1. Health Literacy Starter Kit Marg Rose and Estelle Paget Victoria, BC

2. What would you do? Older mom is anxious as her baby won’t stop crying. admits she can’t understand pamphlet you gave her on the last visit had trouble with filling out the intake form at local clinic you suggested so she left Dyad exercise-jot down ideas for resources you know about/would use…

3. Replay with resources KidCareCanada KidCareCanada variety of resources Translates current infant development research into accessible format and language and models skills Vulnerable populations participate and teach others View DVD and link to support groups

4. Clarity and connections count Range of resources should be used 2.5 x chance of poor health if low literacy 2.5 x to be on income supports Risks compounded if senior or immigrant with low literacy skills

5. AuditAudit your setting Range of outreach tools used? Facility set up as welcoming? Admission procedures clear? Appointment reminders? Discharge materials? Range of training options? Build in ESL, cultural sensitivity?

6. Change package Change package of ImpactBC ideas Universal Precautions ToolKit of Agency for Healthcare Research and QualityToolKit tape the session or invite a friend/elder Refer to 1-888-READ-234 help patients navigate the system- listings of support groups etc MeasureUP! finds your level of literacyliteracy

7. Improving HL Listen, encourage questions (askme3.org) Bennett et al (2003) screening questions: Highest level of education? Live with the other parent? Ever read books at home? Set up a laptop Kiosk: MedLine Plus, EthnoMed, Healthyroadsmedia.org, HealthLinkBC.ca (French, Chinese, Punjabi, Farsi), nald.ca, nifl.org

8. Consider the REALM or TOFHLA on intakeREALMTOFHLA Create, fill out My Health RecordMy Health Record Minimal text storyboards/line drawings Use personal examples, teach-back questions:Why do I use it? What is it? How do I use it? When do I use it?teach-back Expand narrative medicine skills (Charon, 2006)narrative focus test materials on literacy learners

9. Community clinics What information is safe and trust-worthy? Invite in health librarian Facilitate Going to the Doctor packageGoing to the Doctor Distribute vetted DVDs, YouTube videos Help to navigate the system

10. Download resources Clear Doc Clear Doc Index Going to the Doctor Going to the Doctor booklets Patient prompt Patient prompt card Health Record of NSW or myphr.caRecordmyphr.ca www.nald.cawww.nald.ca full text documents Healthyroadsmedia.org and more!

11. CPHA portal 10 Youth workshops What the Health!What the Health! Good Medicine for Seniors: Guidelines for Plain Language and Good Design in Prescription Medication Good Medicine for Seniors: Guidelines for Plain Language and Good Design in Prescription Medication Working with Low-Literacy Seniors: Practical Strategies for Health Providers Working with Low-Literacy Seniors: Practical Strategies for Health Providers Healthy aboriginal comic book seriescomic book Skilled for health British materials on food security, navigation, mental health,first aid, etc. Skilled for health

12. Keep current Health Literacy Discussion list serv:http://lincs.ed.gov/mailman/listinfo/Healthli teracy/ moderated by Len and Ceci Doak of Patient Learning Associateshttp://lincs.ed.gov/mailman/listinfo/Healthli teracy/ Institute of Medicine resources e.g. Patient centred cancer treatment planning kit Safe Use Initiative by FDA linkkitSafe Use National Center for the Study of Adult Learning and Literacy (NCSALL) Focus on BasicsNCSALL Institute for Health care Advancement What to do for Health coursecourse

13. On-line training How to find info you trust tutorial of National Network of Libraries of Medicine USAtutorial Centers for Disease Control and Prevention (CDC)free "Health Literacy for Public Health Professionals” two hour coursecourse Harvard School of Public Health study circlesstudy circles

14. Onward! Marg Rose, M. Ed. Collaborative Consulting BCMRose@telus.net Estelle Paget KidCareCanada Society Estelle.paget@shaw.ca