1. “A Pilot-test of the Effectiveness of Spanish Health Literacy Skills and Health Knowledge Videos on Health Literacy and Related Outcomes” Centre for Population Health Promotion Research, Human Early Learning Partnership

2. Research Team  Iraj Poureslami, UBC  Irv Rootman, UVIC  Jim Frankish, UBC  Marina Nicks, Douglas College  Margreth Tolson, VCH  Margreth Tolson, VCH  Patricia Dabiri, Multicultural Family Centre, BC

3. One-year Pilot Project CCL Grant One-year Pilot Project CCL Grant  To develop two short Spanish language informational videos on type 2 diabetes  Measure their effectiveness related to health knowledge and health literacy within a sample of recent Latin American immigrants to BC

4. Spanish Health Literacy Videos  “Knowledge” Video  “Appraisal of Health Information” Video

5. “Knowledge” Video  Content: - Direct Messages about prevention & Management of Type 2 Diabetes Management of Type 2 Diabetes - Plain Language - Plain Language - List of Community Resources (in Spanish) - List of Community Resources (in Spanish) Format:  Format: - Questions and Answers (performed by an expert and audience) an expert and audience) - Illustrations - Illustrations

6. “Appraisal of Health Information” Video  Community Participation:  Two-day Popular Theatre Workshop  Development of Script (two stories)  Performance

7. University - Community Partnership Project Team and CAC Members: Academics Health Literacy Experts Health Professionals Community Agencies Representatives

8. Data Collection  Questionnaires  Focus Groups  13 sessions (October 07- March 08)  Follow up Interviews

9. Study Design  Participants’ Recruitment  “Knowledge” Groups  “Appraisal” Groups  “Knowledge & Appraisal” Groups

10. Some Preliminary Findings - Usefulness Videos are useful because:Videos are useful because: 1. Increase knowledge about the disease 2. Increase awareness about community resources 3. Reinforce self-management 4. Strengthen family and friend support

11. Some Preliminary Findings - Health Numeracy No difference in understanding food label when used Spanish label vs. English labelNo difference in understanding food label when used Spanish label vs. English label Reading information in the nutritional labels:Reading information in the nutritional labels: 1. Easy to Understand: - Used to read labels - Used to read labels - Easy to find info in the labels - Easy to find info in the labels - Because It’s important to read labels for our health - Because It’s important to read labels for our health 2. Difficult to Understand: - Numbers are difficult to understand - Numbers are difficult to understand - Labels are too difficult to follow - Labels are too difficult to follow - Did not understand the questions - Did not understand the questions - Need more time to respond - Need more time to respond

12. Some Preliminary Findings - Relevance Relevant and practical source of information:Relevant and practical source of information: 1.Videos developed in Spanish 2.Used plain language, clear content: e.g., how Diabetes affects body, risk factors 3.It is real, contained examples in a simple, everyday way 4.Encouraged changes in lifestyle 5.Can be shared with others 6.Supported by informative materials and graphics

13. Some Preliminary Findings - Trustworthiness Reliable source of informationReliable source of information Participants’ perspectives on reliability were based on: Participants’ perspectives on reliability were based on: 1.who provided the information (i.e. doctor, coordinated by UBC) 2.Videos provide scientific evidence and up-to- date information 3.Videos provide information based on experiences of people who have the disease

14. Mutual Benefits  Community members:  Increased awareness and knowledge about the health condition  Increased Access to community resources (i.e. Spanish Diabetes Health Educator)  Identification of Needs and Challenges (i.e. Information about balanced diet, food labels, etc)

15. Mutual Benefits University:  Increased Knowledge about:  Latin American immigrants’ Health Literacy skills as well as their traditions, beliefs, health practices, priorities and needs in Greater Vancouver Area  How to develop culturally and linguistically appropriate health communication tools  New Spanish Video: * Balanced Diet, Prevention and Management of Type 2 Diabetes

16. For more information about the project and videos, contact: and videos, contact: Dr Iraj Poureslami, Principal Investigator: Dr Iraj Poureslami, Principal Investigator: pouresla@interchange.ubc.ca pouresla@interchange.ubc.capouresla@interchange.ubc.ca or or Dora Replanski, Research Coordinator: Dora Replanski, Research Coordinator: dreplans@interchange.ubc.ca dreplans@interchange.ubc.cadreplans@interchange.ubc.ca