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Health Literacy Starter Kit
Marg Rose and Estelle PagetVictoria, BC
What would you do?
Older mom is anxious as her baby won’t stop crying.
admits she can’t understand pamphlet you gave her on the last visit
had trouble with filling out the intake form at local clinic you suggested so she left
Dyad exercise-jot down ideas for resources you know about/would use…
Replay with resources
KidCareCanada variety of resources
Translates current infant development research into accessible format and language and models skills
Vulnerable populations participate and teach others
View DVD and link to support groups
Clarity and connections countRange of resources should be used
2.5 x chance of poor health if low literacy
2.5 x to be on income supports
Risks compounded if senior or immigrant with low literacy skills
Audit your settingRange of outreach tools used?
Facility set up as welcoming?
Admission procedures clear?
Appointment reminders?
Discharge materials?
Range of training options?
Build in ESL, cultural sensitivity?
Change package of ImpactBC ideas
Universal Precautions ToolKit of Agency for Healthcare Research and Quality
tape the session or invite a friend/elder
Refer to 1-888-READ-234
help patients navigate the system- listings of support groups etc
MeasureUP! finds your level of literacy
Improving HLListen, encourage questions (askme3.org)
Bennett et al (2003) screening questions: Highest level of education? Live with the other parent? Ever read books at home?
Set up a laptop Kiosk: MedLine Plus, EthnoMed, Healthyroadsmedia.org, HealthLinkBC.ca (French, Chinese, Punjabi, Farsi), nald.ca, nifl.org
Consider the REALM or TOFHLA on intake
Create, fill out My Health Record
Minimal text storyboards/line drawings
Use personal examples, teach-back questions:Why do I use it? What is it? How do I use it? When do I use it?
Expand narrative medicine skills (Charon, 2006)
focus test materials on literacy learners
Community clinics
What information is safe and trust-worthy?
Invite in health librarian
Facilitate Going to the Doctor package
Distribute vetted DVDs, YouTube videos
Help to navigate the system
Download resources
Clear Doc Index
Going to the Doctor booklets
Patient prompt card
Health Record of NSW or myphr.ca
www.nald.ca full text documents
Healthyroadsmedia.org and more!
CPHA portal
• 10 Youth workshops What the Health!
• Good Medicine for Seniors: Guidelines for Plain Language and Good Design in Prescription Medication
• Working with Low-Literacy Seniors: Practical Strategies for Health Providers
• Healthy aboriginal comic book series
• Skilled for health British materials on food security, navigation, mental health,first aid, etc.
Keep current• Health Literacy Discussion list serv:
http://lincs.ed.gov/mailman/listinfo/Healthliteracy/ moderated by Len and Ceci Doak of Patient Learning Associates
• Institute of Medicine resources e.g. Patient centred cancer treatment planning kit Safe Use Initiative by FDA link
• National Center for the Study of Adult Learning and Literacy (NCSALL) Focus on Basics
• Institute for Health care Advancement What to do for Health course
On-line training• How to find info you trust tutorial of
National Network of Libraries of Medicine USA
• Centers for Disease Control and Prevention (CDC)free "Health Literacy for Public Health Professionals” two hour course
• Harvard School of Public Health study circles
Onward!
Marg Rose, M. Ed.
Collaborative Consulting
Estelle Paget
KidCareCanada Society