Return-Path: <root> Received: (from root@localhost) by literacy.nifl.gov (8.10.2/8.10.2) id f7VBqYc09230 for health-archive@nifl.gov; Fri, 31 Aug 2001 07:52:34 -0400 (EDT) Resent-Message-Id: <200108311152.f7VBqYc09230@literacy.nifl.gov> Received: from Othello.mc.duke.edu (othello.mc.duke.edu [152.3.171.201]) by literacy.nifl.gov (8.10.2/8.10.2) with SMTP id f21IRp924603 for <nifl-health@nifl.gov>; Thu, 1 Mar 2001 13:27:51 -0500 (EST) Received: by Othello.mc.duke.edu(Lotus SMTP MTA v4.6.4 (830.2 3-23-1999)) id 85256A02.00655F2D ; Thu, 1 Mar 2001 13:27:14 -0500 X-Lotus-FromDomain: MC From: harwo001@mc.duke.edu To: nifl-health@nifl.gov Message-ID: <85256A02.00655EBE.00@Othello.mc.duke.edu> Date: Thu, 1 Mar 2001 13:27:13 -0500 Subject: Re: [NIFL-HEALTH:2879] Patient interaction with health care instructions Content-type: text/plain; charset=us-ascii Content-Disposition: inline Resent-From: root@literacy.nifl.gov Resent-Date: Fri, 31 Aug 2001 07:52:34 -0400 Resent-To: health-archive@nifl.gov Status: O Content-Length: 3150 Lines: 73 We are beginning to try and incorporate more interaction in our documents. Our first attempt is a booklet on stress management. It is about 1/3 interactive. Each topic has a page or two of introductory material. Then, there is a vignette that incorporates that content into a patient scenario. That is followed by an interactive component that gives the reader the opportunity to personalize the information to them. This includes completing a checklist of signs of stress they are experiencing, answering questions in narrative form about how they've coped before, making a plan for problem-solving, exploring current conflicts in their lives and creating their own visualization, either in words or pictures. This completed, we are now working on decision-making support materials that will promote patient - physician interaction. These will actually include areas the physician customizes for the patient during the interaction. Kerry Harwood, RN, MSN Director, Cancer Patient Education Program Duke University Health System Lendoak@aol.com on 03/01/2001 11:44:25 AM Please respond to nifl-health@nifl.gov To: Multiple recipients of list <nifl-health@literacy.nifl.gov> cc: Subject: [NIFL-HEALTH:2879] Patient interaction with health care instructions Dear friends, We thank you for the opportunity to spend the week with you as "Guest Discussion Leaders". We would like to share ideas with you on building interaction into patient instructions. Have you noticed the first thing a telemarketer says when you answer the phone? Isn't it invariably, "How are you today?" Why do they open with a question rather than a sales pitch? Because when you interact to respond to their question - they gain your attention. And to some small degree they have established a relationship with you. >From research and long experience, educators know that interaction stimulates interest, memory and learning. Oral and written responses are standard practice in the classroom. More recently, neurologists have shown that interaction causes a protein change in the brain that stimulates retention and memory. But few health care instructions - in any mode of communication - ask for substantive feedback from the patient. Some feedback examples: (written) "Check at least three foods that you will eat more of to reduce your risk of cancer." (Oral), "You're going home now, tell me (or show me) how you will clean your stoma...take your meds...etc." A few years ago we analyzed 100 written health care instructions and found that fewer than 20 percent included interaction of any kind. More recently a similar analysis of med instruction from a pharmaceutical company showed a similar percentage. For instructions on video or audio tapes, patient feedback is requested even less frequently. Would you share your experience in building in feedback for patients? What has worked for you? Do your materials exceed the 20 percent average? Patient feedback can bring huge gains in effectiveness. We look forward to your experience with feedbck, and in the following days we will share ours. Ceci and Len Doak Patient Learning Associates
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