Improving Health Literacy Within a State Workshop Summary (2011) / Chapter Skim
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5 Improving Health Literacy at the Community Level
5 Improving Health Literacy at the Community Level
Pages 51-74
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From page 51... ...
Rudd confined her presentation to the first focus area, health literacy and adult education. The health literacy activities were carried out through a partnership of university collaborators from the Harvard School of Public Health and individuals from a practice agency, the Lit eracy Assistance Center (LAC)
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From page 52... ...
At the time, a team with representatives from medicine, nursing, nutrition, adult education, and public health were working to develop a program of study that would enhance the ability of adult educators to develop and teach health literacy skills. With support from NCSALL, the team was developing a series of training manuals for professionals in the adult education sector to help teachers integrate
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From page 53... ...
Thus, the focus of the study circles fit well with the population of interest to the LAC and to the City of New York. Rudd noted that the health literacy study circle activities and materials were not meant to turn adult educators into health educators.
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From page 54... ...
The activities for teachers participating in the study circle mirrored some of the processes undertaken by the initial research team to analyze the expectations for adults' actions related to each area of health disparity. Teachers participating in the study circle identified various health activi ties and then identified the tasks embedded in an activity as well as the tools needed to accomplish each task.
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From page 55... ...
In addition, relationships were formed within neighborhoods in New York City between adult education programs and local hospitals based on a navigation activity embedded in the access-to-care study circle. One hos pital in particular moved ahead to call for community-wide participation in a hospital visit for an introduction to, and overview of, the hospitals'
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From page 56... ...
In addition, training capac ity has been expanded and train-the-trainer programs have taken place in many places throughout the country. Participants of the early study circles went on to facilitate the study circles with other adult education centers.
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From page 57... ...
The tools and resources within the MiVIA PHR help bridge health systems, promote health literacy, facilitate continuity of care, and engage and empower patients to become active care partners, Solomon said. MiVIA ensures security and privacy and is compliant with federal law (i.e., the Health Insurance Portability and Accountability Act [HIPAA]
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From page 58... ...
Inside the PHR, the record holder can give permission for certain individuals to access physical health, but not mental health information. Or the record holder could decide to give a mental health provider sole access to sensitive information.
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From page 59... ...
EMPOWERING PARENTS, BENEFITING CHILDREN, CREATING STRONG FOUNDATIONS FOR HEALTH: IMPROVING HEALTH LITERACY THROUGH THE HEAD START PROGRAM Ariella Herman, Ph.D., M.S. University of California, Los Angeles One million children and families are served every year by Head Start.
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From page 60... ...
In response to these findings, HCI identified health literacy within Head Start as its primary research focus. Its mission is to help agencies work with young children and their families to provide culturally sensitive, low literacy, health education programs.
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From page 61... ...
figure 5-2.eps Health Care Institute Strategic Implementation Train Follow up, Enrollment the Trainers Reinforcement and Train Parents Training Graduation the Trainers Create buyin of agency Create buyin of Maintain momentum Develop strategic community and families • Monthly home visits to reinforce learning & implementation plan Implement parents' reinforce behavior change Develop Skills: training Graduation! • Project management Customize to population • Marketing cultures, ethnicities and • Staff & parent motivation specific health needs • Leadership development FIGURE 5-2 HCI strategic implementation.
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From page 62... ...
As shown in Figure 5-2, the strategic implementation of this project occurs in three phases: from the enrollment until the train-the-trainer; from the train-the-trainer until the parent training; from the follow-up until the graduation. An important lesson learned, Herman said, is the need for the agency to create buy-in from Head Start staff, realizing that staff are overworked.
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From page 63... ...
The program has trained 45,000 families, 1,150 trainers, and 189 agen cies in 45 states, in seven languages, and has adapted the program for successful implementation in 10 ethnic groups. This year, the program moved beyond Head Start and has provided programs within two school districts.
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From page 64... ...
Awareness of Head Start in Reduced doctor/clinic use Monitoring community as a leader in improving (41% decrease) Data Collection children's/families' health Best Practices Increase in school readiness Success Stories Parents/families haveincreased (29% fewer school days Lessons Learned knowledge to encourage healthier missed)
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From page 65... ...
The project serves a variety of diverse patients and partners. For example, an older African-American couple who marched with Martin Luther King from Selma to Montgomery helped start one of the free clinic sites, at Baker Elementary School, that serves the surrounding community.
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From page 66... ...
Two other sites are located in inner-city elementary schools. The free clinic project can be considered a safety net for the safety net.
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From page 67... ...
The clinic philosophy is taught through examples, role modeling, weekly reflection sessions, community building, writing, and didactic sessions that cover topics such as health promotion, health education, working with interpreters, and social resources. Of the 122 medical students in the first year class at UCSD, 105 stu dents choose to take an intensive elective in order to work at the SRFCP.
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From page 68... ...
An adult health education model is used to teach the medical students how to incorporate health education and health promotion into their practice. Beck attributed the positive medical outcomes (Table 5-2)
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From page 69... ...
Community health workers who interact primarily with the Hispanic community, called promotores, come to the medical school to teach students. They are introduced as wise community members, health promoters who have a role at the free clinic, especially in developing and maintaining community trust and partnership.
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From page 70... ...
This fellowship occurs after residency training and is for health professionals interested in devoting their career to underserved health care. The fellows help direct the free clinic and complete a research project and training.
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From page 71... ...
These materials, however, do not always meet the needs of people with poor health literacy. Solomon responded that companies could help sponsor health literacy projects that would lead to video and audio tools on some of the e-learning applications, both for electronic medical records and personal health records.
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From page 72... ...
French men tioned a local resource, the First 5 LA program,2 and on the federal level, she noted the Promise Neighborhoods Initiative of the Department of Education3 and the Patient Protection and Affordable Care Act expansion of home visitation programs to disseminate programs that work.4 Herman responded by describing programs that the HCI is involved with in LA 2 This organization was created by California voters to invest tobacco tax revenues in programs to improve the lives of children in LA County, from prenatal care through interventions for children up to age 5 (http://www.first5la.org/, accessed February 16, 2011)
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From page 73... ...
Following a train-the-trainer session in 2010, 120 parents in the school district attended an education program. The Lennox School district occupies a 1.3 square mile area near the L
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