360 likes | 494 Views
THE H.E.L.P. PROJECT. The Health Education and Literacy for Parents . ROR AND HEALTH LITERACY. ROR proved to have positive impact on families Any intervention aimed at improving language & literacy development in children should also address parental literacy skills.
E N D
THE H.E.L.P. PROJECT The Health Education and Literacy for Parents
ROR AND HEALTH LITERACY • ROR proved to have positive impact on families • Any intervention aimed at improving language & literacy development in children should also address parental literacy skills
Health Education & Literacy for Parents (HELP) Project • Based on ROR Model • Parent educators and trained volunteers approach parents in clinic waiting area • Provide short term educational interventions, which include several “activities” • Gives Parents • Strategies to improve family & child’s health, growth & development • “Plain language” handouts with illustrations that support these strategies • A sense that they are “learners” –they can learn new things with supportive help
H.E.L.P. Goals • Improve parents’ ability to read & understand health care instructions • Instruct parents to use written materials to focus on child’s overall health • Help parents better communicate with Pediatrician • Motivate parents to continue their own education
Waiting Area Health Literacy Intervention Learn more about you child’s medicine activity
Medication Log (Self-Monitoring)
Collaborative Resources • New York Poison Control Center • Literacy Assistance Center Hotline Six brochures available in six different languages
Quality Improvement Project(QIP) Evaluation of H.E.L.P. Intervention Sheets
Aim of QIP Evaluation • To measure the effectiveness of these forms: • Does knowledge of medication usage improve? • Does adherence increase ? • Is there improvement in child’s clinical status?
QIP Evaluation Design • Ongoing • Convenience sample in Pediatric Clinic and Pediatric Dental Clinic • Baseline and Intervention Groups • Background and Follow-up Questionnaires
Enrollment & Eligibility • Pediatrician notifies evaluator when patient receives liquid antibiotic prescription • Parents are invited to participate in the evaluation if they meet the following criteria: • Child (patient) under 12 years of age • Able to speak English or Spanish • Have access to a telephone at home
Procedures • Baseline Group (n=50) • Standard practice • Intervention Group (n=42) • Pediatrician or Pediatric Dentist provide intervention: Medication Sheets and Dosing Instrument • Both groups: • Measure dosing accuracy, administer background questionnaire • Follow-up questionnaire administered over the telephone four to seven days later
Outcome Measures • Dosing Accuracy • Medication Knowledge • Medication Adherence • Satisfaction with Intervention Procedures • Patient Clinical Outcome
Demographics Baseline Intervention (n=50) (n=42) Respondent: • Relation: Mother 84 % 91 % • Caregiver: non-US born 90 % 90 % • Background: Hispanic/Latino 78 % 81 % • Language: Spanish 72 % 67 % Mean (SD) age of patient, yrs 3.92 (2.8) 3.55 (2.7) Mean (SD) # Children in Home 2.35 (1.1) 2.67 (1.5)
Observed to measure correct dose during demonstration % measuring correct dose to 0.2 mL Baseline Intervention
Observed to measure correct dose using oral syringe and dosing cup % measuring correct dose to 0.2 mL Syringe/Dosing Cup Baseline Syringe/Dosing Cup Intervention
Observed to measure the correct dose at baseline: kitchen spoons verses oral syringe and dosing cup % measuring correct dose to 0.2 mL Kitchen spoons Syringe and Dosing Cup
Medication Knowledge Baseline Intervention • Named Prescribed Medication 84% 95% • Knew Proper Preparation 90% 100% • Knew Proper Medication Storage 92% 98% • Knew Reason for Medication 92% 100%
Adherence: Tracking System Baseline Intervention • Kept track medicine given 62 % 93 % • Correct 24 hr. dose freq. 90 % 100 % • Gave medication at correct time 90 % 100 % • Not missing doses prior day 86 % 100 %
Adherence: Use of Intervention Materials 91% used Medicine Instruction Sheet 94% used Medication Log Sheet
Satisfaction: Did the Medicine Instruction and Log Sheets Help? % helped by intervention sheets to use medicine correctly Medicine Instruction Sheet Medication Log Sheet
SUMMARY • Results will be used to: • Develop the intervention for other medications • Expand intervention to other clinics at Bellevue Hospital • Train medical and nursing staff to use intervention • Medication Information and Log Sheets • Dosing instrument given with each prescription • Parent education in proper use of oral syringe
H.E.L.P Project Contact Information Linda van Schaick (212) 562-3165 E-mail: schail01@med.nyu.edu