1. Communicating Healthy Behaviors: How not to Leave Behind the Less Literate or Those with Limited or No Access to Technology By CDR Shoba Anand RN, MSN and LCDR Aileen Renolayan RN,MSN

2. OBJECTIVES Discuss 4 healthy behaviors (Physical activity, Nutritional recommendations, Stress reduction, and Medical care and ways which can be communicated List & discuss key factors which influence population health Describe 3 ways of how not to leave behind the less literate or those with limited or no access to technology

3. 1999 Obesity Trends* Among U.S. Adults 1990, 1999, 2008 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2008 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

4. Obesity in Children Childhood obesity has more than tripled in the past 30 years.

5. HEALTHY BEHAVIORS 1. Physical activity 2. Nutritional recommendations 3. Stress reduction 4. Medical care

6. PHYSICAL ACTIVITY

7. NUTRITIONAL RECOMMENDATIONS

12. STRESS REDUCTION Recognize what frazzles you most Keep a journal to track your various stressors such financial concerns, relationship woes, workplace problems as well as how you react to them Reduce stress: Try deep breathing, just taking a few deep breaths can help relax your blood vessels, yoga, tai chi, Anything that keep your mind from wandering to negative thoughts will help Meditation, praying, reading a book, and listening music Doing things that make you laugh, have fun, and make you feel relaxed Taking classes or involvement in hobbies like music, painting, knitting Attending support groups or counseling Main point is that you make time every day to relax and check out

13. MEDICAL CARE Having regular medical check up and follow-up Knowing health improvement activities such as screening tests (breast exam/mammogram, Pap smear/cervical screening, dental care) Knowing that there is information and guidance for wellness program (smoking, alcohol use, drug use) Knowing what symptoms to look for and when to contact a member of your health care team when one has a health problem Taking your medications as directed Addressing root causes of chronic health condition (Diabetes, Cancer, etc.)

14. KEY FACTORS WHICH INFLUENCE POPULATION HEALTH Income and social status Social support networks Education and literacy Employment/working conditions Social environments Physical environments Personal health practices and coping skills Healthy child development Biology and genetic endowment Health services Gender Culture

15. THREE WAYS OF HOW NOT LEAVE BEHIND THE LESS LITERATE Identify the intended users based on epidemiology, demographics, behavior, culture, and attitude. Evaluate user’s understanding before, during, and after the introduction of information and services. Acknowledge cultural differences and practice respect.

16. THREE WAYS OF HOW NOT TO LEAVE THOSE WITH LIMITED OR NO ACCESS TO TECHNOLOGY Improve the usability of information on the internet Identify new methods for information dissemination Improve the usability of health forms and instructions

17. THREE WAYS OF HOW NOT TO LEAVE THOSE WITH LIMITED OR NO ACCESS TO TECHNOLOGY

18. $1.9 Billion in Remittances to Family $1 Billion in Aid from Foreign Governments $3.4 Billion GDP 535,000 Haitians living in the United States Haiti

19. ADULT EDUCATION RANKING IN HAITI #147 of 176 nations Dominican Republic #100 Ghana #146 Nepal #148

20. Education in Haiti Children in a make shift school at the slum of Cite-Soleil in Port-au-Prince.

22. QUESTIONS?