[NIFL-HEALTH:3811] prenatal health literacy

From: Lisa Bernstein (lisa.expect@verizon.net)
Date: Mon Nov 25 2002 - 15:08:28 EST


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From: "Lisa Bernstein" <lisa.expect@verizon.net>
To: Multiple recipients of list <nifl-health@literacy.nifl.gov>
Subject: [NIFL-HEALTH:3811] prenatal health literacy
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Hi, I've just joined this listerve and wanted to introduce myself and
ask advice as we translate research into practice. 

First an introduction: 

1. I'm the Ex. Dir. of The What To Expect Foundation, a relatively new
non-profit that takes its name from the nation's bestselling pregnancy
and parenting series that includes What To Expect When You're Expecting.
The entire series has sold over 20 million copies and is read by 93% of
all mother who buy a pregnancy guide. 

2. The Foundation's mission is to provide prenatal health and literacy
education to low-income mothers. We started this project because many
clinics across the country requested donations of the What To Expect
books - we felt that book did not meet the needs of low-income moms and
wanted to create a guide just for them. 

3. Last year we published BABY BASICS: Your Month By Month Guide To A
Health Pregnancy, a comprehensive pregnancy guide that takes into
account the reading level as well as the special health, economic,
social, and cultural needs of low-income pregnant women (and fathers
to-be ). We spent two years working with outreach workers and mothers
across the country to design the book. 100,000 free copies were given to
pre-natal clinics, community health centers and outreach worker programs
across the country last year. And then we watched how they were used by
both providers and mothers. We've also just completed a Spanish cultural
and linguistic translation as well.

4. We've had an overwhelmingly positive response to the book - (and have
orders for 400,000) but it is clear that just putting a good book out
there isn't enough. Many health care providers needed help ...learning
about health literacy issues, and best practices for teaching
low-literate patients.   

5.  So, we are now creating a BABY BASICS prenatal health literacy
program that helps pre-natal care providers integrate the latest in
health literacy research and teaching skills into their care -- In
addition to the book, the program has a training component, an
implementation and curriculum guide, and other materials for providers
and patients. 

6. Part of our goal, too, is to get pregnant women reading - because A
Mother Who Can Read Can Raise A Child Who Can Read. So we will be
networking pre-natal clinics with adult ed programs that will teach
women prenatal literacy. Which happily flows into family/parenting
literacy. While we continue to distribute the BABY BASICS book across
the country, we are beginning to create BABY BASICS sites.   This winter
we're starting in Newark, NJ by providing training and support to create
model BABY BASICS sites. 

Here comes the question part of this email. We are creating a tool,
we're calling it a literacy audit, that will help providers - and by
that I mean anyone who provides prenatal health and education support--
to help them do a literacy walkthrough of their site and do a "fix."
We've suggested they look at their signage - from the entrance way to
the individual offices. We've suggested they look at their intake form,
and other written materials and are giving them the tools to test the
reading level (and giving them already tested forms they can use
instead) We've asked them to look at their waiting room --- and add
children's books for older siblings. 

So in the research and collective wisdom of this listerve, my question
is--- what are the less obvious things a health care program should look
at when they create a "literacy friendly pre-natal site?" What would be
in your wish list?  

Thanks in advance 
Lisa Bernstein
PS. If you're interested in seeing our program feel free to email me at
lisab@whattoexpect.org and/or visit our web site at www.whattoexpect.org

Lisa Bernstein
Executive Director
The What To Expect Foundation
212-712-9764
lisab@whattoexpect.org



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