1. Your Heart Forecast – A dynamic visual tool to help motivate individuals to quit Stewart Eadie National Cardiac Care Manager

2. Slide Contents by Topic Introduction Some barriers to successful cessation Health literacy – overcoming the barriers What has worked Your Heart Forecast Where to from here Questions

3. Perceived Barriers from 1° Care Neither uncertainty about effective smoking cessation strategies, nor a lack of reimbursement for smoking cessation advice “Readiness to change” “Lack of motivation” “No interest”

4. Definition of ‘Health Literacy’ 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 Healthy People 2010 Low ‘health literacy’ linked to poor cessation outcomes Weiss;, Am J Prev Med. 38(3 Suppl):S403-13, 2010 Mar.

5. Results of IALs

6. Literacy

7. Best Outcomes Using language the other person is comfortable Excellent communication that establishes rapport/respect Linked to better health outcomes What can help this?

8. Lung Function Lung age by FEV1 early graphic example useful Parkes, G. et al. BMJ 2008;336:598-600

9. Your Heart Age Forecast knowyournumbers.co.nz C:\Documents and Settings\StewartE\Desktop\main.exe

10. Your Heart Age Forecast knowyournumbers.co.nz

11. Your Heart Forecast www.yourheartforecast.com

12. Your Heart Age Forecast During beta testing 50% of Maori literally said, “Shit what have I got to do to change” “I had no training but managed to use it OK” “my patient really felt motivated to quit when he saw the line on the graph” “I could see he was letting the info wash over until I used the tool and showed him what was likely to happen if he didn’t make changes, and he took notice”

13. Thank you very much Acknowledgements – National Heart Foundation – My co-authors Andrew Kerr, Stewart Eadie, Chris Wiltshire, Andy Mclachlan, Rod Jackson – Our Primary Healthcare Organisation partners Manaia, Te Tai Tokerau, Whangaroa, Hokianga Health, Ti Hewa Mauriora, Kaipara Care, the ProCare Network (Central, North and South)