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Plain Language on the Plains: Introduction to Health Literacy in Nebraska

Plain Language on the Plains: Introduction to Health Literacy in Nebraska. Susan Bockrath, MPH, CHES Steering Committee Chair, Health Literacy Nebraska. Scottsbluff. Kearney. Adults with Below Basic Literacy . Percent (%) across Nebraska.

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Plain Language on the Plains: Introduction to Health Literacy in Nebraska

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  1. Plain Language on the Plains: Introduction to Health Literacy in Nebraska Susan Bockrath, MPH, CHES Steering Committee Chair, Health Literacy Nebraska Health Literacy Nebraska

  2. Scottsbluff

  3. Kearney

  4. Adults with Below Basic Literacy Percent (%) across Nebraska

  5. Proficient (12%):Define medical terms from complex document, calculate share of employee health insurance. Intermediate (53%): Determine healthy weight from body mass index (BMI) chart, interpret prescription and over-the-counter drug labels. Basic (22%):Understand simple patient education handout. Below Basic (14%):Circle date on appointment slip. Understand simple pamphlet about pre-test instructions. Health Literacy in America (NAAL 2003 Data) (Kutner, Greenberg, Jin, & Paulsen, 2006 )

  6. Health Literacy Nebraska

  7. Health Literacy “Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information.” (Calgary Charter, 2008)

  8. Health Literacy

  9. etHhlaityeLrac

  10. How much does Health Literacy matter? • Limited literacy and health literacy are associated with negative health outcomes, less knowledge of medical conditions, less use of preventive services, poor disease self management, treatment mistakes, increased hospitalization and hospital readmissions, and death. (DeWalt, Berkman, Sheridan, Lohr, Pignone, 2004)

  11. Predictors of Health Status • Literacy Skills • Age • Income • Employment Status • Education Level • Racial or Ethnic Group

  12. Strong Associations BetweenHealth Literacy and…

  13. Not attending to Health Literacy Costs Money Estimated annual health care costs for people with low literacy are 4 times higher than for those with higher literacy skills. (Weiss, 1999)

  14. Not Attending to Health Literacy Costs Lives Adjusted HR 1.52 (95% CI 1.26 -1.83) Inadequate vs Adequate (Baker, Wolf, Feinglass, Thompson, Gazmararian, Huang, 2007)

  15. Health Literate Strategies • Plain Language • Easy-to-Read • Examples & Visuals • Brown Bag Checks • Teach Back • Ask Me 3 • Interpreters

  16. Health Literate Strategies • Plain Language • Easy-to-Read • Examples & Visuals • Brown Bag Checks • Teach Back • Ask Me 3 • Interpreters

  17. Work to Date • 230 local and tribal health department staff participated in a baseline survey assessing their perceptions related to the health literacy. • Project staff visited 19 sites where over 144 staff took part in on-site trainings introducing health literacy and in focus groups and interviews. • OPIHL project staff established a Health Literacy Listservfor collaboration specific to health literacy • Project staff has provided Health Literate Writers’ Workshops in 4 communities across the state.More than 100 health department staff and community partners participated in these workshops between May 1 and August 1, 2013. A fifth workshop is scheduled in September 2013. • All participating health departments have been trained in and have at least one license to use Health Literacy Advisor software

  18. www.nalhd.org

  19. Mission To connect and coordinate health literacy projects and expertise in Nebraska.

  20. Who is ? • Partnership of: • Medical providers • Pharmacists • Public Health practitioners • Librarians • Educators • Interpreters • Students • Consumers

  21. What do we do? Connect Nebraskans interested in improving health literacy Bi-annual Summit Multi-disciplinary work groups Health literacy training Including health literacy items on Behavioral Risk Factor Surveillance Survey (BRFSS)

  22. More of what ht does… • Nebraska-focused training opportunities….. • Quarterly newsletter coming soon. • Developing state-level data: • With partners, ensuring that 2013-2014 Behavioral Risk Factor Surveillance Survey (BRFSS) in Nebraska includes 3 questions about health literacy. • Completed a provider survey in 2012 asking about health literacy perceptions.

  23. Why Join ? • Be connected to this exciting work! • Value priced • $20 annually for individual • $100 annually for organization

  24. www.healthliteracyne.org

  25. Resources Find information and links to health literacy resources at… www.healthliteracyne.org www.nalhd.org/healthliteracy

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