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Plain Language:  Tools and Techniques Peggy Sissel-Phelan, Ed.D. Best Practices Working Group Health Literacy Section Arkansas Public Health Association  Annual Conference   May 12, 2011
Outline  Introduction of Concepts ,[object Object]
Best Practices
Plain Language
Rationale for Plain Language
 Skill Building Resources
 Resources,[object Object]
Health Literacy Definition ~      Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives.      These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills.     Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. (Calgary Charter on Health Literacy, 2008)
Health Literacy Need ~ 97 million adults in U.S. struggle with literacy That’s one third of the U.S. population . . . Half of all adults 16+ Cannot ,[object Object]
Identify a specific location on a map
Use fractions
Interpret a growth chart or table,[object Object]
  Age
  Gender
  Cultural beliefs
  Language,[object Object]
  Prognosis
  Insurance
  Medication
  Compliance,[object Object]
Health Literacy Definition ~    	  Understanding	+   Actions    =    Outcomes   Need ~ Widespread    +	Immediate   Scope ~                   The Public     +     The personnel in all 				 	       health-related areas
Best Practice ,[object Object],	 - give best possible care  	 - communicate about the care ,[object Object],	 - best possible outcome 	 - patient understanding
Best Practice ,[object Object],	 - culturally competent 	 - assume that everyone may have 	  	   difficulty understanding  - have knowledge of barriers to care 	 - create environment that helps 	   all patients understand
Best Practice ,[object Object]
  Healthcare providers have a duty to provide information in simple, clear, and plain language and to check that patients have understood the information before ending the conversation. The 2005 White House Conference on Aging;  Mini-Conference on Health Literacy and Health Disparities.
Plain Language  ,[object Object]

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Plain Language

  • 1. Plain Language: Tools and Techniques Peggy Sissel-Phelan, Ed.D. Best Practices Working Group Health Literacy Section Arkansas Public Health Association Annual Conference May 12, 2011
  • 2.
  • 6. Skill Building Resources
  • 7.
  • 8. Health Literacy Definition ~ Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. (Calgary Charter on Health Literacy, 2008)
  • 9.
  • 10. Identify a specific location on a map
  • 12.
  • 15. Cultural beliefs
  • 16.
  • 20.
  • 21.
  • 22. Health Literacy Definition ~ Understanding + Actions = Outcomes Need ~ Widespread + Immediate Scope ~ The Public + The personnel in all health-related areas
  • 23.
  • 24.
  • 25.
  • 26. Healthcare providers have a duty to provide information in simple, clear, and plain language and to check that patients have understood the information before ending the conversation. The 2005 White House Conference on Aging; Mini-Conference on Health Literacy and Health Disparities.
  • 27.
  • 28. the goal - patients are better able to: - Locate - Form Questions - Understand - Act
  • 29.
  • 30. Provider should: - identify the audience - adapt to their needs and abilities - have clear communication objective. Shohet & Renaud Critical Analysis on Best Practices in Health Literacy CANADIAN JOURNAL OF PUBLIC HEALTH Volume 97 (S2) pp. S10 - 13 2006
  • 31. Plain Language PLAIN Active sentences Short paragraphs Mono or bi-syllable Colloquial language Present tense 2nd or 1st person (you, I) COMPLEX Passive sentences Long paragraphs Poly-syllable words Clinical language Past/mixed tense 3rd person (they, s/he)
  • 32. Plain Language Health language/ Word Choice - No jargon and technical language - Use lay terms about health concepts - Terms clearly defined and explained - No abbreviations, acronyms and statistics
  • 33. Plain Language It’ s Not Just Medical Terms . . . We are disseminating information about…. We are giving outinformation about… How do you administer the medication? How do you give the medicine? This product has an extensive list of symptoms that it treats… This medicine can help with many thingslike fever, or pain, etc….
  • 34.
  • 36. VisualCommunication style Adequate time Feedback loop Pictures Sequence Demonstrations Video
  • 37.
  • 38. All “covered documents” issued to public ~ Letters, publications, forms, notices, instructions ~ Anything relevant to federal benefits or requirements
  • 39. Plain Language Skills Alternative Words Using Plain Language Based on: Plain Language Alternatives for Patient Information and Consent Materials Copyright © Sharon Nancekivell 2002-2007. All rights reserved. Electronic or print redistribution of this work for nonprofit purposes is permitted, provided this notice is attached in its entirety. All unauthorized, for-profit redistribution is prohibited.   Abdomen Stomach /area around stomach Abscess Swollen area filled with a thick yellow or green liquid called pus
  • 40. Plain Language Skills Accompany Go with Spray Aerosol Biopsy Taking a small bit of tissue to test Clump of blood Blood clot By mouth Swallow it
  • 41. Resources 1. Universal Precautions Tool Kit http://www.ahrq.gov/qual/literacy/healthliteracytoolkit.pdf 2. National Action Plan to Improve Health Literacy http://www.health.gov/communication/hlactionplan/pdf/Health_Literacy_Action_Plan.pdf
  • 43. Resources 3. Plain Language Alternatives for Patient Information and Consent Materials Copyright © Sharon Nancekivell 2002-2007. http://healthcare.partners.org/phsirb/consfrm_files/Plain_Language_Alternatives_for_Patient_Information_and_Consent_Materials.pdf 4. Pfizer Clear Health Communication Initiative http://www.pfizerhealthliteracy.com 5. NYU Patient and Family Resource Centerhttp://www.nyupatientlibrary.org/medcenter/build-skills
  • 44. Resources 6. Center for Health Care Strategies Health Literacy Fact Sheets http://www.chcs.org/publications3960/publications_show.htm?doc_id=291711 7. Institute for Healthcare Advancement www.iha4health.org Michael Villaire, MSLM Director, Programs and Operations mvillaire@iha4health.org (800) 434-4633 x202 8.American Medical Association Health Literacy Program and Kit www. ama-assn.org
  • 45. Resources 9.Help Your Patients Understand.” Video Available from AMA Foundation http://www.ama-assn.org/ama/pub/category/8035.html 10. http://www. plainlanguage.gov

Notas do Editor

  1. Se