Improving Health Literacy Within a State Workshop Summary (2011) / Chapter Skim
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4 The Role of the University in Improving States' Health Literacy
4 The Role of the University in Improving States' Health Literacy
Pages 33-50
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From page 33... ...
The seven goals of the National Action Plan to Improve Health Literacy are to (HHS, 2010)
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From page 34... ...
. CTSI chal lenges, encourages, and supports UCSF researchers to take the research capital at UCSF -- the great wealth of clinical research discoveries, knowl edge, and know-how -- and link it with community partners' expertise and priorities to effectively translate research into interventions that can be scaled to make a measurable impact on the health of the local com munity and eliminate disparities.
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Schillinger cited the work of Lawrence Green, who through his work at the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute, has eloquently and persistently advocated for the need not only to put research into practice, but to also "put practice back into research." This principle has been at the heart of the primary care practice-based research networks that have engaged community settings in framing research questions, designing interventions that are feasible, and testing them in the real world.
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To further public awareness, social marketing campaigns among the Asian and Pacific Islander community in the San Francisco Bay Area have emerged to promote testing, vaccination, and treatment. Schillinger provided another example of research at UCSF related to health literacy, health promotion, and health communication, research that is in response to the first goal of the National Action Plan to Improve Health Literacy.
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Because early onset of puberty is a risk factor for breast cancer, there is interest in whether early exposure to certain environmental chemicals, obesity, genetics, and other factors raise the risk of early puberty. There are tremendous challenges associated with communicating to the public about findings related to environmental toxins, their association with early puberty, and their potential relationship to breast cancer risk.
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In response to the second goal of the National Action Plan to Improve Health Literacy, Schillinger described an AHRQ-funded project to provide automated telephone self-management (ATSM) support for patients with diabetes (Dean Schillinger, PI)
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In support of the fourth goal of the National Action Plan to Improve Health Literacy, UCSF, under the leadership of Ricardo Munoz, is attempting to improve linguistically appropriate mental health services by lever
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Inves tigators compared a single educational session to a tiered educational approach for heart failure patients in reducing heart failure admissions. The inpatient quality measure used by the Center for Medicare and Medicaid Services (CMS)
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It is well established that lowering salt lowers blood pressure. The association between daily salt intake and systolic and diastolic blood pressure is fairly linear.
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In 2003 the California Health Literacy Initiative found that 23 percent of California residents lacked basic prose literacy levels. Nearly 70 percent of the immigrants who have resided in California for 10 or fewer years are functionally illiterate.
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When surveyed, health professionals tend to overestimate patients' health literacy. Health professionals do not routinely use many of the best practices for effective communication with patients of low health literacy.
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There are limited data available for the status of health literacy training, but according to anecdotal reports, health professionals have limited awareness and skills and literacy training is inadequate. Many organiza tions have recommended that training and curricula be improved, but although curricula is proliferating, and 70 percent of medical schools require some health literacy training, the content and effectiveness of the training are unknown.
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There is a long tradition of formal training in health communication for physicians, nurses, and pharmacists. However, the structure of this training in health professional schools has traditionally assumed a high TABLE 4-1 Results of Informal Survey of University of California Health Professional Schools' Health Literacy Curriculum Campus Response UC Berkeley– No specific curriculum on health literacy; this topic Public Health is included in various courses.
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From page 46... ...
While this may be appropriate, Mangione said, such courses may not convey the fact that a large proportion of older adults have very limited health literacy and that it is not a condition that only affects minorities. There are several unresolved issues in the area of health literacy training, Mangione said.
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The CDC has health literacy online training to educate public health professionals about limited health literacy and their role in addressing it in a public health context. This web-based course can be accessed online.
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Health literacy curricula exist for practicing health professionals, and dissemination is under way, Mangione said. Integration of the content of these programs into existing modules on health communication or health disparities in undergraduate curriculum may be the most feasible approach.
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Low health literacy really is a public health threat. Ross asked how to engage more institu tions of public health, such as the public health trade associations.
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50 IMPROVING HEALTH LITERACY WITHIN A STATE and implementation. He found Schillinger's example of the implications to public health of high salt consumption to be a compelling example of the gap between knowledge and remedial action.
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