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Alliance for Innovation on Maternal Health (AIM) Hypertension Initiative
Facility Team MeetingAugust 27, 2020
August Implementation Topic
Implement patient education resources and a protocol for patient-centered education of pregnant patients and their families on signs and symptoms of severe
hypertension/preeclampsia
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Patient Education Resources
HTTPS://SAFEHEALTHCAREFOREVERYWOMAN.ORG/URGENTMATERNALWARNINGSIGNS/
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Patient Education Best PracticesUse plain language High blood pressure vs. hypertension
Be clear about symptoms and what the patient should do if they experience symptoms
Assess understanding “Please tell me what you would do if you have any of these symptoms”
Timing of education 15-20 weeks: review warning signs, provide printed materials, and assess health literacy
20+ weeks and postpartum: review warning signs often, check for understanding, check proper behavior response (“What would you do if you experienced…?”), provide take home reminders and written materials
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Chunk and CheckWhat is it? Definition of preeclampsia using plain language
“Preeclampsia is a serious disease related to high blood pressure. It can happen during pregnancy or after birth”
Why should you care? Emphasizing risks to the pregnant patient and baby
Emphasizing seriousness of responding in a timely manner
What should you pay attention to? Symptoms include… (using plain language)
What should you do? If you experience any concerning symptoms, call your doctor or midwife right away. Finding
preeclampsia early is important for you and your baby”
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Strategies for communicating clearlyGreet patients warmly (welcoming smile, friendly attitude throughout visit)
Make eye contact (appropriate to culture, customs, beliefs)
Listen Carefully (try not to interrupt, pay attention, be responsive to concerns)
Use plain, non-medical language
Use patient’s words (note the words the patient uses to describe illness)
Slow down (speak clearly and at a moderate pace)
Limit and repeat content (prioritize what needs to be discussed and limit to 3-5 key points)
Be specific and concrete (Don’t use vague and subjective terms)
Show graphics (draw pictures, use illustrations, etc.)
Invite participation (encourage patients to share information and be involved in conversation)
Encourage questions (“what questions do you have?” vs. “do you have any questions?”)
Apply teach back (confirm understanding by asking patients to teach back important information)
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Health Literacy & Plain Language Resources
AHRQ Health Literacy Universal Precautions Toolkit, 2nd Ed.: https://www.ahrq.gov/health-literacy/quality-resources/tools/literacy-toolkit/healthlittoolkit2.htmlComprehensive toolkit to reduce the complexity of health care, increase patient understanding of health information, and
enhance support for patients of all health literacy levels
March of Dimes Developing and assessing culturally appropriate health education for childbearing women: https://www.marchofdimes.org/nursing/modnemedia/othermedia/articles/art05_develop_assess_culturally_relevant_patient_ed.pdf
CDC Plain Language Thesaurus: https://www.plainlanguage.gov/media/Thesaurus_V-10.docOffers plain language equivalents to medical terms and phrases
CDC Clear Communication Index: https://www.cdc.gov/ccindex/index.htmlTool to develop and assess health communication materials
AHRQ The Patient Education Materials Assessment Tool (PEMAT): https://www.ahrq.gov/ncepcr/tools/self-mgmt/pemat.htmlInstrument to assess the understandability and actionability of print and audiovisual patient education materials
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Questions?
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