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Reply-To: <sandras@u.washington.edu>
From: "Sandra Smith" <sandras@u.washington.edu>
To: <nifl-health@nifl.gov>
Subject: RE: [NIFL-HEALTH:2888] Interaction: Ideas and practice
Date: Fri, 2 Mar 2001 11:40:10 -0800
Message-ID: <NDBBKNOLGLDNLBPDOLFCKEEEDBAA.sandras@u.washington.edu>
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Listmates:
For the Beginnings Parent's Guide, I used interactive checklists such as the
following one that helps parents decide when to turn the car seat to face
forward. These tested very well in Reader Verification Interviews with
learners and with nurses who would use the materials as teaching aids.
_________
Is your baby ready to face forward in the car?
Turn your baby's car set around when you answer Yes to all of these
questions
Does your baby weigh at least 20 pounds?
[ ] Yes [ ] No
Is your baby at least 1 year old?
[ ] Yes [ ] No
Can your baby sit up by herself?
[ ] Yes [ ] No
Do your baby's feet touch the seat back
[ ] Yes [ ]No
SS
Sandra Smith, MPH, CHES
Health Education Specialist
University of Washington
Center for Health Ed.& Research
Clinical Instructor,Health Services
Editor,Beginnings: A Practical Guide through Pregnancy
& Beginnings Parent's Guide
Editor, http://www.PrenatalEd.com
Fellow, National Center for Infants, Toddlers & Children
Mailing Address:
2821 2nd Ave #1601
Seattle WA 98121
206-441-7046
FAX 728-1926
sandras@u.washington.edu
-----Original Message-----
From: nifl-health@nifl.gov [mailto:nifl-health@nifl.gov]On Behalf Of
Lendoak@aol.com
Sent: Friday, March 02, 2001 10:48 AM
To: Multiple recipients of list
Subject: [NIFL-HEALTH:2888] Interaction: Ideas and practice
Dear friends,
We thank you (and so do all on this list-surv) for your useful ideas and
innovations regarding patient interaction with health care instructions.
These are helpful to us all.
In response to some of the questions:
Sandra Smith raised a good question regarding the use of a "quiz" in health
care instructions. Won't a quiz put off patients who may have had unpleasant
experience with them in school?
It is true that many people have had problems with a quiz in school, and
don't like "tests" of any kind. We think the acceptance of a quiz or
questionnaire depends on a number of factors:
* The way it is presented to the patient. ( Perhaps something like:
"We
want to make sure we've clearly explained the things you need to do so
you'll
have a quick recovery. Nobody can remember everything right away. Please
look
at these questions and answer the ones you can.") Another acceptable
reason
for a quiz may be to help the patient personalize the instruction.
* Does the quiz look long and formidable, or short and easy to see
what is asked for? Where the patient has a many things to learn, it is
usually best to break the quiz down into several parts; the parts given to
the patient at different times. Are the instructions (to answer the quiz)
short and simple?
* Does it look like a school test/quiz? It doesn't have to. The
National Cancer Institute developed an effective quiz on nutrition and
cancer
by using a Jeopardy-like sheet with questions written on little tabs. People
could answer the questions and then lift up the little tab to see if they
had
it right.
For a quiz or a new health care instruction, its evaluation with patients is
essential. For example, charts, graphs, and grids are not familiar to many
people. For example, the first draft of the booklet "Healthy Foods, Healthy
Baby" included a graph showing desirable weight gain vs. weeks of
pregnancy. Before proceeding further, the health educators tested it with
19
pregnant teenagers. None could understand it.
Deborah Yoho's mentioned the challenge of adding interaction and yet keeping
the instruction brief. The two points seem to be in conflict.
For new instructions, we suggest that interaction not be added, but rather
built into the original thinking and planning of the instruction. Include
planning questions such as: 1) What are the key things we want the patient
to
do? 2)What skills and knowledge do they need to do it? 3) How can we build
in feedback after each key point?
For existing instructions, adding interaction will be necessary. There are
a
great many ways to do this, and many of you have rich experience in doing
so.
Would you share your exprience? Examples of what you did would be most
helpful.
What is the climate for adding interaction to health instructions used by
your organization or agency?
Best wishes,
Ceci and Len Doak
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