0 icfi.com | building self-efficacy by improving health literacy supply and demand april 19, 2012...
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Building self-efficacy by improving health literacy
Supply and Demand
April 19, 2012
Prepared for:
Centers for Disease Control and Prevention Advisory Committee on Breast Cancer in Young Women
by:
Ronne Ostby, ICF, [email protected]
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Basic Laws of Supply and Demand
If demand increases and supply remains unchanged, then it leads to higher equilibrium price and higher quantity.
If demand decreases and supply remains unchanged, then it leads to lower equilibrium price and lower quantity.
If supply increases and demand remains unchanged, then it leads to lower equilibrium price and higher quantity.
If supply decreases and demand remains unchanged, then it leads to higher equilibrium price and lower quantity.
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Driving Factors of Behavior Change
Benefits
Barriers
Social Norms
Self-Efficacy• Perceived self control
“I know how to do this.” “I will be successful when I do this.”
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The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. --Healthy People 2010
Health Literacy
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Prescription Drug Bottles
Appointment Slips
Educational Brochures
Doctor’s Directions
Consent Forms
Systems and Processes
Health Literacy
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READING
LISTENING
ANALYSIS
DECISION-MAKING
CONFIDENCE
ASSERTIVENESS
Health Literacy
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Patients with poor health literacy have a complex array of difficulties with written and oral communication that may limit their understanding of cancer screening and of symptoms of cancer, adversely affecting their stage at diagnosis. In addition, these barriers impair communication and discussion about risks and benefits of treatment options, and patient understanding of informed consent for routine procedures and clinical trials.
Terry C. Davis, PhD; Mark V.Williams, MD; Estela Marin, MA; Ruth M. Parker, MD; Jonathan Glass, MD. “Health Literacy and Cancer Communication.”
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Patients with cancer are particularly vulnerable to the effects of low HL, owing to the complicated treatment regimens they receive. Oncology nurses can help by identifying patients who may be at risk and implementing strategies that can be used to help patients understand the information they receive.
Chastity Burrows Walters, MSN, RN. “Health Literacy: Strategies for Avoiding Communication Breakdown.”
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Evaluating information for credibility and quality
Analyzing relative risks and benefits
Calculating dosages
Interpreting test results
Locating health information
Skills Needed for Health Literacy
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Visual Literacy
Computer Literacy
Information Literacy
Numerical or computational literacy
Skills Needed for Health Literacy
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Elderly (age 65+)
Minority populations
Immigrant populations
Low income
People with chronic medical or physical health conditions
Vulnerable Populations
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SIMPLIFIED INFORMATION
Technology-based communications
Counseling and one-on-one treatment planning/assistance
Community-based support
Improve Health Literacy
I know how to do this. I will be successful
when I do this.
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1. Developing the Content
2. Organizing the Publication
3. Writing the Content
4. Developing the Design
5. Testing the Publication
Simplified Information
I know how to do this. I will be successful
when I do this.
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1. Developing the Content• Describe the behaviors• Describe the benefits of performing the behavior• Determine key messages• Tell only what they need to know• Use lay terms• Develop relevant illustrations to convey behaviors and processes• Create opportunity for reader interaction
Simplified Information
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2. Organizing the Publication• Describe what the reader will gain• Most important info at the beginning AND at the end• Think spatially• Use headings that express a complete idea or reinforce a behavior• Summarize main points
Simplified Information
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3. Writing the Content• Write at an appropriate reading level for a broad audience• Use active voice• Friendly, conversational tone• Short and declarative sentences• Use familiar examples to convey concepts• Use simple words and be consistent• Avoid abbreviations and acronyms• Limit use of statistics
Simplified Information
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4. Developing the Design• Arriving image should be relevant and easy to read• Ensure adequate white space• Use appropriate fonts/typefaces• Avoid using text as an element• Use boldface or underline to emphasize• Create a layout that aids readability• Use color to aid readability• Select illustrations carefully• Choose familiar visuals
Simplified Information
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5. Testing communications materials
Simplified Information
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I know how to do this. I will be successful
when I do this.
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Strategic Communications & Marketing
Right strategy. Real change.
Ronne [email protected]