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Awareness of health literacy as a public health/social justice issue

•  “Thanks to the courageous mentalities of the IEP students…I am aware of how significant an issue health literacy is.”

•  “I never took into account that the international students may not be aware of the health information and services available to them not only in our cities, but also even on our campus. This was extremely worrying to me and opened me up to their level of health literacy as an injustice.”

Changed assumptions about international students

•  “One thing that surprised me about this experience was how open the IEP students were to learning…they were very curious.”

•  “I vow to use the new perspectives I have gained to be more helpful to international students around me and understand that the barriers between us can easily be resolved by a simple conversation or gesture to help.”

•  “This project largely changed my assumptions of these international students…. This process never made me feel as if these individuals were inferior to myself; instead, it taught me that they need assistance in finding resources to learn about information in which they may be lacking.”

Intercultural competence

•  “It was fascinating to hear about their culture and identify the similarities and differences in health care.”

•  “I was surprised by how different our healthcare systems were, and the challenges that arose in the differences in the cultural literacy.”

•  “Building relationships with them was fun. I was at an event this past weekend, and someone came up to me and told me he knew me from class…. This is a relationship I wouldn’t have formed had it not been for this project.”

Overcoming Health Literacy Barriers: A Domestic-International Student Collaboration Christen Bouchard

Intensive English Program – University of Dayton (Dayton, OH)

HEALTH LITERACY

ENG/IEP COLLABORATIVE PROJECT

•  “The wide range of skills and competencies that people develop to seek out, comprehend, evaluate, and use health information and concepts to make informed choices, reduce health risks, and increase quality of life” 1

• 75 million US adults have basic or below basic health literacy. 2

• 21% of US population speaks a language other than English at home. 3

• 60,000 international students study in Intensive English Programs. 4

ENG 366: Health Literacy and Social Justice •  Identify literacy barriers in existing health information.

•  Produce rhetorically effective healthcare materials and information for a marginalized group.

IEP RV2: Reading and Vocabulary Level 2 •  Increase reading comprehension and critical thinking.

•  Acquire general and basic academic vocabulary.

HEALTH DOCUMENT REVISION

1.  Zarcadoolas, C., Pleasant, A. F., & Greer, D. S. (2006). Advancing health literacy: A framework for understanding and action. San Francisco, CA, US: Jossey-Bass.

2.  Kutner, M., Greenburg, E., Jin, Y., & Paulsen, C. (2006). The health literacy of America’s adults: Results from the 2003 National Assessment of Adult Literacy. NCES 2006-483. National Center for Education Statistics.

3.  Ryan, C. (2013). Language use in the United States: 2011. American community survey reports, 2. 4.  Institute of International Education. (2016). Open doors data. Retrieved from http://www.iie.org/research-and-publications/

open-doors/data

Special thanks to Collaborator Dr. Ann Biswas, Director of Writing Programs, University of Dayton

OUTCOMES

REFERENCES

Health Literacy

Funda-mental

Literacy

Scientific Literacy

Civic Literacy

Cultural Literacy

2) Produce Effective Materials •  Add images. •  Simplify language. •  Use bulleted lists. •  Summarize, condense, reorganize.

1) Identify Literacy Barriers •  MS Word Readability Analysis

•  Reading Ease score, Grade Level

•  Health Literacy Load Analysis •  Four domains of health literacy

Original Documents Revised Documents

What is Influenza (the Flu?)

HOW DO I PROTECT OTHERS AND

MYSELF FROM GETTING INFLUENZA?

I THINK I HAVE INFLUENZA!

WHAT DO I DO NOW?

• Call a doctor

• Stay home so others do not get sick

• Rest/ stay in bed

• Drink a lot of water

• Eat healthy meals (vegetables, fruits ...etc.)

DO I HAVE INFLUENZA?

Commonsymptomsoftheflu:

• Body temperature over 98.6°F/ 37°C and/or chills

• Coughing

• Sore throat

• Runny/stuffy nose

• Muscle/body aches

• Pain in the head

• Unusually tired

• Vomiting/diarrhea

_______________________________ • Get the flu vaccination every

October (after age 6 months)

• Use tissues to blow your nose and throw them away after use

• Try not to touch your face (eyes,

nose, and mouth)

• Cough into your sleeve instead of your hand

• Wash your hands a lot with soap and water

IEP Students

ENG Students

ENG Student Former IEP

Health Documents

Nationalities

25 37

7

1

10

Assess IEP Interests

Find Original Text

Revise for IEP

Test with IEP

Revise and Share

10th grade

5th grade

Step 1: Know what type

of doctor you want to see.

Step 2: Look for doctors

of that type around where

you live.

Step 3: See which of those doctors

only take patients that have health insurance.

Places Where Doctors Will Accept Patients Who Do Not Have Health Insurance

Urgent Care Facilities: Urgent Care Clinics are places with doctors that can treat you for many different things. They can give you a regular check-up, or can treat you if you have an emergency. Walk In Clinics: Walk in Clinics are great for people who do not have insurance. Walk In Clinics can be found in s drug store or grocery stores. The Walk in Clinic can treat you for a sore throat or give you a flu vaccine. Reach Out Montgomery County: Reach Out Montgomery is a free Walk in Clinic near UD for people who do not have insurance. It has doctors and nurses that can treat you for many different illnesses and give you medication to help you if you are sick.

Step 4: Go to the website for your health

insurance to find if your health insurance will pay for a visit to that doctor.

Step 5: Call the doctor’s office to make sure that

he or she will accept your health insurance. The insurance will pay for

your visit.

Step 6: Find out if the doctor will see patients

who walk in or only patients that make an appointment before they come to the

doctor.

Step 7: Make an appointment by calling the

doctor’s office. Visit the doctor on the day of the appointment.

HowtoFindaFamilyDoctorBy:MarissaJama,CharlesYancey,andKatherineGross

Whatisafamilydoctor? Afamilydoctorisageneraldoctor.Whensomeonegoestoschooltobecomeafamilydoctortheylearnhowtohelpmanyproblems.Youcangotoafamilydoctorforyourwholelife.Familydoctorsknowalotabouttheirpatientsbecauseyoucangotothesamedoctorformanyyears.InAmericapeoplegotoseeafamilydoctoronceeveryyear.Peoplewhoarehealthygotoseefamilydoctorsbecausetheywanttostayhealthy.Herearesomestepsonhowtofindafamilydoctorwhenyoudohavehealthinsuranceandwhenyoudonothavehealthinsurance:

YouDoNotHaveHealthInsurance