1. June 24, 2003 Health Communications Progress Review Focus Area 11

2. Health Communications Objectives 11-1:Internet access 11-2*: Increase health literacy — Currently about 90 million adults have have inadequate or marginal literacy skills 11-3*: Increase health communication programs coupled with research and evaluation. 11-4*: Web sites — User assessment of site quality 11-5*: Increase Centers for Excellence in Health Communication 11-6: Improve provider communication skills *Developmental objective

3.  Health professional-patient relationships Health Communication — Addresses/Enhances  Exposure to, search for, and use of health information  Adherence to clinical recommendations  Public health messages and campaigns  Risk communication  Images of health in media and culture at-large  Education on how to access public health and health care systems  Development of tele-health applications

4. Source: CPS. 2010 target Objective 11-1 Percent Household Internet Access, 1998-2001

5. Black Less than high school Urban Source: CPS. Percent 2010 target Objective 11-1 White Female Male Hispanic High school At least some college Rural A/PI Household Internet Access, 2001

6. Listen carefully Source: MEPS. Explain things clearly Show respect Spend enough time 2010 target Objective 11-6 a-d Provider-Patient Communication, 2000 Percent of patients who report their providers always:

7. Listen carefully Explain things clearly Show respect Spend enough time Source: MEPS. Provider-Patient Communication by Race/Ethnicity, 2000 Objective 11-6 a-d Non-Hispanic BlackNon-Hispanic WhiteHispanic2010 target Percent of patients who report their providers always:

8. Listen carefully Explain things clearly Show respect Spend enough time Source: MEPS. Provider-Patient Communication by Health Insurance Status, 2000 Objective 11-6 a-d PrivatePublicNo health insurance Percent of patients who report their providers always: 2010 target

9. Listen carefully Explain things clearly Show respect Spend enough time Source: MEPS. Provider-Patient Communication by Age, 2000 Objective 11-6 a-d Age 18-24Age 25-44Age 45-64Age 65+ Percent of patients who report their providers always: 2010 target

10. Developmental Objectives  Four developmental objectives  One now has a baseline and a proposed target-setting method

11. Health literacy definition: The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Health Literacy Developmental Objective 11-2 Improve the health literacy among persons with inadequate or marginal literacy skills

12.  Health Literacy Component, 2003 National Assessment of Adult Literacy, National Center for Education Statistics, U.S. Department of Education  Three clusters of health literacy:  Clinical (e.g., filling out a patient information form)  Prevention (e.g., deciding to get a cancer screening)  Navigation of the health care system (e.g., understanding co-pays and deductibles in health insurance plans)  Expected results in 2004: Health literacy index scores on the ability of U.S. population groups to understand health- related information Developmental Objective 11-2 Health Literacy Baseline Data Source

13.  Most likely focus for measurement: Federal health communication campaigns  Campaigns are typically assessed against internal goals, not external criteria related to campaign design  Need for consensus-building on criteria for objective research and evaluation components in campaign designs Research and Evaluation of Health Communication Activities Developmental Objective 11-3 Increase the proportion of health communication activities that include research and evaluation

14.  Number of health-related Web sites is constantly changing, which makes measurement difficult  Model of disclosure of quality criteria is still evolving  Government role in assessing quality of Web sites is unclear Quality of Internet Health Information Developmental Objective 11-4 Increase the proportion of health-related World Wide Web sites that disclose information that can be used to assess the quality of the site.

15.  Four centers have been identified by NCI (baseline) in 2003  These centers are focused on cancer communication  A target-setting method has been proposed Source: NCI Centers for Excellence in Health Communication Objective 11-5 Increase the number of centers for excellence that seek to advance the research and practice of health communication.

16. Health-Related ProfessionalsHealth Information Consumers Goal: Use Communication Strategically to Improve Health

17. Data and slides for Healthy People 2010 progress reviews are available at: http://www.cdc.gov/nchs/ hphome.htm