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Presentation by Jean Shipman at the Health Sciences 'Health Literacy Forum' Libraries October 23, 2009

Presentation by Jean Shipman at the Health Sciences 'Health Literacy Forum' Libraries October 23, 2009

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  • Web-based survey distributed to 7,655 hospital administrators and health care providers using AHA/SHCA membership database 301 surveys completed and analyzed 118 hospital-based administrators 183 hospital-based health care providers Representative sample in terms of hospital type, service area, and size
  • Berkshire Medical Center, Pittsfield, MA Billings Clinic, Billings, MT Good Samaritan Hospital, Los Angeles, CA Lake Hospital System, Painesville, OH Regina Qu’Appelle, Regina, Canada St. Joseph Hospital, Orange, CA St. Vincent Hospital, Indianapolis, IN Stormont-Vail Health Care, Topeka, KS University of South Alabama, Mobile, AL

Health Information Literacy Project Health Information Literacy Project Presentation Transcript

  • Results from the MLA Health Information Literacy (HIL) Research Project* Health Literacy Workshop October 23, 2009 *Sponsored by the Medical Library Association with funding from the National Library of Medicine contract number HHSN276200663511/NO1-LM-6-3511
  • Project Goals
    • Understand administrators’ and health care providers’ value of consumer health information resources and services
    • Increase awareness of health literacy and the use of online health information resources by health care providers and their patients
    • Promote the role of librarians as key providers of health information literacy resources and services
  • Key Activities
    • Survey hospital administrators and health care providers
    • Develop multi-format health literacy curriculum
    • Pilot curriculum with hospital-based libraries
    • Disseminate results
  • Survey
    • Survey by Tap Consulting- Fall 2007
      • Used AHA mailing lists
      • 7655 individuals contacted
      • 2 nd reminder sent
      • Librarians asked to help solicit feedback
      • 4% response rate (n=301)
  • Survey Findings
    • Majority felt provision of consumer health information resources critically important to fulfilling hospital mission
    • General awareness of online consumer health information resources, but little awareness of Information Rx or similar services
    • Majority believed their hospital could improve health literacy by training staff to respond appropriately to patient health information needs
  • Curriculum Pilot
      • Selected nine hospital-based, pilot site libraries from the U.S. and Canada
      • Prepared pilot site librarians via listserv, conference calls, project blog, and working meeting in Indiana
      • Implemented and evaluated curriculum
      • April – September 2008
  • Results of Curriculum Pilot Test
    • Pilot test lasted 4 months
    • 67 sessions offered (35 slated)
    • 1114 providers trained (350 slated)
    • 912 pre/post tests completed (82%)
      • 46% used MedlinePlus prior
      • 91% intend to use after training
      • 6% had used Info Rx prior
      • 52% intent to after training
  • MLANET.org
    • Curriculum available at:
    • www.mlanet.org/resources/healthlit/#1
    • Two PowerPoint program lengths –
      • 40-50 minutes
      • 20-40 minutes
    • Online Tutorial developed
  • MLANET.ORG Site
  • Online Tutorial - free
  • Online Tutorial
  • Online Tutorial (cont.)
  • Evaluation Methods
    • Pre- and post-session evaluations
    • Story-based Info Rx tracking reports
    • Semi-structured feedback collected directly from pilot site librarians
    • 2-month follow-up email survey
    • Project webinar – July 2008
  • Two-Month Follow-Up Evaluation Findings (n=158)
    • 63% used MedlinePlus post training
    • 26% referred patients to hospital library
    • 85% changed their behaviors –
      • Used plain language – 55%
      • Educated self – 48%
      • Educated colleagues – 42%
    • 20% used Info Rx, 127 patients
      • Reasons for not using – forgetting, losing, not having them handy when needed
  • Two-Month Follow-Up Evaluation Findings (cont.)
    • 80% likely or very likely to seek assistance from their librarian re. HIL
    • Who responded –
      • 34% nurses
      • 11% physicians
      • 10.6% administrators and health educators each
      • 6% pharmacists
  • Project Outputs
      • Sessions conducted N=67
      • Number of participants N=1,114
        • Administrators (5%)
        • Nurses (38%)
        • Pharmacists (4%)
        • Physicians (15%)
        • Other (39 %) – residents, social workers, PTs, etc
      • Pre-/post-evaluations collected N=910
  • Project Outcomes
    • Increases in health literacy knowledge
    • Increases in awareness of consumer health information resources
    • Increases in intention to act…
        • to use MedlinePlus
        • to use Info Rx
        • to refer patients to the library
  • Project Outcomes (cont.)
    • More became aware of NLM and MLA resources
    • Librarians seen as educators
    • Consumer info services of value
    • Disseminating results through presentations, papers and word of mouth
  • Lessons Learned
    • √ Create short version of curriculum
    • √ Include more on what providers can do
      • “ Participates were ready for answers”
    • √ Become a champion
      • “ help to open doors especially promotion and recruitment.”
  • Dissemination of Results
    • 8 th & 9 th Annual Health Literacy Conference, CA – Inst for Healthcare Adv.
    • Presentation at IFLA 2009 Annual Meeting, Aug. 2009 and web paper
    • Health administrator journal article on value survey results (pending)
    • Journal of the MLA paper – Oct ’09 issue
    • Conference sessions & presentations
    • Newsletter articles
  • Future
    • Consider public domain and use
    • Create Health Literacy Groups
    • Conduct training in our institutions
    • How curricula differ from others
    • More research publications needed
    • Promote as a public health issue
    • Encourage interdisciplinary approach
  • What can you do?
    • Group discussion on results
    • Local applications
    • Encourage others to take tutorial
    • Look at MLANET.org site for ideas
    • Report what you do to Jean
    • Questions?
  • More To Dos
    • Teach at a local conference
    • Set up journal club or discussion seminars
    • Present at staff meetings or workshops
    • Offer CE credit
    • Include for Magnet applications
    • Get on local radio or TV station
    • Write article for institution’s health news
  • Project Team – Thanks
    • Carla Funk and Jean Shipman, co-PIs
    • Sabrina Kurtz-Rossi, Project Coordinator
    • OERC – Susan Barnes and Cindy Olney
    • Project Advisors – Drs. Elliot Siegel, Rob Logan, Angela Ruffin and NN/LM, MLA Section and Committee representatives
    • Pilot Site Librarians
    • Dr. Kathy Schilling, Indiana University
    • TAP Consulting