Health definitionsGood health or bad Health involves the wholehealth...in a physical person so I guess it’s yourdisease. physical, your psychological, yourDont automatically emotional, and yourthink of emotional spiritual and your social andhealth or psychological your cultural …being pain-health. Physical free ... Health is whathealth...first thing that allows you to do the thingscomes to mind. you want to do freely. (Girvan, 2010)
Health literacy as a clinical risk (Nutbeam, 2008)
Health literacy as a personal asset (Nutbeam, 2008)
Implications of interpreting health literacy as a personal asset• Health literacy transcends the individual.• Health literacy also transcends the clinical encounter.• Individual and systems barriers affecting health literacy.
Systems barriers include• Complex health system• Lack of community-based literacy upgrading programs• Inadequate workplace training & education• Confusing & conflicting health information• Lack of awareness & knowledge about health literacy among health and literacy professionals (Rootman, I. & Gordon-El- Bihbety, D., 2008)
Associated genresClinical risk Personal AssetDirections on a pill MSCC Facebook bottle page engaging & empowering MS sufferers & interested parties
Health 2.0“participatory healthcare. Enabled by information, software, and community that we collect or create, we the patients can be effective partners in our own healthcare, and we the people can participate in reshaping the health system itself” (Eytan, 2008.
MethodsOnline survey questionnaire• 161+ participants invited to particpate• 14 respondentsGenre, document and discourse analysis of 6 health literacy interventions shared by the survey participants.
Genre TypesOne report arising from a project toaddress low literacy rates amongNova Scotias seniors.Five static websites focusing on healthpromotion, knowledge translation,disease prevention, and systemnavigation.
Culture is...“negotiated, unifying, transformative and dynamic” (Lynam et al., 2007: 23)“not static for individuals or for societies”, (Institute of Medicine, 2004: 111)inscribed on genres
MS Facebook PageMSSC maintains the page and uploadslinks; users engage, share, learn, anddebate.
FindingsEmerging health literacy genres, e.g.,Facebook, Twitter, YouTube have led to theconcept of Health 2.0:a partipatory, empowering platform ofhealth communications consistent withNutbeams notion of health literacy as apersonal asset.
ReferencesEytan. T. (2008). The Health 2.0 Definition: Not just the Latest, The Greatest. Accessed January 16, 2011.Girvan, P. (2010). Health Literacy as Capital: Investigating the EAL Teaching Perspective. Unpublished Masters dissertation. University of Birmingham.Institute of Medicine. (2004). Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman, L., Panzer, A. M., Kindig, D. A. (Eds). Washington, DC. The National Academies Press.Nutbeam, D. (2008). The Evolving Concept of Health Literacy. Social Science & Medicine 67. 2072-2078.Rootman, I. & Gordon-El-Bihbety, D. (2008). A Vision for a Health Literate Canada: Report of the Expert Panel on Health Literacy. Canadian Public Health Association.