best practices in health literacy
TRANSCRIPT
Health LiteracyWorking Group
Best Practices: Approaches to Assessment
Peggy Sissel-Phelan, Ed.D.
December 1, 2010
Health literacy allows the public and personnel
working in all health-related contexts to find, understand,
evaluate, communicate, and use information. Health
literacy is the use of a wide range of skills that improve the
ability of people to act on information in order to live
healthier lives. These skills include reading, writing,
listening, speaking, numeracy, and critical analysis, as well
as communication and interaction skills.
(Calgary Charter on Health Literacy, 2008)
Health Literacy Defined
Health literacy allows the public and personnel
working in all health-related contexts to find, understand,
evaluate, communicate, and use information. Health
literacy is the use of a wide range of skills that improve
the ability of people to act on information in order to live
healthier lives. These skills include reading, writing,
listening, speaking, numeracy, and critical analysis, as
well as communication and interaction skills.
(Calgary Charter on Health Literacy, 2008)
Health Literacy Operationalized
ROLES
Health literacy allows the public and personnel
working in all health-related contexts to find, understand,
evaluate, communicate, and use information. Health
literacy is the use of a wide range of skills that improve
the ability of people to act on information in order to live
healthier lives. These skills include reading, writing,
listening, speaking, numeracy, and critical analysis, as
well as communication and interaction skills.
(Calgary Charter on Health Literacy, 2008)
Health literacy allows the public and personnel
working in all health-related contexts to find, understand,
evaluate, communicate, and use information. Health
literacy is the use of a wide range of skills that improve
the ability of people to act on information in order to live
healthier lives. These skills include reading, writing,
listening, speaking, numeracy, and critical analysis, as
well as communication and interaction skills.
(Calgary Charter on Health Literacy, 2008)
Health Literacy Operationalized
Health literacy allows the public and personnel
working in all health-related contexts to find, understand,
evaluate, communicate, and use information. Health
literacy is the use of a wide range of skills that improve
the ability of people to act on information in order to live
healthier lives. These skills include reading, writing,
listening, speaking, numeracy, and critical analysis, as
well as communication and interaction skills.
(Calgary Charter on Health Literacy, 2008)
Health literacy allows the public and personnel
working in all health-related contexts to find, understand,
evaluate, communicate, and use information. Health
literacy is the use of a wide range of skills that improve
the ability of people to act on information in order to live
healthier lives. These skills include reading, writing,
listening, speaking, numeracy, and critical analysis, as
well as communication and interaction skills.
(Calgary Charter on Health Literacy, 2008)
ROLES METHODS
Health literacy allows the public and personnel
working in all health-related contexts to find, understand,
evaluate, communicate, and use information. Health
literacy is the use of a wide range of skills that improve
the ability of people to act on information in order to live
healthier lives. These skills include reading, writing,
listening, speaking, numeracy, and critical analysis, as
well as communication and interaction skills.
(Calgary Charter on Health Literacy, 2008)
Health Literacy Operationalized
ROLES
Health literacy allows the public and personnel
working in all health-related contexts to find, understand,
evaluate, communicate, and use information. Health
literacy is the use of a wide range of skills that improve
the ability of people to act on information in order to live
healthier lives. These skills include reading, writing,
listening, speaking, numeracy, and critical analysis, as
well as communication and interaction skills.
(Calgary Charter on Health Literacy, 2008)
OUTCOMES METHODS
Level of understanding OF health contexts
• Clinical/Self help
• Access/Navigation
• Prevention/Treatment
• Chronic/Acute
• Emergency/Routine
Patients ~ Bring varied “ability to act on information to improve health” due to
Level of skills IN
health contexts
• Locating
• Decoding
• Inferring
• Formulating questions
• Interpreting
Varied understanding
of their patients’ health
contexts
• Clinical/Self help
• Access/Navigation
• Prevention/Treatment
• Chronic/Acute
• Emergency/Routine
Providers ~Vary in “ability to help patients find, understand, evaluate, communicate, and use information” due to
Varied level of skills
that help enable their
patients in
• Locating
• Decoding
• Inferring
• Formulating questions
• Interpreting
Varied understanding
of their patients’ health
contexts
• Clinical/Self help
• Access/Navigation
• Prevention/Treatment
• Chronic/Acute
• Emergency/Routine
Providers ~Vary in “ability to help patients find, understand, evaluate, communicate, and use information” due to
Varied level of skills
that help enable their
patients in
• Locating
• Decoding
• Inferring
• Formulating questions
• Interpreting
The Core of Best Practice
Cultural
Competency
Methods
CulturalCompetency
Roles Outcomes
Components of Best Practices
Components of Best Practice Methods
CulturalCompetency
Roles Outcomes
Tools
Training Systems
Components of Best Practice Tools
CulturalCompetency
Training Systems
Materials Means
Supports &Services
Clinical Interaction
Policies
Processes
Tools
Plain Language
Components of Best Practice
Addresses varied health contexts
Plain Language
in accessible ways
Locate Decode Question Understand
Health Information
and Health
so patients are better able to
Passive sentences
Long paragraphs
Poly-syllable words
Clinical language
Past/mixed tense
3rd person (they, s/he)
Active sentences
Short paragraphs
Mono or bi-syllable
Colloquial language
Present tense
2nd or 1st person (you, I)
Plain Language and Health
Plain Writing Act of 2010 (Public Law No: 111-274)
• Federal agencies must use “plain writing” • All “covered documents” issued to public
• ~ Letters, publications, forms, notices, instructions• ~ Anything relevant to federal benefits or requirements
• Signed Oct. 13, 2010; begins in 1 year
Plain Language: It’s the Law
http://www. plainlanguage.gov
Plain Language
Plain Language
http://www.nih.gov/clearcommunication/plainlanguage.htm