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Health Information Literacy Project


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

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Health Information Literacy Project

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