plain language on the plains: introduction to health literacy in nebraska
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Plain Language on the Plains: Introduction to Health Literacy in Nebraska. Susan Bockrath, MPH, CHES Steering Committee Chair, Health Literacy Nebraska. Scottsbluff. Kearney. Adults with Below Basic Literacy . Percent (%) across Nebraska. - PowerPoint PPT PresentationTRANSCRIPT
Plain Language on the Plains: Introduction to Health Literacy in Nebraska
Susan Bockrath, MPH, CHESSteering Committee Chair, Health Literacy Nebraska
Health Literacy Nebraska
Scottsbluff
Kearney
Adults with Below Basic Literacy
Low Literacy0
102030405060708090
100
NebraskaSarpyLancasterColfaxCaliforniaNorth Dakota
Percent (%) across Nebraska
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 )
Health Literacy Nebraska
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)
11
Demands of providers and
systems
Skills of patients, clients,
communities
Health Literacy
Demands of providers and
systems
Skills of patients, clients,
communities
etHhla ityeLrac
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)
Predictors of Health Status
Literacy Skills
• Age
• Income
• Employment Status
• Education Level
• Racial or Ethnic Group
14
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
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
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)
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
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
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
www.nalhd.org
MissionTo connect and coordinate health literacy
projects and expertise in Nebraska.
Who is ? • Partnership of:
• Medical providers• Pharmacists• Public Health practitioners• Librarians• Educators • Interpreters• Students• Consumers
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)
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.
Why Join ?
• Be connected to this exciting work!
• Value priced• $20 annually for individual• $100 annually for organization
www.healthliteracyne.org
Resources
Find information and links to health literacy resources at…
www.healthliteracyne.org
www.nalhd.org/healthliteracy