Health Literacy Va 2009

An Introduction to Ycaretil Htlaeh Mary J. Markland MA, AHIP UND SE Clinical Campus Librarian [email_address] January 9, 2009

More info available on my web site: http://del.icio.us/seundlibrary Look under Health Literacy

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AMA Video Health Literacy: Help Your Patients Understand

Do you know? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

True or False? ,[object Object],[object Object],[object Object],[object Object]

What is Health Literacy ,[object Object]

Another Definition: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Literacy is Math too ,[object Object],[object Object],[object Object],[object Object]

The Literacy Problem ,[object Object],[object Object],[object Object]

Literacy Scale Definitions 2003 NAAL ,[object Object],[object Object],[object Object],[object Object]

Literacy Scale Definitions cont. ,[object Object],[object Object],[object Object]

Literacy Levels of Adults in America 2003 National Assessment of Adult Literacy (NAAL) *Estimates Prose Literacy NAAL Level *Approx Grade Level % of Pop. Below Basic Basic 1 2 0-5 6-8 14 (30 mil) 29 (47 mil) Intermediate 3 9-12 44 (114 mil) Proficient 4 College 15 (12 mil)

Health Literacy Levels 2003 Scores % of Population Below Basic 14% Basic 22% Intermediate 53% Proficient 12%

Literacy Levels of Adults in America: Sample of Tasks Typical of Level ( 1992 NAAL) ,[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],[object Object],[object Object],[object Object],[object Object]

New Comparison Data is out by State and County ,[object Object],[object Object],[object Object],[object Object],http://nces.ed.gov/naal/estimates/Index.aspx

North Dakota Literacy 2003 Percent Lacking Basic Prose Literacy Skills Indirect Estimates ,[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],Data based on 1992 National Adult Literacy Survey, 2003 National Assessment of Adult Literacy and the 2000 Census Data from Synthetic Estimates of Literacy/National Institute for Literacy http://www.nifl.gov/nifl/NAAL2003.html & http://nces.ed.gov/naal/estimates/Index.aspx

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People with low functional health literacy have: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Partnership for Clear Communication http://askmethree.com/health-literacy.aspx

Implications for Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Center for Health Care Strategies http://www.chcs.org/usr_doc/Health_Literacy_Fact_Sheets.pdf

How to Identify a Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

REALM Rapid Estimate of Adult Literacy in Medicine Davis TC, Crouch MA, Long SW, Jackson RH, Bates P, George RB, Bairnsfather LE. Rapid assessment of literacy levels of adult primary care patients. Fam Med. 1991 Aug;23(6):433-5.

Abbreviated REALM Directions ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Quick Screening Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],Wallace LS, Rogers ES, Roskos SE, Holiday DB, Weiss BD. Brief report: screening items to identify patients with limited health literacy skills. J Gen Intern Med. 2006 Aug;21(8):874-7.

Basic information about a colonoscopy, as perceived by a patient with limited literacy skills

What Makes a Handout Easy-to-Read ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Watch Your Words and Numbers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Remember Cultural Barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Where Can You Find Easy-To-Read Handouts? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Readable are Your Handouts? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Problems with Readability Screening Tools ,[object Object],[object Object],[object Object],[object Object],[object Object]

Flesch Reading Level Grade 6.3 Flesch Reading Ease 66.8/100 – 65 is the plain English score Is it easy to read?

Flesch Grade Level 6.8 Flesch Ease of Reading Level 64.5/100 Flesch Grade Level 6.6 Flesch Ease of Reading level 66.8/100

Flesch Grade Level 5.8 Flesch Ease of Reading Level 67/100

Flesch Grade Level 3.5 Flesch Ease of Reading level 84.6/100 Another example http://www.ahrq.gov/consumer/tobacco/helpsmokers.pdf

What Can You Do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Can You Encourage Reading Skills in Your Patients? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Organizations Working on Health Literacy

National Health Literacy Act of 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Council of State Governments http://www.healthystates.csg.org/Public+Health+Issues/Wellness+and+Prevention

Partnership for Clear Health Communication at the National Patient Safety Foundation http://askmethree.com/

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Agency for Healthcare Research and Quality (AHRQ) http://www.ahrq.gov/QuestionsAreTheAnswer

Health Literacy Va 2009

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Health Literacy Va 2009