Field test questions

From: Kristina Anderson (keander@u.washington.edu)
Date: Wed Aug 22 2001 - 12:27:53 EDT


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From: "Kristina Anderson" <keander@u.washington.edu>
To: <nifl-health@nifl.gov>
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Subject: Field test questions
Date: Wed, 22 Aug 2001 09:27:53 -0700
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A few weeks ago, I posted a question to this list serve about field testing
translated materials. I received several replies. I thought I'd share the
questions we asked Spanish-speaking patients during a recent field test as
an example of what I'm looking for from you all. I'm wondering what kinds of
questions the list serve might be able to share that would be along this
line. Anyone?

Thanks so much.
Kristina

Educational Material Questions:

1. What does diabetes mean to you?

2. What were your feelings when your doctor told you that you had diabetes?

3. (a)  How many of the patients can read these questions without
difficulty?
If they do not read their native language, how would they like to learn
about diabetes?

4. (a)  Do you understand the education materials?
(b) Would you pick up this handout if you saw it at the clinic?
(c) Would you understand how to follow your diet by looking at the nutrition
education materials?
(d) Are there any changes or information we should add to make the handout
more valuable to you?  (If a photo would help, what type of photo would help
with understanding of the materials?)

5. How many patients in the group are from Mexico, Central or South America.
Describe regional differences in terms of cultural or food variations.


Food Questions:

1. Who cooks at home?  Is the person who has diabetes involved in cooking?
How does gender play a role in food preparation?

2. Does the diabetic patient eat the same foods as the remainder of the
family or are foods prepared separately?

(a) If so, how does the remainder of the family feel about modifying their
diet?
(b) If not, how does the patient feel about eating separately from the
family?

3. Are their "special foods/herbs" for diabetics?  If so, what are those
foods?
For example nopal, chayote, aloe have been reported to be consumed by
diabetic pts.
Describe the medicinal properties of these foods and others.

4. Are there special holidays which affect food intake? For example are
there specific fasting periods or for holidays.  Please describe.

5. Is traditional Hispanic food or American food more commonly consumed at
home?

6. How often in a week do the patients eat out at restaurants of fast food
places in comparison to eating at home?
If meals are commonly consumed outside the home, what types of restaurants
are people going to?



7. (a)  How often are patients making tortillas from scratch?
(b)What ingredients are used in preparing tortillas?
(c) Where do patients most often shop for ingredients for traditional foods
(QFC, Safeway or ethnic food stores)?

8. Describe the use and amount of cheese used in preparing foods.
Is cheese made at home or purchased?
What type of cheeses are commonly consumed?

9. Can you describe the use of fats/oils?  Are there medicinal properties of
fats/oils or is it based on flavor?  Please describe.


10. What do patients use to normally measure foods?  What would help in
understanding portions of foods consumed?

`````````````````````````````````````````````````````````
Kristina Anderson
Literacy Coordinator
Harborview Medical Center
Box 359710
325 9th Ave.
Seattle, WA 98104
206-731-6621
(FAX) 206-731-2023
----- Original Message -----
From: "Kantz Beth" <mekantz@yahoo.com>
To: "Multiple recipients of list" <nifl-health@literacy.nifl.gov>
Sent: Friday, August 17, 2001 5:15 PM
Subject: [NIFL-HEALTH:3288] Re: Ideas for a Health Information Center


> Deborah - I am a relatively new member of the list and
> first want to let you know how much I benefit from the
> insights shared by list members.
>
> Until last year I was director of a hospital-based
> health education center that encompassed one-on-one
> and group teaching, a consumer health library, and an
> extensive materials development program. Our staff
> included nurses, a librarian, and admin staff. I think
> the idea of including a literacy practitioner on staff
> is intriguing and would be of great benefit. A few
> thoughts based on our experience that might be helpful
> --
>
> * We found it very helpful to include both RNs and
> non-RNs on staff. The RNs bring invaluable knowledge
> and skill to what is in many respects a patient care
> area, the non-clinicians bring a perspective and
> expertise from which the RNs (and the center's users)
> benefit.
>
> * You may want to re-consider whether you need both
> staff full-time. Professionals can accomplish a great
> deal part-time. Also, by hiring either the nurse or
> literacy practitioner part-time your dollars will be
> stretched and you may be able to include other staff
> as well. (That said, you do need to have one person
> who is consistently present and responsible for the
> day-to-day flow and operations.)
>
> * We utilized volunteers for some of our reception and
> library functions. Although the volunteers needed
> close supervision and a fair bit of training at the
> start, they were a loyal group and a number of them
> became quite skilled. They, too, are another way to
> stretch tight dollars.
>
> * Because you'll have few employees in the center, it
> is important that they be creative, flexible, and open
> to taking on multiple roles! One of the more
> challenging roles is as marketer/promoter...once the
> center opens, staff in the hospital and patients
> themselves need to be constantly informed/reminded of
> the center's services -- this takes creativity and
> persistence.
>
> * Salaries for nurses vary widely by geographic
> location. Boston rates are probably higher than what
> you'll find in your area. Your HR dept can be a big
> help in anticipating salary requirements.
>
> Hope this helps. If you're interested in more details,
> colleagues and I published an article in 1998 in the
> Journal of Nursing Administration (JONA, vol 28, no.
> 2) about our start-up experience that might be
> helpful. Good luck -- I hope it is approved and funded
> -- starting it will be great fun!
>
> Beth Kantz
> Corrigan/Kantz Consulting
> bkantz@corrigankantz.com
>
> --- Dwyoho@aol.com wrote:
> > Dear Friends,  I'm engaged in a process that may be
> > of interest to the
> > discussion group and would greatly appreciate any
> > and all input.
> >
> > For several months, I have been working with the
> > community outreach
> > department of our county hospital to find money to
> > establish a health
> > information/education program staffed by a clinician
> > AND a literacy
> > practitioner, both full-time, and located in a
> > primary care facility.  I have
> > just been invited to submit a one-page vision
> > statement  and a tentative
> > budget, with the encouragement that the project may
> > be written into the
> > hospital budget, FY 2001-2002.  I want to keep the
> > first year's cost at under
> > $100,000, including the two full-time salaries.  The
> > objective is direct
> > service, i.e. classes and one-on-one instruction of
> > patients.  In addition,
> > the program would deliver technical assistance to
> > literacy and health
> > specialists in the area of plain language and
> > communications with low
> > literacy populations.  I need to know specifically
> > what would be the general
> > salary range for a nurse practitioner and/or
> > physician's assistant in your
> > area?  I would also appreciate any sharing of
> > things that come to mind as you think about the
> > challenges and opportunities
> > that such a project might present.  Some of you are
> > already operating
> > programs along this line.  As you share from your
> > experience, the rest of us
> > can learn.  Others may be curious and have
> > questions.  Please post them.
> >
> > I know this request is general, but we are wide-open
> > here, and I hope your
> > comments may spark some dreaming and scheming that
> > could well be translated,
> > and soon, into direct help for people in need.
> >
> > Thanks, everyone.
> >
> > Deborah W. Yoho
> > Co-moderator, NIFL Health Literacy Discussion Group
> > Chief Executive Officer
> > Greater Columbia Literacy Council
> > 921 Woodrow Street
> > Columbia, SC  29205
> > 803/765-2555   dwyoho@aol.com
> >
>
>
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