Embed Size (px)
DESCRIPTION
The role of local libraries in improving access to health-related information in rural settings. Evidence from Cluj-Napoca, Romania. Emanuela Marton-Vasarhelyi, MA Center for Health Policy and Public Health, Babe s -Bolyai University Cluj-Napoca, Romania. - PowerPoint PPT Presentation
Citation preview
The role of local libraries in
improving access to health-related
information in rural settings
Emanuela Marton-Vasarhelyi, MACenter for Health Policy and Public Health, Babes-Bolyai University Cluj-Napoca, Romania
Evidence from Cluj-Napoca, Romania
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
Presentation overview1. Background2. The Initiative for Health Informational Resources in Rural Areas (IRIS)3. Study methodology4. Results5. Conclusions6. Acknowledgements7. Selected references
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
1. Background (1) The role of local libraries in enhancing
access to health information in rural areas
Health information seeking behavior (HISB), self-efficacy, and health literacy as key concepts in the development of interventions aiming to improve access to health information in rural and remote settings
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
1. Background (2) Recent findings suggest that libraries,
through the help of trained librarians, can meet the health information needs of people living in rural and remote settings
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
1. Background (3) Health information seeking behavior
Self-efficacy
Health literacy
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
2. The Initiative for Health Informational Resources in Rural Areas (1) Participatory-based intervention
Objectives: 1) to offer an institutional framework to facilitate access and 2) to increase community awareness, knowledge and skills to increase accessing of health information.
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
2. The Initiative for Health Informational Resources in Rural Areas (2)
Population level
intervention
Institutional
intervention Family
physicians
Local authorities
Local libraries
Health workshops
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
3. Methodology (1) Study settings Study population Data collection Data analysis
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
3. Methodology (2) Study settings and population
Settings: 4 communes in Cluj county: Sînpaul, Cătina, Tureni, Petreștii de Jos
Sample: convenience sample
Population: adult inhabitants of communes included in the study (n=858)
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
3. Methodology (3) Study design
2010 Formative research
Intervention
communes
Control comune
Qualitative methods
5 interviews
2011Evaluative research
Quantitative methods
(n=209)Qualitative methods
10 interviews 6 focus groups
Quantative methods(n=212)
Quantitative methods
(n=204)
Quantitative methods
(n=197)
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
3. Methodology (4) Data collection and analysis
Pre- and post- intervention data was collected in all four communities, by trained operators, in 2010 and 2011.
The main constructs measured were attitudes towards the community library, HISB, self-efficacy, and health literacy.
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
4. Results (1)
VariableIntervention communes
Control communes
The role of village library in having a well-informed community on health themes
p=.016
Frequency of intending to borrow a book on a health theme p=.012
Frequency of asking about a book on health themes p=.001
Frequency of borrowing a book on a health theme p=.002
The librarian recommended books on health themes p=.000
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
4. Results (2)
VariableIntervention communes
Control communes
Seeking health info from any source p=.000
Self-efficacy on reading a pamphlet with health info p=.034
Self-efficacy on reading a book or a paraghraph on health issues p=.004
Understanding writen information regarding their medical condition
p=.000
Understanding prospectuses p=.000
Understanding MD’s indications p=.000
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
5. Conclusions The proposed pilot study has been proven
effective in enhancing access to health information in rural areas by ensuring the availability of health information and increasing health information seeking behavior of rural residents.
In terms of the pursued strategies, the framework proposed and implemented at the institutional level was successful in supporting the intervention at the population level.
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
6. AcknowledgementsThis research project was financed through the “Access to Health Information in Rural Areas” Grant, funded by the Romanian Ministry of Education and Research, through the PNII-Idei Program, financing contract 2450/2009.
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
7. Selected references1. Rural Healthy People 2010: Identifying Rural Health Priorities and Models for Practice. Larry Gamn, Linnae Hutchison, Gail Bellamy, Betty Dabney. 1, 2002, The Journal of Rural Health, Vol. 18, pp. 9-14.
2. Library outreach: overcoming health literacy challenges. R. Parker, L. Gary Kreps. 4, 2005, J Med Libr Assoc, Vol. 93, pp. S81-S85.
3. Clarann Weinert, Mary Burman. Rural health and health-seekind behaviors. Annual Review of Nursing Research. New York : Springer Publishing Company, 1994, p. 76.
4. Self-efficacy and health. O'Leary, A. 5, 1985, Behav Res Ther, Vol. 23, pp. 437-451.
5. Health lietarcy: a challenge for American patients and their health care providers. Parker, R. 4, 2000, Health Promot Int, Vol. 15, pp. 277-83.
Public Health and Social Services: Education and Practice conferenceTbilisi, Georgia, June 27th, 2012
Thank you for your attention!
Emanuela Marton-Vasarhelyi, [email protected]
www.healthpolicy.ro
