5/23/2010




    Improving Health Literacy
             through
      Clear Communication
       ___________________
    ...
5/23/2010




  Challenges …
  • 93 million or 47 % of U.S. adults perform at
    the lowest level of literacy (NALS 2003)...
5/23/2010




Effective Communication
           – a tool to improve health literacy

                        Audience


 ...
5/23/2010




Message and communication effectiveness:
• Message
      - Client focused?
      - Relevance?
      - Accura...
5/23/2010




Subject to interpretation?

- Practice safe sex
- Use protection
- Avoid drugs
- Know your status




Subjec...
5/23/2010




Subject to interpretation?

- Practice safe sex
- Use protection
- Avoid drugs
- Know your status




Subjec...
5/23/2010




Subject to interpretation?

- Drink plenty of water
- Eat a low sodium diet
- Eat plenty of fiber
- Get plen...
5/23/2010




Subject to interpretation?

- Apply locally
- It may have adverse effects
- Take on an empty stomach
- Take ...
5/23/2010




 Why do we care?
 … Health Literacy is essential to the
     prevention and treatment of HIV/AIDS!




     ...
5/23/2010




 Tailor your message . . .




Tailor your message . . .




Tailor your message . . .




                 ...
5/23/2010




    Tailor your message . . .




We must improve health literacy to enable
our community
- to understand,
-...
5/23/2010




   Lets all try harder to communicate
            more effectively …


         Thank you for your time toda...
5/23/2010




Helpful Resources (contd):
National Cancer Institute. (1994; revised 2003). Clear & Simple:
Developing Effec...
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Health Literacy through Clear Communication, TX HIV/AIDS Conference

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Health Literacy through Clear Communication, TX HIV/AIDS Conference

  1. 1. 5/23/2010 Improving Health Literacy through Clear Communication ___________________ Manisha H. Maskay, Ph.D. Kim Whatley, B.A. 17th TEXAS HIV/STD CONFERENCE May 25, 2010 Health Literacy: 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 2010 Health Literacy impacts -Health Promotion -Health Protection -Disease Prevention -Health Care and Health Maintenance -Navigation Literacy and Health in America, ETS 2004 1
  2. 2. 5/23/2010 Challenges … • 93 million or 47 % of U.S. adults perform at the lowest level of literacy (NALS 2003) • 19 % of US adults had skills at the lowest level of the Health Activity Literacy Scale (HALS 2003) - Approx ½ of those 65 + scored at the lowest levels Challenges contd … • Health care relies heavily on the written and spoken word to communicate information. • Health care consumers must “read to do”. • Health materials are written at reading grade levels that far exceed the average reading skills of high school graduates. • Health professionals do not use language which is easy to understand. Source: Health Literacy - A Prescription to End Confusion, Institute of Medicine, 2004 2
  3. 3. 5/23/2010 Effective Communication – a tool to improve health literacy Audience Receipt Message Delivery Messenger Enhance Communication! Explain Context Categorize Illustrate and Demonstrate Show Empathy - Be respectful - Address embarrassment - Invite interaction - Promote self efficacy - Pay attention - Slow down Enhance Communication! Use plain language - fancy words do not help - logical order - clear - active voice - everyday language/common words - short words/short sentences - explain hard words - no jargon Stay focused and on message - key points - begin and end with most important 3
  4. 4. 5/23/2010 Message and communication effectiveness: • Message - Client focused? - Relevance? - Accuracy ? - Clarity? - Client feedback? Message & communication effectiveness: • Written - Accuracy - R d bilit Readability - Organization - Appearance print – font size, color background – color, white space - Suitability for audience Message & communication effectiveness • Verbal - Accuracy - Clarity - Organization - Suitability for audience - Credibility of person delivering message - Delivery 4
  5. 5. 5/23/2010 Subject to interpretation? - Practice safe sex - Use protection - Avoid drugs - Know your status Subject to interpretation? - Practice safe sex - Use protection - Avoid drugs - Know your status Subject to interpretation? - Practice safe sex - Use protection - Avoid drugs - Know your status 5
  6. 6. 5/23/2010 Subject to interpretation? - Practice safe sex - Use protection - Avoid drugs - Know your status Subject to interpretation? - Drink plenty of water - Eat a low sodium diet - Eat plenty of fiber - Get plenty of exercise Subject to interpretation? - Drink plenty of water - Eat a low sodium diet - Eat plenty of fiber - Get plenty of exercise 6
  7. 7. 5/23/2010 Subject to interpretation? - Drink plenty of water - Eat a low sodium diet - Eat plenty of fiber - Get plenty of exercise Subject to interpretation? - Drink plenty of water - Eat a low sodium diet - Eat plenty of fiber - Get plenty of exercise Subject to interpretation? - Apply locally - It may have adverse effects - Take on an empty stomach - Take as needed 7
  8. 8. 5/23/2010 Subject to interpretation? - Apply locally - It may have adverse effects - Take on an empty stomach - Take as needed Subject to interpretation? - Apply locally - It may have adverse effects - Take on an empty stomach - Take as needed Subject to interpretation? - Apply locally - It may have adverse effects - Take on an empty stomach - Take as needed 8
  9. 9. 5/23/2010 Why do we care? … Health Literacy is essential to the prevention and treatment of HIV/AIDS! Persons Living with HIV/AIDS in Texas Total 63,109 100 % Status HIV 26,827 43  % AIDS 36,191 57 % Gender Male  49,224 78 % Female 13,795 22 % Race/ White 22,405 36 % Ethnicity Black 23,986 38 % Hispanic 15,906 25 % Asian‐Pacific islander 531 … American Indian ‐Alaskan Native American Indian Alaskan Nati e 105 … Multi‐racial/Not Specified 87 … Age Under 2 24 … 2‐12 242 … 13‐24 2,787 4 % 25‐44 31,960 51 % 45+ 28,007 45 % Mode of  MSM 33,914 54 % Transmission IDU 9,631 15 % MSM/IDU. 4,516 7 % Heterosexual 14,066 22 % Perinatal/Other 530/363 1 % Adapted from: Texas Dept of State Health Services 2010 TX Integrated Epidemiologic Profile for HIV/AIDS Prevention and Services Planning, April 2010. Tailor messages to specific needs: Assess whether messages - Resonate with, engage, and meet the needs of your audience? di ? - Communicate key information? - Achieve the desired effect? - improved understanding and knowledge - change in attitude - change in behavior 9
  10. 10. 5/23/2010 Tailor your message . . . Tailor your message . . . Tailor your message . . . 10
  11. 11. 5/23/2010 Tailor your message . . . We must improve health literacy to enable our community - to understand, - to learn, and learn - to do …what is necessary to be healthy and safe! Understanding is a two-way street … Eleanor Roosevelt 11
  12. 12. 5/23/2010 Lets all try harder to communicate more effectively … Thank you for your time today! Helpful Resources: Centers for Disease Control and Prevention, Marketing and Communications Strategy Branch. (2009). What We Know About Health Literacy. www.cdc.gov/healthmarketing/ resources.htm Accessed April 12, 2010. Centers for Disease Control and Prevention. Health Literacy for C f Di C l dP i H l h Li f Public Health Professionals Course. www2a.cdc.gov/TCEOnline/registration/detailpage.asp?res_id= 2074 Accessed April 12, 2010. Doak CC, Doak LG, Root JH. Teaching Patients with Low Literacy Skills. 2nd Edition. 1996. www.hsph.harvard.edu/healthliteracy/resources/doak- book/index.html Accessed May 23, 2010. Helpful Resources (contd): Institute of Medicine. (2004). Health Literacy: A Prescription to End Confusion. Washington, DC: National Academies Press. Kutner, M., Greenberg, E., Jin,Y., and Paulsen, C. (2006). The Health Literacy of America’s Adults: Results From the 2003 National Assessment of Adult Literacy (NCES 2006–483). U S N ti lA t f Ad lt Lit 2006 483) U.S. Department of Education. Washington, DC: National Center for Education Statistics. National Cancer Institute. (2008). Making Health Communication Programs Work. U.S. Dept of Health and Human Services. www.cancer.gov/pinkbook Accessed May 23, 2010. 12
  13. 13. 5/23/2010 Helpful Resources (contd): National Cancer Institute. (1994; revised 2003). Clear & Simple: Developing Effective Print Materials for Low-Literate Readers. U.S. Dept of Health and Human Services. 1994; revised 2003 www.cancer.gov/aboutnci/oc/clear-and-simple Accessed May 23, 2010. 23 2010 Rudd RE, Kirsch I, Yamamoto K. Literacy and Health in America. ETS Policy Report #19. Princeton NJ: Educational Testing Services. 2004. www.ets.org/Media/Research/pdf/PICHEATH.pdf Accessed May 23, 2010. Multimedia American Medical Association. Health Literacy Educational Kit 2007. 13

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