The document introduces the Know Your Numbers program, which aims to improve healthcare staff's alcohol-specific health literacy. It does this through a behavioral change approach that teaches staff to calculate a patient's risk level based on their weekly alcohol units, rather than categorizing them. The program conducted trainings and assessments that demonstrated increased ability to correctly estimate units of alcohol and confidence in discussing alcohol with patients. It produced online trainings, apps, and materials to continue disseminating the Know Your Numbers approach.

1. Introducing Know Your Numbers
Cathy Rule
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2. What is Know Your Numbers?
• Behavioural change approach to alcohol
– own drinking (units/week)
– spectrum of risk
• A number not a category avoids stigma of
‘alcohol dependent’ or ‘alcoholic’
• Like blood pressure, cholesterol, weight - the size of
the risk is relative to the size of the number
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3. Know Your Numbers Principle
• If your staff can’t calculate their own risk level of
drinking (if they drink), they can’t help your patients
to do the same
• Staff with improved knowledge of alcohol units can
ask their patients about their drinking
• Allows them to identify and treat patients
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4. Baseline Results
• Correct Unit Estimation
• Baseline Audit
• July 2014
Starting with a very low
alcohol specific health
literacy
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2.5%
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
Baseline

5. Why is Know Your Numbers
Important?
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• NICE Quality
Standard (QS11) for
alcohol;
Quality Statement 1
• NICE CG115 standard
“Staff … should be
competent to identify
harmful drinking and
alcohol dependence.
They should be
competent to initially
assess the need for an
intervention”

6. Know Your Numbers Project
• Funded by PHE and Wessex AHSN
• Resourced by UHS and University of
Southampton
• Aims to
– improve the alcohol specific health literacy of
healthcare staff
– increase the identification of patients at increased
and higher risk drinking levels
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7. Deliverables
• Produce a package of Know Your Numbers
materials for dissemination
• Raise the alcohol-specific health literacy of
healthcare staff
• To Increase the identification of patients at
increased and higher risk drinking levels
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8. Know Your Numbers Part 1
• September 2014 to
March 2015
• Drink Diaries
• Know Your Numbers Bar
• UHS Open day
• Alcohol Awareness
week
• Mobile trolley to wards
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9. Part 1Results
2.5%
5.4%
15.4%
2.9%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
Baseline Follow-up
Percentage
all respondents respondents with KYN
respondents without KYN
Confidence & Competence
Follow-up Audit
2.9
15.4
7.2
16.5
0
2
4
6
8
10
12
14
16
18
No (N=374) Yes (N=91)
Percentage
Correct Unit Estimation 'very confident' Speaking to Patients
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Correct Unit Estimation -
Baseline July 2014 and Follow-
up March 2015

10. Know Your Numbers Part 2
• July 2015 to January 2016
• Mobile / Tablet / Web
Apps
• Training Documentation
• Leaflet
• Cards
• Know Your Numbers Bar
• Events
– New Forest show
– Alcohol Awareness Week
• Online training
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11. Further Results after online
training / survey at UHS
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• November 2015
• 335 respondents
• Correct estimation of
alcohol content
Considerable
improvement in alcohol
specific health literacy
with repeat training
2.5%
5.4%
37.5%
0.0%
15.4%
72.7%
0.0%
2.9%
32.7%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Baseline 07/14 Follow-up 03/15 Follow-up 11/15
All With KYN Training Without KYN Training

12. Dissemination
• Know your numbers available now
• Use for staff alcohol training
• Increase identification of alcohol patients
• Come to the workshop!
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13. Adopt Know Your Number
• What’s in the KYN Package?
• What results can you get?
• Try it now
• How would you use it?
• Do you want to adopt?
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Innovation Workshops
1345 - 1445
Earl Jellicoe Room

14. Know Your Numbers App
iOS
Android
Web
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wessexahsn.org.uk/WebApp
Need
Google Chrome
or Firefox