Innovations in Health Literacy Research Workshop Summary (2011) / Chapter Skim
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Appendix C: Workshop Report from the Health Literacy Annual Research Conference
Appendix C: Workshop Report from the Health Literacy Annual Research Conference
Pages 79-96
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From page 79... ...
is an interdisciplinary meeting for investigators dedicated to health literacy research. Our aim is to attract a full range of investigators engaged in health literacy research including those involved in a broad array of public health, health services, epidemiology, translational, and interven tional research activities.
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From page 80... ...
Executive Summary The HARC conference took place over 2 full days in October 2009 and highlighted areas of important research advancement as well as impor tant lacunae in the field. A keynote address by David Baker, MD, MPH examined the role health literacy in patient education and a keynote address by Anne Beal, MD, MPH, focused on the role of health literacy in health disparities.
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From page 81... ...
However, over 90 million American adults struggle to read and understand basic health materials.5 Thus, given the high literacy demands required to function successfully as a patient, it is no wonder that approximately 36% of US adults have only basic or even below basic health literacy skills.6 This problem is not uniformly distributed in society; the prevalence of limited health literacy is highest among patients who are older and are from ethnic and racial minorities.7 The literature on health literacy also exposes ways in which the health care system exacerbates the impact of underlying educational and income disparities. Indeed, health literacy is emerging as an important causal factor for racial and ethnic health disparities.818 The implications of this
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From page 82... ...
An important next step for cultivating this emerging research field is to create a national professional interdisciplinary home for investigators dedicated to health literacy research. Opportunities are available, but only within special interest groups that have either formed in more special ized meetings or that sporadically address health literacy (e.g., National Society of General Internal Medicine Annual Meeting, National American Public Health Association Annual Meeting, Academy Health, and the International Conference on Communication in Health Care)
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From page 83... ...
Despite the rapid growth in the field, C Figure App driven in large part by the avail ability of NIH and AHRQ funding, there is currently no national research venue dedicated to the promotion of health literacy as a field of inquiry. Health literacy research is an interdisciplinary endeavor and could greatly benefit at this point from a recurring national research oriented interdis ciplinary meeting.
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From page 84... ...
keynote addresses by David Baker, MD, MPH and Anne Beal, MD, MPH, (2) invited panels on measurement, health literacy and verbal interactions, health information technology interventions, and organizational assessment and change, and (3)
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From page 85... ...
The major gap topics were • Public Health Approaches to Health Literacy • Health Disparities and Health Literacy • Health Information Technology See the conference website at http://www.bumc.bu.edu/healthlitera cyconference/2009conference/ for a list of speakers and summary of the themes gleaned from these sessions. Attendance, Evaluation Summary, and Dissemination The First Annual HARC was very well attended.
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From page 86... ...
Rather, health literacy interventions should examine the complexity of the tasks required of patients and families within healthcare settings, the accessibility of providers for the target populations, the preparedness of health and public health professionals to engage productively with patients, and the features of the health care system, working environ ments, and communities in which caregiving and selfmanagement sup port take place. Health literacy research calls attention to the ways in which unneces sarily complex healthcare exacerbates the impact of underlying educa tional and income disparities.
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From page 87... ...
B Improve Patient Education Patients at every education level will benefit from a reduction of paperwork, plain and simple communication, and standardized processes.
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From page 88... ...
Curricular initiatives to address health disparities are further advanced. There is a National Con sortium for Multicultural Education for Health Professionals including educators from 18 US medical schools, which collect lessons learned from curriculum implementation to guide similar educational endeavors across the consortium.34 Indeed, several states have laws and or regulations that mandate training health professions in cultural competence (https:// www.thinkculturalhealth.org/cc_legislation.asp)
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From page 89... ...
A Access to Technologies While the internet has emerged as a major source of health informa tion, access to and use of the internet to learn health information has been shown to be very strongly linked to health literacy.25,38 However, this is a moving target and will need to be monitored as social norms regarding the internet evolve rapidly.39 There is great potential for web based projects and various authors have begun to explore how to deliver health information in a webbased fashion that is sensitive to literacy, culture, and linguistic needs.40 We are on the cusp of a wide range of patientfacing technological advances in personal health records, smart phonebased health applications, and biometric monitoring systems, and yet a large percentage of community physicians work without even a rudimentary electronic health record.
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From page 90... ...
C Behavioral Informatics The chief focus of technology presentations at the HARC were ori ented to behavioral informatics, i.e., information technologies (e.g., auto mated telephone calls, integrated electronic health record systems with patient portals, and computerized agents)
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From page 91... ...
Stacy Bailey, Northwestern University: "Universal Medication Schedule to Improve Patient Understanding of Prescription Drug Instructions" 4. H Shonna Yin, New York University School of Medicine: "Parent Medication Administration Errors: Role of Dosing Instruments and Health Literacy" 2:30pm–3:45pm Invited Panel A -- Measurement, Moderator: Terry Davis Speakers: Elizabeth Hahn, Lauren McCormack, Russell Rothman 4:00pm–5:15pm Invited Panel B -- Health Literacy and Verbal Interactions, Moderator: Scott Ratzan Speakers: Kathy Mazur, Don Rubin, Debra Roter 5:30pm–7:00pm Reception/Poster Session For Directions to hotel, see map in your blue registration folder
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From page 92... ...
Susan J Shaw, University of Arizona: "Measuring Health Literacy Across Diverse Populations" 10:00am–10:45am Keynote Address -- Anne Beal, MD, MPH, President, Aetna Foundation 0:am: Presentation of Sabra Woolley Memorial Award for highest rated abstract -- Linda Harris 11:00am–12:15pm Invited Panel C -- Health Information Technology Interventions, Moderator: Michael PaascheOrlow Speakers: Timothy Bickmore, Dean Schillinger, Mike Wolf 11:00am–12:15pm Invited Panel D -- Organizational Assessment and Change, Moderator: Rima Rudd Speakers: Julie Gazmararian, Matthew Wynia, Beverly Weidmer 12:30pm–2:00pm 1on1 Meetings with NIH Project Officers and/or Research Mentors and Box Lunch 12:30pm–2:00pm Poster Session 2:00pm–3:15pm Abstract III -- Oral Presentations, Moderator: Cindy Brach 1.
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From page 93... ...
The prevalence of limited health literacy. J Gen Intern Med 2005; 20(2)
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From page 94... ...
Importance of adult literacy in understanding health disparities. J Gen Intern Med 2006; 21(8)
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From page 95... ...
. "Surmounting the unique challenges in health disparities education: a multiinstitution qualitative study." J Gen Intern Med 25(Suppl 2)
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