I coordinated a study using pictograms affixed to medication bottles in efforts to help patients understand the medication indications and when to take them.  The study was evaluating the pictograms with verbal counseling vs verbal counseling alone. What we found was that verbal counseling alone was just as good as verbal counseling plus pictograms.  This reinforced the power of words and verbal education/counseling. . . currently working on the manuscript for publication.
 
Oralia.
 
Oralia Bazaldua, Pharm.D., BCPS
Associate Professor
Department of Family and Community Medicine
The University of Texas Health Science Center at San Antonio
7703 Floyd Curl Drive
San Antonio, Texas 78229
office  (210) 358-3803
fax (210) 358-5814
pager (210) 235-0718
email: bazaldua at uthscsa.edu
 

________________________________

From: healthliteracy-bounces at nifl.gov on behalf of Julie McKinney
Sent: Wed 3/29/2006 9:28 AM
To: healthliteracy at nifl.gov
Subject: [HealthLiteracy 150] Using Pictures for Health Ed



Thank you, Sabrina, Martha and Linda, for discussing the use of pictures
and images for health education among very low and non-literate
populations. I would like to hear more about Martha's experience using
pictures and audio with farm workers. How effective was that method?
What were the challenges?

And, Linda, when your literature review is finished, will it be
available online? Please pass on the information to the list when it is
done, and if you have any sneak previews to share now, please do!

I think this discussion is so important because it seems that we need to
use as many methods as possible in order to best meet the needs of
learners: text of varying levels, pictures, audio, multimedia,
action-based projects, etc. If we are to encourage health education
throughout the world (developing and modern!) we have to find ways to
learn without text, AND to find ways to increase literacy skills in
almost all populations. This is the beauty of Gail's work with the
library in Mexico, and others who are addressing health needs with
literacy solutions.

I'd love to hear from others about using picture-based materials!

All the Best,

Julie

Julie McKinney
Discussion List Moderator
World Education/NCSALL
jmckinney at worlded.org


>>> mcstiles at ucdavis.edu 03/28/06 4:22 PM >>>

This problem is pervasive outside of the health/medical world as 
well.  Several years ago we were involved in a program at Univ. of 
Calif. to reduce illness and injury among low-literacy, monolingual 
Latino farm workers.  We produced training materials with pictorials 
and 3rd grade-level text along with audio tapes so workers could read/
or view images as they listened to the tapes describing safety 
practices.


On Mar 28, 2006, at 10:33 AM, Sabrina Kurtz-Rossi wrote:


> Gail raises an issue that comes up over and over again, many 

> patients can not read in English or in their native language.  In 

> these cases plain language English or translated materials simply 

> don't work.  I'm intrigued by some of the health materials and 

> literacy curricula developed internationally that are primarily 

> pictorial.  The one I have sitting in front of me is called 

> "Integrating Reproductive Health and Adult Literacy" and was 

> developed and used in Egypt.  I think there is something to be 

> learned from this work in terms of application in the United 

> States.  What are your thoughts?  Are any of you familiar with 

> other primarily picture based resources being used internationally 

> or in the United States?

>

> - Sabrina

>

>

> -------------------------------------------------

> Sabrina Kurtz-Rossi

> World Education

> 44 Farnsworth Street

> Boston, MA  02210

> 617-482-9485

> skurtz at worlded.org

>

> >>> "Kristina Anderson" <kristina at easyreadcopywriting.com> 03/27 

> 11:15 AM >>>

> Hi Gail,

>

> Several years ago I ran a pediatric literacy program in a public 

> hospital. Years before that, I worked in the book industry. The 

> pediatric literacy program Read Out and Read http://

> www.reachoutandread.org/ might be able to help or provide some 

> resources to pursue for funding. You might also find support (book 

> and/or financial) from some book publishers.

>

> Also, I have friends who are doing this sort of project in Africa. 

> I can connect you with them, if you're interested. Please email me 

> off list at kristina at easyreadcopywriting.com.

>

> Kudos for the work you're doing! Promoting books and reading are a 

> long-time passion of mine.

> Kristina

> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

> Kristina Anderson

> Writer, Editor, Consultant

> EasyRead Copywriting, LLC

> PO Box 6146

> Albuquerque, NM  87197

> 505-345-3258 (Office)

> 505-715-1070 (cell)

> kristina at easyreadcopywriting.com

> http://www.easyreadcopywriting.com

>

> "Making the simple complicated is commonplace; making the 

> complicated simple, awesomely simple, that's creativity." Charles 

> Mingus

> ----- Original Message -----

> From: Buckh1220 at aol.com

> To: healthliteracy at nifl.gov

> Sent: Saturday, March 25, 2006 5:58 PM

> Subject: [HealthLiteracy 144] Biblioteca in Mexico

>

> Dear Friends,

>

> I  am a long-time list-serv member and I have always found the 

> information on the site to be very helpful especially during the 

> years that I worked in a community health clinic in Chicago. For 

> over fifteen years, I was the Director of the maternal-child clinic 

> that served a population of Mexican immigrants providing primary, 

> preventive care. It was a continually a challenge to find health 

> education materials that the patients could read and understand and 

> as many of you already know, most of our patients could not read at 

> all, in Spanish or English.

>

> I was able over time, to create programs within the clinic to 

> support literacy for the adults as well as the children and to 

> bring the importance of health literacy as a public health issue to 

> other professionals in the field. Eventually we had a pediatric 

> reading program, ESL classes in the clinic, a partnership with the 

> Chicago Public Library system (patients could get their library 

> cards at the clinic) and weekly visits from a Bookmobile.

>

> Because of the experience I have had in public health,  I am 

> currently volunteering to help a small town in Mexico create their 

> first library. This community effort is focused on providing both 

> the children and the adults with resources to learn to read as well 

> as to have access to health information that the hospital in town 

> can use to better educate the families on health issues.

>

> Long-term, we hope the library (once it is a physcial space) will 

> provide classes focused on reading for the adults of the 

> comnmunity. In the short-term, we plan to use the hospital waiting 

> room for health education and health materials and a "mobile" 

> library" to bring books to the classrooms for the children.

>

> There is enthusiastic support from the community, Mexican and 

> American, and now we are hoping to find funding for this project 

> through a variety of resources. It is my hope that some of you 

> might know of opportunities for support for this project and I 

> would appreciate any suggestions you might have.

>

> Thank you for your help,

>

> Gail Mitchell

>

>

>

>

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^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Martha C. Stiles, Program Director
California AgrAbility Project
Farm Safety & Rural Health
University of California
Dept. of Biological and Agricultural Engineering
One Shields Ave.
Davis, CA  95616-5294
mcstiles at ucdavis.edu
530-752-2606 voice
530-752-2640 fax

Toll Free:  1-800-477-6129
http://calagrability.ucdavis.edu/
<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<


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