Return-Path: <nifl-health@literacy.nifl.gov> Received: from literacy (localhost [127.0.0.1]) by literacy.nifl.gov (8.10.2/8.10.2) with SMTP id i31CHsm17390; Thu, 1 Apr 2004 07:17:54 -0500 (EST) Date: Thu, 1 Apr 2004 07:17:54 -0500 (EST) Message-Id: <s06bc1e9.074@GWIA.HSC.WVU.EDU> Errors-To: listowner@literacy.nifl.gov Reply-To: nifl-health@literacy.nifl.gov Originator: nifl-health@literacy.nifl.gov Sender: nifl-health@literacy.nifl.gov Precedence: bulk From: "Richard Crout" <rcrout@hsc.wvu.edu> To: Multiple recipients of list <nifl-health@literacy.nifl.gov> Subject: [NIFL-HEALTH:4374] Re: Checking for understanding X-Listprocessor-Version: 6.0c -- ListProcessor by Anastasios Kotsikonas Content-Transfer-Encoding: 7bit Content-Type: text/plain; charset=US-ASCII X-Mailer: Novell GroupWise Internet Agent 6.5.2 Beta Status: O Content-Length: 3378 Lines: 122 Thanks Dr. Keenan for information. Rich Crout >>> jkeenan@erols.com 3/31/2004 6:53:14 PM >>> Hello List members-- I'll add one more tip to Dr Schwartzberg's sage suggestion of using "teach back." When I am counseling people with most limited reading skills I may massage the "teach back" technique a bit along these lines: " I want to make sure I gave all the information I was supposed to---so can you help me out? Pretend you are talking to your friend who has diabetes--what steps would you tell her to take to check for cuts on her feet?" I find this "I want to make sure I did my job right" approach takes the heat off the patient and places it on me. And it does help to practice Dr. Schwartzberg's hints at home in front of a mirror. Once you get "teach back" down pat you will wonder how you counseled without using it. Another quick tip--ask open-ended questions to avoid the "good patient nod." Instead of asking, "Do you understand what it means to take your pills with a light snack?" Try "Are there some foods you plan to eat right before you take your pills? or" Any idea of light snack foods that will work for you when you take your pills?" Works well to check for comprehension! All best, Jann Keenan, Ed.S. President. The Keenan Group, Inc.-Experts in Health Literacy 9862 Century Drive Ellicott City, MD 21042 410-480-9716 -----Original Message----- From: nifl-health@nifl.gov [mailto:nifl-health@nifl.gov]On Behalf Of Joanne Schwartzberg Sent: Wednesday, March 31, 2004 1:52 PM To: Multiple recipients of list Subject: [NIFL-HEALTH:4369] Re: Colleagues, The simplest communication technique ( and one with some good science behind it) is the "teach back": asking the patient to repeat back the information you have just given them. "Tell me how you will do this when you get home, show me what you will do, what will you tell your spouse about what we've talked about, let's recap - why don't you start", etc,etc, many different relaxed ways that health professionals can ask the patient to repeat back the information or paraphrase it, so that we can be sure that they understand. Joanne G. Schwartzberg, MD American Medical Association 515 N. State St. Chicago, IL 60610 312-464-5355 e-mail: Joanne_Schwartzberg@ama-assn.org >>> rcrout@hsc.wvu.edu 3/31/2004 3:34:50 PM >>> Colleagues, I have been asked to comment on what are we doing to enhance a patient's understanding of their health status? this would include health literacy, varying literacy levels, empowering the patient to be involved in their care, and decision-making by the patient. Would any be able to help with this area. Thanks very much in advance for your help. Rich Richard J. Crout, DMD, PhD Associate Dean for Research Professor of Periodontics School of Dentistry Professor of Biochemistry & Molecular Pharmacology School of Medicine G110 B Health Sciences Center North PO Box 9448 Morgantown, WV 26506-9448 Phone (304) 293-6133 Fax (304) 293-8561 EMAIL rcrout@hsc.wvu.edu Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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