Health
Literacy
By: Desiree M. Sebastian, RN BSN
Objectives
O 1) To develop awareness of how low

literacy impacts health literacy
O 2) To develop awareness of how health
...
Video Link
IOM Health Literacy Video
Uploaded on Jun 29, 2007

This video provides an overview of the findings from
the 20...
What is Literacy?
O Pre-Civil War: Read and write own name
O 1940‟s (WWII era): Read at 4th grade

reading level
O 1960‟s:...
Literacy Today
O National Adult Literacy Survey 2002:

... “The ability to use printed and written
information to function...
What is Health Literacy?
O IOM, The Agency for Healthcare Research

and Quality
... “The degree to which individuals have ...
How does Low Literacy Impact
Health Literacy?
O Most health materials are written at the

10th grade level or higher
O IOM...
Populations at Risk
O Older adults
O Less than HS education/GED certification
O Racial or ethnic minorities
O Low income s...
Impact of Low Health Literacy
on Health Outcomes
O More likely to say they have poor health
O Less use of preventative ser...
How Can You Assess for Low
Health Literacy?
O Literacy Assessment Tools
O REALM (Rapid Estimate of Adult Literacy

in Medi...
How can HCP improve Health
Literacy?
O Be more aware of potential for low literacy
O Review „Social History‟ in chart
O As...
More “Red Flags”
O Incomplete registration forms
O Frequently missed appointments
O Lack of follow through for tests or re...
Now What?
O Encourage questions
O SLOW DOWN
O Address patient concerns
O Use analogies
O “Arthritis is like a creaky hinge...
O

O

O
O

O

References

AHRQ. (2007). Health Literacy: Program Brief. Agency for Healthcare
Research and Quality. Rockvi...
Group Activity
O As you watch the video, pay attention to the

patient incidents presented.
O After video, we will break u...
Video Link
O http://www.youtube.com/watch?v=BgTuD7l7LG8
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Health literacy p pt ds

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Health literacy p pt ds

  1. 1. Health Literacy By: Desiree M. Sebastian, RN BSN
  2. 2. Objectives O 1) To develop awareness of how low literacy impacts health literacy O 2) To develop awareness of how health literacy affects health outcomes O 3) Recognize those at risk for low health literacy O 4) Identify strategies to improve health literacy in personal practice
  3. 3. Video Link IOM Health Literacy Video Uploaded on Jun 29, 2007 This video provides an overview of the findings from the 2003 IOM report on health literacy. http://www.youtube.com/watch?v=39A9oU-gOOA
  4. 4. What is Literacy? O Pre-Civil War: Read and write own name O 1940‟s (WWII era): Read at 4th grade reading level O 1960‟s: Completed 8th grade Kirsh (2013).
  5. 5. Literacy Today O National Adult Literacy Survey 2002: ... “The ability to use printed and written information to function in society, to achieve one‟s goals, and to develop one‟s knowledge and potential.” (Kirsh, Jungeblut, Jenkins, & Kolstad, 2002, p. 2).
  6. 6. What is Health Literacy? O IOM, The Agency for Healthcare Research and Quality ... “The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate decisions regarding their health.” AHRQ (2007).
  7. 7. How does Low Literacy Impact Health Literacy? O Most health materials are written at the 10th grade level or higher O IOM---Health Literacy Half of all adults in the US have difficulty understanding and using health information Kirsh (2013).
  8. 8. Populations at Risk O Older adults O Less than HS education/GED certification O Racial or ethnic minorities O Low income status O People with compromised health status O English as second language Kirsh (2013).
  9. 9. Impact of Low Health Literacy on Health Outcomes O More likely to say they have poor health O Less use of preventative services O Higher incidence of chronic conditions O Higher rate of ED visits and hospitalizations O Higher healthcare costs Kirsh (2013).
  10. 10. How Can You Assess for Low Health Literacy? O Literacy Assessment Tools O REALM (Rapid Estimate of Adult Literacy in Medicine) AHRQ (2009). O TOFHLA (Test of Functional Health Literacy in Adults) Peppercorn (2013).
  11. 11. How can HCP improve Health Literacy? O Be more aware of potential for low literacy O Review „Social History‟ in chart O Ask how they prefer to receive information O Watch for “Red Flags” O I forgot my glasses O I’ll bring this home and discuss with family O I don’t feel well O I don’t have time today Kirsh (2013).
  12. 12. More “Red Flags” O Incomplete registration forms O Frequently missed appointments O Lack of follow through for tests or referrals O Non-compliance O Medications O Tests O DM related O INR Levels Kirsh (2013).
  13. 13. Now What? O Encourage questions O SLOW DOWN O Address patient concerns O Use analogies O “Arthritis is like a creaky hinge on a door” O Use plain language O “Pain killer” instead of “analgesic” O Use teach-back techniques Kirsh (2013).
  14. 14. O O O O O References AHRQ. (2007). Health Literacy: Program Brief. Agency for Healthcare Research and Quality. Rockville, MD. Retrieved from http://www.ahrq.gov/research/findings/factsheets/literacy/healthlit/ AHRQ. (2009). Health Literacy Measurement Tools: Fact Sheet. Agency for Healthcare Research and Quality. Rockville, MD. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/quality -resources/tools/literacy/index.html Kirsh, Debora (2013). Helping Your Patient‟s Understand. Power Point Presentation. SUNY Upstate College of Nursing. Kirsh, I. S., Jungeblut, A., Jenkins, L.,Kolstad, A. (2002). Adult Literacy in America. A First Look at the Findings of the National Adult Literacy Survey. (3rd ed.). Washington, D.C.: Department of Education. Retrieved from http://nces.ed.gov/pubs93/93275.pdf Peppercorn. (2013). TOHFLA Teaching Version. Peppercorn Books. Retrieved from http://www.peppercornbooks.com/catalog/pdf/tofhla_eng_12pt_websmpl.pdf
  15. 15. Group Activity O As you watch the video, pay attention to the patient incidents presented. O After video, we will break up into 4 groups. O Each group will have 10 minutes to: O Discuss incident presented O Identify problem in the system that allowed incident to occur O Develop plan to correct identified problem in order to prevent future reoccurrence of incident. O Each Group will present problem and possible solution as determined by the group.
  16. 16. Video Link O http://www.youtube.com/watch?v=BgTuD7l7LG8

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