Plain Language on the Plains: Introduction to Health Literacy in Nebraska
description
Transcript of Plain Language on the Plains: Introduction to Health Literacy in Nebraska
![Page 1: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/1.jpg)
Plain Language on the Plains: Introduction to Health Literacy in Nebraska
Susan Bockrath, MPH, CHESSteering Committee Chair, Health Literacy Nebraska
Health Literacy Nebraska
![Page 2: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/2.jpg)
![Page 3: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/3.jpg)
![Page 4: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/4.jpg)
Scottsbluff
![Page 5: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/5.jpg)
Kearney
![Page 6: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/6.jpg)
Adults with Below Basic Literacy
Low Literacy0
102030405060708090
100
NebraskaSarpyLancasterColfaxCaliforniaNorth Dakota
Percent (%) across Nebraska
![Page 7: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/7.jpg)
Proficient (12%): Define medical terms from complex document, calculate share of employee health insurance. Intermediate (53%): Determine healthy weight from body mass index (BMI) chart, interpret prescription and over-the-counter drug labels.Basic (22%): Understand simple patient education handout.Below Basic (14%): Circle date on appointment slip. Understand simple pamphlet about pre-test instructions.
Health Literacy in America (NAAL 2003 Data)
(Kutner, Greenberg, Jin, & Paulsen, 2006 )
![Page 8: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/8.jpg)
Health Literacy Nebraska
![Page 9: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/9.jpg)
![Page 10: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/10.jpg)
Health Literacy Literacy Demands
Systems & Organizatio
ns
Provider Skills &
Experience
Patient Skills &
Experience
“Health literacy allows the public and personnel working in all health-related contexts to
• find,
• understand,
• evaluate,
• communicate, and
• use information.”
(Calgary Charter, 2008)
![Page 11: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/11.jpg)
11
Demands of providers and
systems
Skills of patients, clients,
communities
Health Literacy
![Page 12: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/12.jpg)
Demands of providers and
systems
Skills of patients, clients,
communities
etHhla ityeLrac
![Page 13: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/13.jpg)
How much does Health Literacy matter?
• Limited literacy and health literacy are associated with negative health outcomes, less knowledge of medical conditions, less use of preventive services, poor disease self management, treatment mistakes, increased hospitalization and hospital readmissions, and death.(DeWalt, Berkman, Sheridan, Lohr, Pignone, 2004)
![Page 14: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/14.jpg)
Predictors of Health Status
Literacy Skills
• Age
• Income
• Employment Status
• Education Level
• Racial or Ethnic Group
14
![Page 15: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/15.jpg)
Strong Associations BetweenHealth Literacy and…
15
Lower educational attainment
Limited exposure to higher-level language
Limited baseline knowledge
Racial or ethnic minority
Consistent with other health disparities
Older ageDiminished cognitive
functionIncreased medical
encounters as one agesDifferent expectations
related to patient/provider roles
![Page 16: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/16.jpg)
Not attending to Health Literacy Costs Money
Estimated annual health care costs for people with low literacy are 4 times higher than for those with higher literacy skills.
(Weiss, 1999) Comparative Costs
Low Liter-acyHigher Literacy
16
![Page 17: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/17.jpg)
5060
7080
9010
0P
erce
nt A
live
0 20 40 60 80Months
AdequateMarginalInadequate
Adjusted HR 1.52 (95% CI 1.26 -1.83)
Inadequate vs Adequate
Not Attending to Health Literacy Costs Lives
17
(Baker, Wolf, Feinglass, Thompson, Gazmararian, Huang, 2007)
![Page 18: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/18.jpg)
Health Literate Strategies• Plain Language• Easy-to-Read• Examples & Visuals• Brown Bag Checks• Teach Back• Ask Me 3• Interpreters
18
Literacy Demands
Systems & Organizati
ons
Provider Skills &
Experience
Patient Skills &
Experience
![Page 19: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/19.jpg)
Health Literate Strategies
Literacy Demands
Systems & Organizati
ons
Provider Skills &
Experience
Patient Skills &
Experience
• Plain Language• Easy-to-Read• Examples & Visuals• Brown Bag Checks• Teach Back• Ask Me 3• Interpreters
19
![Page 20: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/20.jpg)
![Page 21: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/21.jpg)
![Page 22: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/22.jpg)
Work to Date• 230 local and tribal health department staff participated in a baseline
survey assessing their perceptions related to the health literacy.
• Project staff visited 19 sites where over 144 staff took part in on-site trainings introducing health literacy and in focus groups and interviews.
OPIHL project staff established a Health Literacy Listserv for collaboration specific to health literacy
Project staff has provided Health Literate Writers’ Workshops in 4 communities across the state. More than 100 health department staff and community partners participated in these workshops between May 1 and August 1, 2013. A fifth workshop is scheduled in September 2013.
All participating health departments have been trained in and have at least one license to use Health Literacy Advisor software
![Page 24: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/24.jpg)
MissionTo connect and coordinate health literacy
projects and expertise in Nebraska.
![Page 25: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/25.jpg)
Who is ? • Partnership of:
• Medical providers• Pharmacists• Public Health practitioners• Librarians• Educators • Interpreters• Students• Consumers
![Page 26: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/26.jpg)
What do we do?Connect Nebraskans interested in improving health literacy
• Bi-annual Summit
• Multi-disciplinary work groups
• Health literacy training
• Including health literacy items on Behavioral Risk Factor Surveillance Survey (BRFSS)
![Page 27: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/27.jpg)
More of what ht does…• Nebraska-focused training opportunities…..
• Quarterly newsletter coming soon.
• Developing state-level data:
• With partners, ensuring that 2013-2014 Behavioral Risk Factor Surveillance Survey (BRFSS) in Nebraska includes 3 questions about health literacy.
• Completed a provider survey in 2012 asking about health literacy perceptions.
![Page 28: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/28.jpg)
Why Join ?
• Be connected to this exciting work!
• Value priced• $20 annually for individual• $100 annually for organization
![Page 30: Plain Language on the Plains: Introduction to Health Literacy in Nebraska](https://reader036.fdocuments.in/reader036/viewer/2022070421/56816247550346895dd2855a/html5/thumbnails/30.jpg)
Resources
Find information and links to health literacy resources at…
www.healthliteracyne.org
www.nalhd.org/healthliteracy