variables that Affect Comprehension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Literacy Learner’s Behaviors ,[object Object],[object Object],[object Object],[object Object]
Good Readers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Poor Readers
Elderly Learners
Barriers to Learning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
To Facilitate Comprehension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Considerations
Reaching Patients of Different Cultural Backgrounds ,[object Object],[object Object],[object Object],[object Object],[object Object]
Recognizing Signs of  Low-literacy
Signs of Low-literacy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Foulk, D., Carroll, P., Wood, S. Addressing Health Literacy (2001)
Assessing  Health Literacy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient and Family Education Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How do we go about developing patient teaching materials that are suitable for our patients?
What to look for in teaching materials ,[object Object],[object Object],[object Object],[object Object],[object Object]
Basics ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Plain Language Initiative from the NIH An important tool for improving health literacy
Plain Language ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plain Language is Not ,[object Object],[object Object]
Plain Language is ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Visual Message
The Visual Message… ,[object Object],[object Object],[object Object]
The visuals should reinforce the text
 
 
Use visuals that readers can identify with  (within their cultural framework)
Use the Subjective Point of View 200 METERED INHALATIONS
Edit Out Extraneous Details
Identify Steps Clearly 1 2 3
Show the Proper Point of Reference
Avoid Stereotypes and Exaggerations in Caricatures
Use of exaggerations can help to reinforce negative concepts at times ?
How do we know whether the teaching materials we are using are what we need?
Readability Tests ,[object Object],[object Object],[object Object],[object Object]
Cautions About Using Readability Tests ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Suitability Assessment of Materials (SAM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations ,[object Object],[object Object],[object Object]
The ultimate test! ,[object Object],[object Object],[object Object],[object Object],[object Object]
The End
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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