Increasing Health Literacy in Communication Sciences and ...

Increasing Health Literacy in Communication Sciences and ...

Educating Low Literacy Clients About the Professions Using EHealth Technology Silvia Martinez, Ed. D., CCC-SLP, PI Tara Smith, M.A., CCC-SLP, Doctoral Student Martine Ellie, M. S., CCC-SLP, Doctoral Student Howard University Collaborators

Janice Trent, M. A. CCC-A, Howard University Speech and Hearing Clinic Margarita Bautista-Vigas, M. A. CCC-S, Scottish Rite Center for Childhood Language Disorders Learner Outcomes

Describe different health barriers among minorities as described by Healthy People 2000/2010 and impact to the professions Summarize literacy issues as they relate to patient education and methods to address them Learner Outcomes Describe how to develop and use webbased materials to educate patients

regarding nature of communication, communication disorders and treatment approaches Healthy People 2000/2010 Access to Health Care Leading Health Indicators

Health insurance Higher income levels Regular primary care provider or other source of ongoing health care Health Disparities Barriers to Access

Financial Barriers Structural Barriers Personal Barriers or call 1-800-367-4725. Structural Barriers Lack of Service Providers to meet the needs of clients Only 2.5% of Speech-Language Pathologists and 1.8% of Audiologists identify their ethnicity as Hispanic

Not all Hispanic professionals are Spanish proficient Structural Barriers Time demands of service providers, and particularly of those serving bilingual populations preclude them from entirely meeting all of their clients individual needs

Personal Barriers Language barriers Lack of knowledge about health procedures Language Barriers

Barriers caused by low literacy rates in immigrant Hispanics and African Americans because of inadequate education attainment in Spanish and/or English Barriers faced with Hispanics because of their limited oral English proficiencies or limited Spanish proficiencies in service providers Literacy and Patient Education An exercise

Literacy Issues The Center for Health Care Strategies has estimated that minorities and immigrants (50% Hispanics and 40% Blacks) have disproportionate literacy problems, which increase their health risks.

In Washington, D. C., adult education levels in the site communities are the second lowest with only 68.4% reporting having a High School education. Literacy Issues As reported by the National Library of Medicine (NLM), studies state that onethird of English-speaking patients at two

public hospitals were unable to read basic health materials. NLM also reports a Medicare finding that 34% of the English speaking and 54% of the Spanish speaking patients had inadequate or marginal health literacy Literacy Issues The Institute for Healthcare Advancement summarized from

research that written health materials: usually appear at the 10th grade level or higher (above average abilities), that they include too much information and no explanation of uncommon words, and that treatments are accompanied by complex instructions Internet and Literacy Berland, et. Al (2001) Journal of American Medical Association

18 English-language health Web sites (6 general health, 12 condition-specific) and 7 Spanish-language Web sites (3 general health, 4 condition-specific). Most Web-based health information will be difficult for the average consumer to understand: Half of the English-language materials are written at the college level, and all were at least a tenth-grade reading level. Forty percent of the Spanish-language materials are written at the

college level, almost all were written at least a ninth-grade reading level Health Information on the Internet: Accessibility, Quality, and Readability in English and Spanish, Journal of the American Medical Association, Vol. 285, No. 20, May 23 2001, pp. 2612-2621 Health Literacy The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate

health decisions. Definition of Health Literacy Healthy People 2010 Health Literacy Measures Rapid Estimate of Adult Literacy in Medicine (REALM) Screener to assess ability to read common medical words of body parts and

illnesses (2-3 mins. to assess). Participants read words (different numbers of syllables) in columns Test of Functional Health Literacy in Adults (TOFHLA) (also in Spanish) (22 mins) tests numerical abilities and comprehension using Cloze procedures Readability Measures Readability Formulas more than 40 formulas SMOG counts words with 3 or more syllables in 30 sentences

Flesch-Kincaid Grade Level Index found with your Microsoft Word software, grammar check Flesch-Kincaid Formula average number of syllables/word and average number of words/sentences Fry Readability 3 samples of 100 words and count number of sentences and words (Spanish also) Lexile Measures average sentences length and word familiarity (software) (Spanish also) Problems with Readability Measures

Surface Characteristics scores rely on surface characteristics, but comprehension and learning depend on more in the text Readers cognitive aptitudes scores do not consider knowledge, language skills and

other cognitive aptitudes (interaction of reader and text) Cohesion and coherences readability scores do not necessarily correlate with text cohesion. Alternatives http://cdc.gove/od/ads/smog.htm Replacement words

Allowing letting By telephone by phone Commonly most often

Convenient handy Decision ? Several ? Evidence ? Receive - ? Understand - ? In addition - ? Resources

Guidelines for Patient Education Written Materials: An authors guide Health and Literacy Compendium Health Information Handouts Used at UCSF Homeless Clinic

Information from Your Family Doctor Harvard School of Public Health, Health Literacy Studies National Cancer Institute, Making Health Comm. Progs Work www.cancer.gove Resources

Lister Hill Library Internet MEDLINE Training Site Literacy: Working through Literacy Barriers Michigan Adult Learning &Technology Center: Health Literacy Patient Education Resources for Clinicians, OHSU Libraries http// Nationl Network of Libraries of Medicine, Consumer Health

Fotonovelas Use stories to convey a message similar to comic books. Relate a story using photographs and dialogue boxes or bubbles containing simple language.

Format takes advantage of the strong oral traditions of both African Americans and Hispanics Fotonovelas and Education

Have been used successfully internationally and in the United States for health education. In this project, the photographs will also be accompanied by voice-overs in English and in Spanish separately. Will be produced using PowerPoint software since it is a program that is readily available and does not impose memory, speed and storage demands on computers. Furthermore, hardcopies may be printed for clients.

The Typical Fotonovela RURAL WOMENS HEALTH PROJECT STD Prevention The Typical Fotonovela RURAL WOMENS HEALTH PROJECT Condom Use Howard University Project Project HealthStories: Talking Fotonovelas for Low Literacy Culturally and Linguistically Diverse Populations Funding:

ASHA Multicultural Projects Grant Goals This project will reduce structural and language barriers by developing culturally and linguistically appropriate web-based materials to: Increase the knowledge of African Americans and Hispanic populations about professional issues and services. Meet the needs of health providers with materials to complement and enhance their services. Research the effectiveness of web-based materials

Knowledge increase Knowledge retention Process Focus Groups Speech and Language Pathologists 1. 2. 3. 4. 5.

6. 7. 8. 9. 10. 11. 12. Parent language stimulation activities for ages 0-3 (7) Services available at school (7) How to read a book (6) How speech and language problems impact education (6)

Stages of speech and language development (5) Relaxation exercises (5) Importance of keeping native language (5) Enhancing fluency in the preschool population (4) How children learn a second language (4) How is my child going to learn English (3) What to expect (Diagnostic Procress) (3) Play (3) Focus Groups Audiologists (conversation) 1.

Importance of Screening/Follow-up for Babies 2. 3. 4. 5. 6. 7.

8. 9. OAE ABR Tymps Basic Audio Instructions What is a Hearing Aid? Hearing Aid Use Sings of Hearing Loss in Children Hearing Aid Evaluation

Hearing Loss and Noise Signs and Symptoms of Hearing Loss Communicative Strategies Production Production Worksheet Story Board Worksheet Script Worksheet

Research Summative and formative evaluation purposes Service providers and participants will be asked questions regarding facility of use and satisfaction Health knowledge attained using pre & post test

Retention of knowledge- After 30 days, participants will be interviewed Our Website Project: HealthStories Questions and Comments??

Recently Viewed Presentations

  • Wuthering Heights

    Wuthering Heights

    What can you say about Bronte's lexical patterning? What do you think is being described here? Novel, Genre: Romanticism / Realism / Gothic (mysterious family relationships, vulnerable heroines, secrets, wild landscapes). Setting: Yorkshire, England, late 18th/early 19th century.
  • Chapter 7

    Chapter 7

    Volcanic island arcs. Intrusive igneous rocks. Ocean-to-Ocean Subduction . An oceanic plate is subducted beneath another oceanic plate, forming a deep-sea trench, with an associated basaltic volcanic island arc. REPLACE FIGURE (Fig. 7-43b)
  • Microsoft Publisher 2010

    Microsoft Publisher 2010

    Microsoft Publisher 2010. Lesson 3. Text in Publications. Prepare layout for a publication. Develop text boxes for a publication. Use bullets and numbering in a publication. Check spelling and copy formats in a publication. Create tables in publications.
  • Keeping Control - Newcastle University

    Keeping Control - Newcastle University

    We would need strong reasons for changing, see previous slide. However, we are very interested in the opportunities that Stack/Moodle can give and would like to explore the these in more depth and arrive at a decision based upon more...
  • C# Control Statements part 1 (Based on Deitel

    C# Control Statements part 1 (Based on Deitel

    Sentinel value. In computer programming, a sentinel value (also referred to as a flag . value, trip value, rogue value, signal value, or dummy data) is a special . value in the context of an algorithm which uses its presence...
  • Life Boot Camp

    Life Boot Camp

    Which of the following adaptations would probably help a plant survive in the desert? ... Western gorilla. 121. Which animal most likely has the characteristics described below:1. Feet covered in hair for protection against extreme temperatures2.
  • Characterize groundwater quality in area engaged in unconventional

    Characterize groundwater quality in area engaged in unconventional

    -Method development for the detection and quantification of multiple analytes-Highly sensitive detection thresholds and screening applications allow for data to be collected rapidly, accurately and cost-effectively. More data equates to more informed decisions.
  • The Spread of Islam - Polk County School District

    The Spread of Islam - Polk County School District

    They served the caliph as troops in the army. The Turks supported Islamic law, but their growing power caused a shift away from the caliph. Eventually, a sultan came to rule the Turks. At this point the caliph still played...