SUPPORTING A HEALTHY COMMUNITY

Lydia N. Collins, NN/LM MAR Consumer Health Coordinator

Kathy A. Silks, PA Forward, Project Manager

Agenda• NN/LM MAR and NLM• Health Literacy

• Information Needs of Consumers

• Health Information Resources• MedlinePlus• Drug Resources• Resources for Youth

• Libraries and Health Literacy• Affordable Care Act• Programming

• Questions

NN/LM MAR AND NLM

8 Regional Offices• Support Network members to achieve NN/LM mission• 5-year contracts

Mission• Provide health professionals, K-12 educators and the

general public with equal access to and training on health and science resources

http://nnlm.gov/mar

NN/LM MAR: Your Regional Medical Library

NN/LM MAR Staff

NN/LM MAR

HEALTH LITERACY

Consumer Health – Then and Now…

• 1972 Patient Bill of Rights (American Hospital Association)

Realities of Health Care today:• Patients are now asked to make decisions about their own disease process.

• Most patients do not have the tools to make these kinds of decisions

• Libraries can help!

Evolution of E-Patients

• In 2000, 52 million Americans searched the internet for health

• In 2002, 73 million…

• In 2006, “Googling for a diagnosis” [BMJ]

• In 2006, only one quarter of online health seekers said they always or usually check the source and date of health information online!

In 2009 over 60% of Americans reported searching for health information online and over 60% of these people reported that their online searches impacted their health decisions.

Pew Internet Health Online Study 2013

http://www.pewinternet.org/Reports/2013/Health-online.aspx

What is the strongest predictor of an individual’s health status?

• Age• Income• Employment status• Educations• Literacy skills• Racial/ethnic group

Health Literacy…• The ability to read, understand and act on health

information [Pfizer 2002]

• The degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions [Healthy People 2020]

• The degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions [Patient Protection and Affordable Care Act of 2010, Title V]

PA Forward 5 Literacies

http://www.paforward.org/

Health Literacy

“We ENVISION a Pennsylvania with active citizens able to manage their own and their family’s WELL-BEING, empowered to be EFFECTIVE PARTNERS with their healthcare providers, and living LONGER, MORE PRODUCTIVE lives”

Fill in the blanks• One out of ? American adults reads at the 5th grade level

or below.

one out of 5

• Most Americans read at the 8th to 9th grade level, yet

most health care materials are written above the ? grade level.

10th grade

Health Literacy Skills are Critical!!

• Essential life skill• Public health imperative• Essential part of social capital• Critical economic issue

Sources: “Navigating Health: The Role of Health Literacy”, Kickbusch

The health literacy of America's adults: Results from the 2003 National Assessment of Adult Literacy , Kutner et al

Health literacy: An update of public health and medical literature., rudd et al.

PA Forward Health Literacy Rationale

“Libraries can play an important role in helping citizens manage their own and their family’s well-being, and empower them to be effective partners with their healthcare providers so they can live longer, more productive lives”.http://pala.affiniscape.com/associations/9291/files/LITERACYhealth.pdf

NATIONAL LIBRARY OF MEDICINE RESOURCES

Suitable for ALL ages

Available in English and Spanish

MedlinePlus.gov includes information on:

• Diseases and Conditions• Wellness Issues• Drugs & Supplements• Interactive Tutorials• Anatomy & Surgery Videos• Calculators & Quizzes• Games

and much more…

MedlinePlus.gov

924 English

911 Spanish

924 English

911 Spanish

~1,000 drugs100 supplements

~1,000 drugs100 supplements

164 tutorials78 anatomy videos138 surgery videos

164 tutorials78 anatomy videos138 surgery videos

22 English issues3 bilingual issues22 English issues3 bilingual issues

>40 languages>250 topics>3,300 links

>40 languages>250 topics>3,300 links

Over 100 directories of doctors, hospitals, clinics & libraries

Over 100 directories of doctors, hospitals, clinics & libraries

~ 3,500 articles> 2,000 images~ 3,500 articles> 2,000 images

15-20 stories added daily15-20 stories added daily

1,200 links to ClinicalTrials.gov1,200 links to ClinicalTrials.gov

MedlinePlus

MedlinePlus Health Literacy

http://www.nlm.nih.gov/medlineplus/healthliteracy.html

MedlinePlus Health Literacy cont…

MedlinePlus: Topics of Interest

• Health Insurance• Bullying• Child Safety• Asthma• Obesity• Drugs and Young People• Attention Deficit

Hyperactivity Disorder• Autism• Disaster Preparation and

Recovery• Winter Weather

Emergencies• Mental Health• Stress

• Teen Violence• Social/Family Issues• Environmental Health• Caregivers• Parenting• Homeless Health Concerns• Domestic Violence• Lice• Flu• Conjunctivitis• Learning Disabilities• Teen Development• Veterans Health• Pet Health

MedlinePlus – additional resources

Multiple Languages on Health Topic Pages

Multilingual Materials

NIHSeniorHealth

http://nihseniorhealth.gov/

NIH Senior Health provides health and wellness information for older adults from the National Institutes of Health.

This online resource includes:• Health Topics• Exercise Stories• Health Videos• Trainer’s Toolkit

Pillbox BETA

Pillbox enables rapid identification of unknown solid-dosage medications (tablets/capsules) based on physical characteristics and high-resolution images.

Once a medication is identified, Pillbox provides links to drug information and drug labels.

http://pillbox.nlm.nih.gov/

Drug Information PortalThe NLM Drug Information Portal gives users a

gateway to selected drug information from the U.S.

National Library of Medicine and other key

U.S. Government agencies.

http://druginfo.nlm.nih.gov/drugportal/drugportal.jsp

PubMed Health specializes in reviews of clinical effectiveness research, with easy-to-read summaries for consumers as well as full technical reports.

Clinical effectiveness research finds answers to the question “What works?” in medical and health care. Includes Behind the Headlines section (from England's National Health Service).

http://www.ncbi.nlm.nih.gov/pubmedhealth/

PubMed Health

• Biology• Environmental Health/Chemistry

• Forensics and Medical Technology

• General Health• Genetics• HIV/AIDS• Careers

• Health Information Tutorials

• Lesson Plans• Projects• Spanish-Language Resources

http://sis.nlm.nih.gov/outreach/k12.html

NLM K-12 Science and Health Education Resources

Suitable for ages 7-11

http://toxmystery.nlm.nih.gov/

Toxie the Cat helps children find the hazards hidden in each room and

offers hints when needed.

• Available in English and Spanish

• “For Teachers” section includes 3 lesson plans with student worksheets/activities”

• Parent Resources

ToxMystery

ToxMystery: Garage Scene

Suitable for grades 6-12+

http://toxtown.nlm.nih.gov/

http://www.toxtown.nlm.nih.gov/text_version/teachers6.php

Provides information on:

• Everyday locations where you might find toxic chemicals

• Non-technical descriptions of chemicals

• How the environment can impact human health

• Available in English and Spanish

• Includes an afterschool Science Club Curriculum

Tox Town

Tox Town: City Scene

Suitable for grades 6-12+

http://householdproducts.nlm.nih.gov/

HPD was designed to answer questions such as:

• What’s under your kitchen sink, in your garage, in your bathroom, and on the shelves in your laundry room?

• Do these household products pose a potential health risk to you and your family?

• What are the chemical ingredients and their percentages in specific brands?

• Which products contain specific chemical ingredients?

Household Products Database (HPD)

HPD: Product Categories

http://geneed.nlm.nih.gov/

GeneEd Topics

GeneEd: Biostatistics

LIBRARIES AND HEALTH LITERACY

Encouraging Partnerships

PA Forward: Partner Organizations

http://www.paforward.org/home/partnerssupporters/partnerorganizations.aspx

PA Forward: Partner Organizations cont…

“The Exhibition Program creates lively and informative exhibitions and educational resources that enhance awareness of and appreciation for the collections of the National Library of Medicine. Explore. Discover. Enjoy”.

Topics include:

Medicine & the Arts

Science & Society

Patients & Practitioners

The Technology of Medicine Suitable for grades K-12+

http://www.nlm.nih.gov/hmd/about/exhibition/exhibitions.html

NLM Exhibition Program

http://www.nlm.nih.gov/hmd/about/exhibition/exhibitions.html

NLM Exhibition Topics

Explore the experiences of veterans of the American Civil War with the online exhibit

https://www.nlm.nih.gov/exhibition/lifeandlimb/index.html

Students can learn about:• Wounds of War• Deadly Diseases• Civil War Surgery• Artificial Limbs

and more

Suitable for grades K-12+

Life and Limb: The Toll of the American Civil War

Harry Potter’s World: Renaissance Science, Magic, and Medicine

Harry Potter’s World presents the following instructional resources for the educators in middle-and high-schools, and in higher education institutions. Explore genetics through the characters and creatures featured in Harry Potter!

Includes instructional guides and materials

Suitable for grades 6-12http://www.nlm.nih.gov/exhibition/harrypottersworld/educationResources.html

Frankenstein: Penetrating the Secrets of Nature includes lesson plans for educators in middle-and high-schools. Each lesson plan provides suggested instructional guides and materials that an educator may adapt in whole or in parts as he or she deems most appropriate for the students’ interest, level, and academic goals.

Lesson plans contain background

information, relevant academic topics,

national standards, learning outcomes,

step-by-step procedures, and all

instructional materials that include several

historical primary sources.

Frankenstein Exhibition

Suitable for grades 6-12+http://www.nlm.nih.gov/frankenstein/

MedlinePlus Magazine

A quarterly publication of the Friends of the National Library of Medicine.

Get a free subscription!

Libraries can order in bulk

Spanish available alsohttp://www.nlm.nih.gov/medlineplus/magazine/index.html

http://www.fnlm.org/Program_MLP/MLP_intro.html

NLM Educational & Printed Materials

http://nnlm.gov/mar/training/materials.html

If you are an NN/LM network member in the Middle Atlantic Region (DE, NJ, NY, or PA), you may order brochures online.

Information Rx.org

http://informationrx.org/

Stay Connected: NN/LM MAR

Upcoming Webinars from NN/LM MAR

Click on Upcoming MAR Classes for registration information: http://nnlm.gov/mar/training/

Take-Away Points

1) Help your library users be informed health information searchers

2) Encourage them to ask questions

3) Be an advocate for health

4) Look to NLM for great resources!

5) Contact NN/LM MAR to support your efforts!!

Reflection• Think of the three most important take home

messages from today’s presentation.

• Think of three people to share this information.

Thank You!

This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00003-C with the University of Pittsburgh, Health Sciences Library System.

Lydia Collins, Consumer Health CoordinatorNational Network of Libraries of Medicine,

Middle Atlantic Regionhttp://nnlm.gov/mar/nnlmmar@pitt.edu