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From: Lendoak@aol.com
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Date: Wed, 7 Mar 2001 14:09:41 EST
Subject: Interaction
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Dear net friends,
Today ends our week as guest discussion leaders. We have enjoyed being with
you. And we thank you for the opportunity to learn of several innovative
health education programs that include interaction with patients. We would
like to summarize the 7 innovations and 4 quesions you have shared on the
net.
1. Interaction using print materials.
- Sandra Smith: A 4 question "yes-no" on facing baby car seat forward or back.
- Marla Hoffman/Kerry Harwood : New stress mgmt booklet with 1/3 of the pages
involving interaction with the reader.
- Jane Wandel: Pilot testing a quiz for transplant patients; it includes
typical problem scenarios for these pts. after discharge.
- Rochelle Rubin: Described a new tool for assessing pt. understanding of
medication directions. (Drug Regimen Unassisted Grading Scale - DRUGS)
- Nancy Gonzalez: Raised issue of how to make interaction effective.
2. Interaction with video/computer instructions:
- Michelle Black: The use of a companion help book with a video in a smoking
cessation program. Short booklet chapters and "stop video" to get inter-
action after key points are made or committments to be considered.
- Helaine Bader: Suggested merits of interaction via computer based
instructions.
The four questions were:
- How do you resolve the apparent conflict between including interaction and
keeping the instruction brief, and using a simple format?
- Might interaction via a quiz put off those who have had negative school
experiences?
- Why not ask pts. what form of interaction they would like?
- How does JCAHO measure that effective methods are being used to assure that
patients understand their health care instructions?
Comments on Interactive as a process:
Effective interaction is more of a dialogue with the patient. It is a
style of communication to actively involve the patient. (An excellent
example is Michelle Black's companion help book and the "stop video" to
discuss. A quiz is OK, but it is perhaps one of the lesser forms of
interaction.)
Some suggestions to help build interaction into your instructions:
- Jot down the key points of the instruction. (These are points needing
feedback)
- Ask yourself: What response from the pts. would show they understand? (For
example, a demonstration of a process; a response to a scenario or problem;
selecting, or writing, the correct answer to questions, writing or checking
choices they will make. In a computer based instruction, choosing the answer
or branch.)
- What spontaneous questions would I like the patient to ask?
Where do we go from here?
We ask that, before the next week is over, you examine one of your
frequently used patient instructions. Ask yourself the above questions, and
take action to include patient feedback. You and your patients will be better
off if you do.
Thank you for sharing,
Ceci and Len Doak
Patient Learning Asociates
Cecidoak@aol.com
Lendoak@aol.com
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