The Role of Study Circles in Promoting Health Literacy

A Presentation to NIFL Health Literacy Summit Regional Resource Center I Indianapolis, Indiana March 25-26, 2008 Winston Lawrence Ed. D

OVERVIEW OF SESSION

The LAC and context Need for health literacy Why study circle ? A different approach to instruction Study circles in action Other Initiatives

Literacy Assistance Center (LAC)

Professional Staff Development(ESOL, ABE, GED, Family literacy, Health literacy) New York City Regional Adult Education Network (RAEN)ASSITS Database

Demographics

New York City – Population 7MEstimated : 1.5M need adult literacy servicesLiteracy students served – 60,000Adult ESOL – 60%Languages served in K-12 – 178

Need for Health Literacy

LAC brought to issue through Mayor’s Office

Large number of low income citizens not accessing free/low cost health insurance

How could LAC assist in addressing the issue?

Why Study Circle?

Need to train teachers in new approach Traditional approach - teachers teach

some health content – e.g. asthma Teachers teach topics they are

comfortable with The teacher attempts to be the expert Health literacy instruction depends on the

teacher’s interest

A DIFFERENT CONCEPTUAL DESIGN – Health Literacy Model

Developed by Dr Rima Rudd and team from National Center for the Study of Adult Learning and Literacy (NCSALL) and Harvard School of Public Health

Instructional focus is on health tasks and underlying skills

Teacher’s literacy instructional strength is maximized

What is the new model?

Three (3) critical areas of health related tasks HEALTHCARE ACCESS AND NAVIGATION

CHRONIC DISEASE MANAGEMENT

DISEASE PREVENTION AND SCREENING

Why were these three areas chosen?

Chosen because they have been highlighted as areas of the greatest health disparities in the US affecting literacy students.

Examples of health tasks

Using an automated telephone Offering informed consent Making appointments with the doctor Reading prescription labels Advocating for self and others Engaging in disease screening

Examples of underlying skills

Language - oral, listening Literacy - reading, writing Numeracy (math) Problem solving, Communication, Advocacy

Health-related tasks and underlying skills

Using automated telephone (oral) Reading prescription labels

(reading) Taking tests (reading, writing, math)

How do teachers learn the new approach? Professional Development Model

NCSALL has identified the Study Circle as an effective professional development tool for teachers.

SC provides an opportunity for teachers to translate theories and research into practice

What is a study circle?

Participants reflect and discuss: Their contexts and experiences in relation

to the topic Theories and concepts from the research

or readings about the topic. Their ideas about implications of these

theories and concepts for practice, policy and further research.

The Health Literacy Study Circle PLUS

TEACHERS

Explore students’ needs and interests in relation to the topic

Try out sample lessons and develop their own lessons

Develop plans for implementing skills- based teaching.

Study Circle Sessions

Duration : 3 – 5 sessions

Typical session: Introductory activities

Discussion and analysis – bulk of time

Planning activities

Closure activities

Partnerships – A complement

* Students learn first hand about US health system

Literacy programs have opportunity to enhance instructional capability of health personnel

Collaboration increases community capacity Health agencies have opportunity to reach

wider community with health message.

Study circles activities - Summary

* Trained more than 200 teachers* Established more than 20 partnerships Teachers have had opportunities to

experience professional growth Impacted at least 6,000 students –(and

their families) Given program managers confidence in PD

(evidence based)

Evaluation Comments from Teachers

“I became so interested in this subject that I found it hard to leave the material and go on with my other curriculum”

“This approach opened up a lot for me. It made me think about what it means to do skills-based teaching for health or anything else”

Evaluation Comments from Students

‘I feel comfortable. I’m not afraid”

“I don’t need to visit doctor because I can ask questions on phone. Feel confident”

Other Initiatives

* NY State Education Department WIA Title II RFP

Mayor’s Office of Adult Education

Health Literacy Fellowship Program Health Literacy Campaign

MORE INFORMATION

Winston Lawrence Ed. D Literacy Assistance Center New York, New York 10004 Winstonl@lacnyc.org Tel: 212-803-3326 Website: www.lacnyc.org