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Transcript of Introduction to Health Information Literacy Developed by the Medical Library Association under...
Introduction to Health Information Literacy
Developed by the Medical Library Association under contract and working with the National Library of Medicine
April 2008
Learning Objectives
Describe the impact low health literacy has on quality patient care
Define health information literacy and the challenges patients and consumer face
List five Internet-based consumer health information resources
Demonstrate the ability to use ‘information Rx’ to improve health literacy
Describe the health information literacy services provided your librarian
What is Health Literacy?
“The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.”
Healthy People 2010
What Does Low Health Literacy Look Like?
This slide contains a video clip of patients discussing their health literacy experiences.
Patients describe their difficulties reading medication labels, understanding informed consent, and following instructions.
You Can’t Tell by Looking by AMA Foundation Health LiteracyYou Can’t Tell by Looking by AMA Foundation Health Literacy www.ama-assn.org/ama/pub/category/8115.html www.ama-assn.org/ama/pub/category/8115.html
Why is Health Literacy Important?
Health literacy is increasingly recognized as a barrier to quality health care and is linked to:
Increased medical error Poor knowledge about health Under utilization of preventive health care Increased hospitalization Increased health care costs Poor health outcomes
Why Now?
Healthy People 2010 (DHHS 2000)
Health Literacy: A Prescription to End Confusion (IOM 2004)
Evidence Report/Literacy and Health (AHRQ 2004)
17th Surgeon General of the United States - Dr. Richard Carmona (2006)
Why Hospitals?
“The safety of patients cannot be assured without mitigating the negative effects of low health literacy and ineffective communication on patient care.”
The Joint Commission
What is Health Information Literacy and What are the Challenges?
How is Information Critical to Health Literacy?
Health information is key to:
Effective patient and provider communication
Shared health care decision making Understanding and following a
treatment plan Recognizing when to seek care Learning about and adopting healthy
behaviors
What is Health Information Literacy?
The abilities needed to:
Recognize a health information need
Identify relevant sources of information
Assess the quality of the information
Use the information to make good health decisions
What are the Health Information Literacy Challenges?
Health Literacy in the U.S.
Readability of Health Information
Computers and the Internet
Health Literacy in the U.S.
Over 75 million Over 75 million adults have adults have BasicBasic and and Below Below BasicBasic health health literacyliteracy
Only 1 in 9 Only 1 in 9 adults have adults have proficient health proficient health literacy skillsliteracy skills
Number & Percentage of Adults in Each Number & Percentage of Adults in Each Health Literacy LevelHealth Literacy Level
Source: 2003 National Assessment of Adult Literacy. Source: 2003 National Assessment of Adult Literacy. National Center for Education StatiticsNational Center for Education Statitics http://nces.ed.gov/Pubsearch/pubsinfo.asp?pubid=2006483
Computers and the Internet
80% of Internet users search for health information
86% do not seek advice about which websites to use
72% express trust in most or all information found online
68% said online information impacted their health choices
Source: Fox, S. & Fallows, D. Internet Health Resources. Washington, DC:Source: Fox, S. & Fallows, D. Internet Health Resources. Washington, DC: Pew Internet & Pew Internet & American Life Project (2003).American Life Project (2003).
Readability of Health Information
Numerous student document health materials written at reading levels far exceeding patient skills
More recent studies find similar results looking at the readability and usability of consumer health information resources
Health Information Literacy
Resources
Consumer Health Information Websites Cancer.gov * Familydoctor.org * Healthfinder.gov * Kidshealth.org * AidsInfo.nih.gov CDC.gov * Medlineplus.gov * Noah-health.org *
*Available in Spanish *Available in Spanish and/or other languagesand/or other languages
www.medlineplus.govwww.medlineplus.gov
Interactive Health TutorialsInteractive Health Tutorials
www.kidshealth.orgwww.kidshealth.org
NIHSeniorHealth.govNIHSeniorHealth.gov
www.aidsinfo.nih.govwww.aidsinfo.nih.gov
www.kidshealth.orgwww.kidshealth.org
Information for Parents, Kids, and TeensInformation for Parents, Kids, and Teenswww.kidshealth.orgwww.kidshealth.org
Health Information Literacy
Strategies
www.informationrx.orgwww.informationrx.org
Deciphering Medspeak
Medical Library Association’s
Consumer Health Brochures HIV Cancer Diabetes Asthma Others
www.mlanet.org/resources/medspeak/index.htmlwww.mlanet.org/resources/medspeak/index.html
Strategies to Improve Communication
Limit information (3-5 key points)
Use easy-to-read information and handouts to support learning
Be specific and concrete, demonstrate
Check for understanding, use a “Teach Back” or “Show Me” approach
Acknowledge cultural differences
How Can Librarians Help?
Help patients find information they can use and understand
Fill Information Rxs with accurate and reliable information
Teach patients and consumer Search skillsSearch skills Assessment skillsAssessment skills
How Can Librarians Help?
Free access to the Internet
Patients information packets
Consumer health information services – community outreach
Health literacy training
Take Home Points
Health information is essential to providing quality care
Use Info Rx to refer patients to reliable health information and to the hospital library for support
Thank You!
Questions
Comments
References
AHRQ Report—Literacy and Health Outcomes (2004): http://www.ahrq.gov/clinic/epcsums/litsum.htm
AMA Foundation Health LiteracyAMA Foundation Health Literacy:: www.ama-assn.org/ama/pub/category/8115.htmlwww.ama-assn.org/ama/pub/category/8115.html
Healthy People 2010 (2000): http://www.healthypeople.gov
Healthy People 2010 Health Literacy Action Plan—Communicating Health: Priorities and Strategies for Progress (2003): http://odphp.osophs.dhhs.gov/projects/healthcomm/objective2.htm
IOM Report—Health Literacy: A Prescription To End Confusion (2004): http://www.iom.edu/report.asp?id=19723
References
NLM Bibliography—Understanding Health Literacy and Its Barriers (2004): http://www.nlm.nih.gov/pubs/cbm/healthliteracybarriers.html
The Health Literacy of America’s Adults: Results from The Health Literacy of America’s Adults: Results from the 2003 National Assessment of Adult Literacy the 2003 National Assessment of Adult Literacy http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006483http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006483
The Joint Commission Report: “What did the Doctor The Joint Commission Report: “What did the Doctor Say?:” Improving Health Literacy To Protect Patient Say?:” Improving Health Literacy To Protect Patient Safety (2007):Safety (2007): www.jointcommission.org/PublicPolicy/health_literacy.htmwww.jointcommission.org/PublicPolicy/health_literacy.htm
Medical Library Association, Top 10 Most Useful Medical Library Association, Top 10 Most Useful Websites Websites www.mlanet.org/resources/medspeak/topten.htmlwww.mlanet.org/resources/medspeak/topten.html