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Mandates for Health Literacy in Medicine and Education – the IOM Report and Beyond Lynn Nielsen, Ph.D. Assistant Professor of Physiology & Director of.

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Presentation on theme: "Mandates for Health Literacy in Medicine and Education – the IOM Report and Beyond Lynn Nielsen, Ph.D. Assistant Professor of Physiology & Director of."— Presentation transcript:

1 Mandates for Health Literacy in Medicine and Education – the IOM Report and Beyond Lynn Nielsen, Ph.D. Assistant Professor of Physiology & Director of Research Assistant Professor of Physiology & Director of Research DeBusk College of Osteopathic Medicine

2 Health literacy is a shared function of social and individual factors Health literacy is a shared function of social and individual factors Individuals health literacy skills and capacities are mediated by their education, culture, and language Individuals health literacy skills and capacities are mediated by their education, culture, and language

3 Potential Intervention Points

4 Intervention points for improving health literacy Health systems Health systems Social marketing Social marketing Education systems Education systems

5 Partnerships Critical to improved health literacy Critical to improved health literacy Repeatedly mandated Repeatedly mandated Rare Rare

6 Obstacles to Partnership Lack of action on existing science education standards Lack of action on existing science education standards Inadequate funding of recommended programs Inadequate funding of recommended programs Lack of awareness across fields Lack of awareness across fields

7 Fostering Partnerships Partnerships wanted Partnerships wanted Adult education programs Adult education programs Health systems Health systems Adult learners Adult learners

8 Engage Multiple Fields Health care services should be developed in partnerships with the local community, organizations, and institutions Health care services should be developed in partnerships with the local community, organizations, and institutions

9 Local Resources Health care institutions Health care institutions Adult education programs Adult education programs Libraries Libraries Community leaders Community leaders

10 Example Partnerships Demonstration Projects Demonstration Projects Develop Curricula Develop Curricula Train the Trainer Train the Trainer

11 Leadership for Community Change Leadership for Community Change Kellogg Foundation Demonstration Project Kellogg Foundation Demonstration Project Classroom training Classroom training Mentoring Mentoring Networking Networking Community-based leaders Community-based leaders Local organizations Local organizations Multiple sites Multiple sites

12 Promote cross-discipline relationships Promote cross-discipline relationships Develop self-continuing projects Develop self-continuing projects Take action on existing mandates Take action on existing mandates

13 References 1 Committee on Health Literacy, Board on Neuroscience and Behavioral Health. Health Literacy: A Prescription to End Confusion. L Nielsen-Bohlman, AM Panzer, DA Kindig, Eds. Washington DC: National Academies Press, Committee on the Future of Rural Health Care, Board on Health Care Services. Quality Through Collaboration: The Future of Rural Health Care. Washington DC: National Academies Press,

14 A selection of articles relevant to health systems and adult education partnerships to address health literacy A selection of articles relevant to health systems and adult education partnerships to address health literacy Further Reading

15 Rudd RE A maturing partnership. Focus on Basics: Connecting Research and Practice. 5(3). Rudd RE A maturing partnership. Focus on Basics: Connecting Research and Practice. 5(3). Rudd RE, Moeykens BA Adult educators perceptions of health issues and topics in adult basic education. NCSALL Report #8. Cambridge, MA: National Center for the Study of Adult Learning and Literacy. Rudd RE, Moeykens BA Adult educators perceptions of health issues and topics in adult basic education. NCSALL Report #8. Cambridge, MA: National Center for the Study of Adult Learning and Literacy. Pateman B, Grunbaum JA, Kann L Voices from the fieldA qualitative analysis of classroom, school, district, and state health education policies and programs. Journal of School Health. 69(7): 258–263. Pateman B, Grunbaum JA, Kann L Voices from the fieldA qualitative analysis of classroom, school, district, and state health education policies and programs. Journal of School Health. 69(7): 258–263. NRC (National Research Council) National Science Education Standards. Washington, DC: National Academy Press. NRC (National Research Council) National Science Education Standards. Washington, DC: National Academy Press. Murphy PW, Davis TC, Mayeaux EJ, Sentell T, Arnold C, Rebouche C Teaching nutrition education in adult learning centers: Linking literacy, health care, and the community. Journal of Community Health Nursing. 13(3): 149– 158. Murphy PW, Davis TC, Mayeaux EJ, Sentell T, Arnold C, Rebouche C Teaching nutrition education in adult learning centers: Linking literacy, health care, and the community. Journal of Community Health Nursing. 13(3): 149– 158. Morse L Improving Health Literacy: An Educational Response to a Public Health Problem. Presentation given at a workshop of the Institute of Medicine Committee on Health Literacy. December 11, 2002, Washington, DC Morse L Improving Health Literacy: An Educational Response to a Public Health Problem. Presentation given at a workshop of the Institute of Medicine Committee on Health Literacy. December 11, 2002, Washington, DC Matthews TL, Sewell JC State Officials Guide to Health Literacy. Lexington, KY: The Council of State Governments. Matthews TL, Sewell JC State Officials Guide to Health Literacy. Lexington, KY: The Council of State Governments. Joint Committee on National Health Education Standards National Health Education Standards: Achieving Health Literacy. Atlanta, GA: American Cancer Society. Joint Committee on National Health Education Standards National Health Education Standards: Achieving Health Literacy. Atlanta, GA: American Cancer Society. Jacobson E, Degener S, Purcell-Gates V Creating Authentic Materials for the Adult Literacy Classroom: A Handbook for Practitioners. Cambridge, MA: World Education Inc. Jacobson E, Degener S, Purcell-Gates V Creating Authentic Materials for the Adult Literacy Classroom: A Handbook for Practitioners. Cambridge, MA: World Education Inc. HHS (U.S. Department of Health and Human Services) Healthy People 2010: Understanding and Improving Health. Washington, DC: U.S. Department of Health and Human Services. [Online]. Available: [accessed: January 15, 2003]. HHS (U.S. Department of Health and Human Services) Healthy People 2010: Understanding and Improving Health. Washington, DC: U.S. Department of Health and Human Services. [Online]. Available: [accessed: January 15, 2003]. Doak LG, Doak CC, Meade CD Strategies to improve cancer education materials. Oncology Nursing Forum. 23(8): 1305–1312. Doak LG, Doak CC, Meade CD Strategies to improve cancer education materials. Oncology Nursing Forum. 23(8): 1305–1312.

16 Members of the IOM Committee on Health Literacy Dr. Dyanne Affonso, Executive Administrative Specialist, Dept. of Pharmacy, University of Hawaii Hilo, 60 Nowelo St., Ste 101, Hilo, HI (808) Dr. Dyanne Affonso, Executive Administrative Specialist, Dept. of Pharmacy, University of Hawaii Hilo, 60 Nowelo St., Ste 101, Hilo, HI (808) Dr. Eric Chudler, Eric H. Chudler, Director of Education and Outreach, University of Washington Engineered Biomaterials (UWEB), Department of Bioengineering, BOX , University of WashingtonSeattle, WA (206) Dr. Eric Chudler, Eric H. Chudler, Director of Education and Outreach, University of Washington Engineered Biomaterials (UWEB), Department of Bioengineering, BOX , University of WashingtonSeattle, WA (206) of Washington Engineered BiomaterialsDepartment of BioengineeringUniversity of WashingtonSeattle of Washington Engineered BiomaterialsDepartment of BioengineeringUniversity of WashingtonSeattle Dr. Terry Davis, Contributor, Professor of Medicine and Pediatrics, Director of Behavioral Science Section, Feist-Weiller Cancer Center, LSU Health Sciences Center-Shreveport, 1501 Kings Highway, Shreveport, Louisiana (318) Dr. Terry Davis, Contributor, Professor of Medicine and Pediatrics, Director of Behavioral Science Section, Feist-Weiller Cancer Center, LSU Health Sciences Center-Shreveport, 1501 Kings Highway, Shreveport, Louisiana (318) Dr. Marilyn Gaston, Assistant Surgeon General of the United States, Retired, Dr. Marilyn Gaston, Assistant Surgeon General of the United States, Retired, Dr. David Howard, Assistant Professor, Department of Health Policy and Management, Rollins School of Public Health Room 610, Emory University, 1518 Clifton Road NE Atlanta, GA 30322http://www.sph.emory.edu/~dhhowar/ Dr. David Howard, Assistant Professor, Department of Health Policy and Management, Rollins School of Public Health Room 610, Emory University, 1518 Clifton Road NE Atlanta, GA 30322http://www.sph.emory.edu/~dhhowar/ Dr. David Kindig, Committee Chair, Professor of Preventive Medicine and Director of the Wisconsin Network for Health Policy Research, Department of Preventive Medicine, 760 WARF Building, 610 N. Walnut St., Madison, Wisconsin (608) Dr. David Kindig, Committee Chair, Professor of Preventive Medicine and Director of the Wisconsin Network for Health Policy Research, Department of Preventive Medicine, 760 WARF Building, 610 N. Walnut St., Madison, Wisconsin (608) Dr. Cathy Meade, Director, Education Program, Leader, Cancer, Culture, and Literacy Institute, Moffit Cancer Center, Univerity of South Florida, H. Lee Moffitt Cancer Center & Research Institute, Magnolia Drive, Tampa, FL (813) Dr. Cathy Meade, Director, Education Program, Leader, Cancer, Culture, and Literacy Institute, Moffit Cancer Center, Univerity of South Florida, H. Lee Moffitt Cancer Center & Research Institute, Magnolia Drive, Tampa, FL (813) Dr. Lynn Nielsen, Committee Director, Assistant Professor of Physiology & Director of Research, DeBusk College of Osteopathic Medicine, Lincoln Memorial University, 6965 Cumberland Gap Parkway Harrogate, Tennessee Dr. Lynn Nielsen, Committee Director, Assistant Professor of Physiology & Director of Research, DeBusk College of Osteopathic Medicine, Lincoln Memorial University, 6965 Cumberland Gap Parkway Harrogate, Tennessee continued next page

17 Members of the IOM Committee on Health Literacy, continued Allison Panzer, Committee Staff, University of Rochester Medical Center, Allison Panzer, Committee Staff, University of Rochester Medical Center, Dr. Ruth Parker, Professor of Medicine, Dept. of General Medicine, Emory School of Med (404) Dr. Ruth Parker, Professor of Medicine, Dept. of General Medicine, Emory School of Med (404) Dr. Victoria Purcall-Gates, Canada Research Chair in Early Childhood Literacy, Faculty of Education, Department of Language & Literacy, 2125 Main Mall,304 B Scarfe Hall, University of British Columbia, Vancouver, B.C., Canada V6T 1Z Dr. Victoria Purcall-Gates, Canada Research Chair in Early Childhood Literacy, Faculty of Education, Department of Language & Literacy, 2125 Main Mall,304 B Scarfe Hall, University of British Columbia, Vancouver, B.C., Canada V6T 1Z4 Irv Rootman, Centre for Community Health Promotion Research, Box 3060 STN CSC, Victoria B.C. V8W 3R4 (250) Irv Rootman, Centre for Community Health Promotion Research, Box 3060 STN CSC, Victoria B.C. V8W 3R4 (250) Dr. Rima Rudd, Senior Lecturer on Society, Human Development, and Health, Department of Society, Human Development, and Health, Harvard. 677 Huntington Avenue, Kresge Building 7th Floor, Boston, MA Dr. Rima Rudd, Senior Lecturer on Society, Human Development, and Health, Department of Society, Human Development, and Health, Harvard. 677 Huntington Avenue, Kresge Building 7th Floor, Boston, MA Department of Society, Human Development, and of Society, Human Development, and Dr. Dean Schillinger, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, Box 1364, Bldg 10 (415) Dr. Dean Schillinger, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, Box 1364, Bldg 10 (415) Dr. Susan Scrimshaw, President, Simmons College, 300 The Fenwaym Boston, MA Dr. Susan Scrimshaw, President, Simmons College, 300 The Fenwaym Boston, MA Bill Smith, Senior Scientist and Director, Social Change Group, Academy for Educational Development, 1825 Connecticut Ave., NW, Washington, D.C Bill Smith, Senior Scientist and Director, Social Change Group, Academy for Educational Development, 1825 Connecticut Ave., NW, Washington, D.C Barry Weiss, Contributor, Professor, Department of Family and Community Medicine, University of Arizona College of Medicine, 1501 N. Campbell Avenue, PO Box , Tucson, Arizona (520) Barry Weiss, Contributor, Professor, Department of Family and Community Medicine, University of Arizona College of Medicine, 1501 N. Campbell Avenue, PO Box , Tucson, Arizona (520)


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