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THE H.E.L.P. PROJECT

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.

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THE H.E.L.P. PROJECT

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  1. THE H.E.L.P. PROJECT The Health Education and Literacy for Parents

  2. 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

  3. 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

  4. 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

  5. Waiting Area Health Literacy Intervention Learn more about you child’s medicine activity

  6. Understanding and “Decoding” Your Child’s Prescription

  7. “What do you use to give your child liquid medicine?”

  8. Medication Instruction Sheet (MIS)

  9. Medication Log (Self-Monitoring)

  10. Questions to Ask Pediatrician/Pharmacist

  11. Medical Diaries to Record Medications

  12. Collaborative Resources • New York Poison Control Center • Literacy Assistance Center Hotline Six brochures available in six different languages

  13. Quality Improvement Project(QIP) Evaluation of H.E.L.P. Intervention Sheets

  14. 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?

  15. QIP Evaluation Design • Ongoing • Convenience sample in Pediatric Clinic and Pediatric Dental Clinic • Baseline and Intervention Groups • Background and Follow-up Questionnaires

  16. 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

  17. 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

  18. Outcome Measures • Dosing Accuracy • Medication Knowledge • Medication Adherence • Satisfaction with Intervention Procedures • Patient Clinical Outcome

  19. 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)

  20. DOSING ACCURACY

  21. Observed to measure correct dose during demonstration % measuring correct dose to 0.2 mL Baseline Intervention

  22. 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

  23. 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

  24. FOLLOW UP CALL:MEDICATION KNOWLEDGE

  25. 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%

  26. FOLLOW UP CALL:MEDICATION ADHERENCE

  27. 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 %

  28. Adherence: Use of Intervention Materials 91% used Medicine Instruction Sheet 94% used Medication Log Sheet

  29. FOLLOW UP CALL:SATISFACTION WITH INTERVENTION

  30. Satisfaction: Did the Medicine Instruction and Log Sheets Help? % helped by intervention sheets to use medicine correctly Medicine Instruction Sheet Medication Log Sheet

  31. What Helped Most On Instruction Sheet?

  32. Which Pictures Helped the Most?

  33. FOLLOW UP:PATIENT CLINICAL OUTCOME

  34. 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

  35. H.E.L.P Project Contact Information Linda van Schaick (212) 562-3165 E-mail: schail01@med.nyu.edu

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