60x36 Poster Template

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Promoting Functional Health Literacy Sandra
Smith, MPH, PhDCenter for Health Literacy
Promotion, Seattle WA www.HealthLiteracyPromotion
.com
OPTIONALLOGO HERE
OPTIONALLOGO HERE
Health Promotion Approach
A Conceptual Framework for
Measurement Intervention
Clinical Approach
Concept Functional Health Literacy is an Asset An
array of skills that enables people to use
information services in ways that regain,
maintain or promote health. One of Multiple
Functional Literacies Approach Build the asset
Concept Low Functional Health Literacy is a
Deficit Lack of basic literacy skills that
interferes with transmission of information from
experts to patients. (Pink on framework) Approach
Identify manage the risk
Measurement Objective Describe monitor
progress Method ?? Instruments ??
Measurement Objective Identify at-risk
patients/poor readers Method Reading skills
tests Instruments REALM, TOFHLA, NVS
Intervention Objectives Improve use of
health information services Enable people to
use information services in progressively
more effective ways to maintain or promote
health Develop interpersonal, social
reflective ability to personalize information
apply it in real life Methods Health
education, skills development, social support in
community clinical settings   Outcomes Chang
es in attitudes, motivations, knowledge,
self-efficacy actions behaviors, practices,
environments Improved health functioning  
Intervention Objective Improve understanding
of health information services
Methods Simplify information, Improve
info delivery in clinical settings Readability,
Plain Language, Ask Me 3, Multimedia
Pink Limited understanding of FHL . Tan
shapes red arrows health promotion
contributions. NEW! Orange shapes, green
arrows proposed elements connections
Methods Map Pathways to Progress
Objectives of the Conceptual Framework
Problem Understanding of functional literacy is
limited to basic skills Innovations Extend
concept of functional literacy, in which skills
enable function, to higher levels of health
literacy. Now we have room to progress. Link
progressive levels of health literacy skills to
progressive levels of health functioning. Now
we can describe progress. Identify skills,
actions, attitudes, behaviors practices to
characterize levels of health functioning in a
group of individuals . Construct Likert scales
to map progress from inadequate to optimal health
functioning. Now we can measure progress. See
these methods in action AHRQ Health Care
Innovations Exchange Coming soon
www.innovations.ahrq.gov
Link theory to practice Capture the deeper
meaning practical purpose of functional health
literacy Describe measure
improvement Make health literacy promotion
practical for implementation Guide intervention
to support individuals' caregivers' efforts to
achieve the two-part purpose of health literacy
1. Use health information services 2. in ways
that maintain or promote health



Results New Possibilities
Outcomes Improved knowledge Increased compliance
Promote Functional Health Literacy in clinical
community settings New Authentic Measures
Increase understanding of FHL Capture
improvements in information, services
function Inform guide practice New directions
for health literacy intervention
References
Nutbeam, D. (2008).The evolving concept of health
literacy. Social Science Medicine, 67,
2072-2078. Smith, SA. (2009). Promoting Health
Literacy Concept, Measurement Intervention
(PhD dissertation. Union Institute University,
Cincinnati). Wollesen, L. Peifer, K. (2006).
Life Skills Progression An outcome and
intervention planning instrument for use with
families at risk. Baltimore Brookes.
Reflective Drawing logo art by Laurel Burch
Funders AHRQ, NICHD