Archives for May 2009

Terry Davis Talks About “Baby Steps,” Action Planning (HLOL #16)

Terry C. Davis, Ph.D is a pioneer in the field of health literacy. She is Professor of Medicine and Pediatrics at Louisiana State University Health Sciences Center in Shreveport, LA (LSUHSC-S), where she also heads the Behavioral Science Unit of the Feist-Weiller Cancer Center. She has won awards for her accomplishments and published more than ninety articles and book chapters related to health literacy, health communication, and preventive medicine.

Dr. Davis’s many health literacy accomplishments include: developing the Rapid Estimate of Adult Literacy in Medicine (REALM); chairing Louisiana’s statewide Health Literacy Task Force; serving as master faculty of the AMA’s Train-the-Trainer Health Literacy Curriculum; and participating as a member of the Healthy People 2010 Health Literacy/Health Communication Section, and the FDA’s Drug Safety and Risk Management Advisory Committee.

In this podcast, she talks with Helen Osborne about helping patients take “baby steps” (action planning). Topics include:

  • What baby steps are and why they are needed in healthcare today
  • How baby steps help in the management of chronic disease
  • Ways to build baby steps into your healthcare practice


Ready, Set, Action Plan
Lorig, Bodenheimer

More ways to learn:

  • American College of Physicians (ACP) Foundation, Living with Diabetes: An Everyday Guide for You and Your Family. To learn more and order copies, go to http://foundation.acponline.org/hl/diabguide.htm
  • Bodenheimer T. “Coordinating care–a perilous journey through the health care system.” N Engl J Med 2008;358(10):1064-71.
  • Bodenheimer T, Davis C, Holman H. “Helping patients adopt healthier behaviors.” Clinical Diabetes 2007;25(2):66-70.
  • DeWalt DA, Davis TC, Wallace AS, Seligman HK, Bryant-Shilliday B, Arnold CL, Freburger J, Schillinger D. “Goal setting in diabetes self-management: taking the baby steps to success.” Patient Education and Counseling, April 7, 2009, PMID: 19359123.
  • Handley M, MacGregor K, Schillinger D, Sharifi C, Wong S, Bodenheimer T. “Using Action Plans to Help Primary Care Patients Adopt Healthy Behaviors: A Descriptive Study.” J Am Board Fam Med 2006;19(3):224-31.
  • Lorig K. “Action Planning: A Call To Action.” J Am Board Fam Med 2006;19(3):324-5.
  • Lorig, Bodenheimer. Ready, Set, Action Plan. 5 minute instructional video for providers and health educators.  The video demonstrates an easy, brief method for helping 3 patients create small achievable action plans. http://foundation.acponline.org/images/diabetes_dvd.wmv
  • MacGregor K, Wong S, Sharifi C, Handley M, Bodenheimer T. “The action plan project: discussing behavior change in the primary care visit.” Ann Fam Med 2005;3 Suppl 2:S39-40.
  • MacGregor K, Handley M, Wong S, et al. “Behavior-Change Action Plans in Primary Care: A Feasibility Study of Clinicians.” J Am Board Fam Med 2006;19(3):215-23.
  • Osborne H, “In other words…How to help patients manage their action planning.” On Call magazine, June 26, 2007. Available online at http://www.healthliteracy.com/article.asp?PageID=6111
  • Seligman HK, Wallace AS, DeWalt DA, et al. “Developing low-literacy patient educational materials to facilitate behavior change.” American Journal of Health Behavior 2007;31(Suppl 1):S69-78.
  • Seligman HK, Wallace AS, DeWalt DA, Schillinger D, Arnold CL, Shilliday BB, Wallace AS, Seligman HK, Davis TC, Schillinger D, Arnold CL, Bryant-Shilliday B, Freburger JK, DeWalt DA. “Literacy appropriate educational materials and brief counseling improves diabetes self-management.” Patient Education and Counseling. 2009.

Dr. Rima Rudd Talks About the Health Literacy Burden in Healthcare (HLOL #15)

Dr. Rima Rudd is Senior Lecturer on Society, Human Development, and Health at the Harvard School of Public Health. Her work centers on health communication and the design and evaluation of public health programs. She teaches courses on innovative strategies in health education, program planning and evaluation, and health literacy.

Dr. Rudd is widely recognized as a leader in health literacy – helping to shape both the research and practice agenda in the US, Canada, and Europe. Dr. Rudd works closely with the adult education, public health, oral health, and medical sectors. Her current research looks at literacy-related disparities and literacy-related barriers to health programs, services, and care. Her Harvard website on health literacy serves scholars and practitioners.

In this podcast, she talks with Helen Osborne about the health literacy burden in healthcare. Topics include:

  • Literacy-related disparities and barriers as they relate to healthcare
  • Deconstructing healthcare language, instructions, and activities
  • Literacy demands in chronic disease management, prevention, and navigation
  • Why it’s time to reconsider the definition of health literacy

More Ways to Learn:

  • Harvard School of Public Health, Health Literacy Studies. www.hsph.harvard.edu/healthliteracy
  • Communicating Health: Priorities and Strategies for Progress (2003), US Department of Health and Human Services & Office of Disease Prevention and Health Promotion.  Dr. Rudd wrote the chapter about health literacy. Available at http://odphp.osophs.dhhs.gov/projects/healthcomm/
  • Literacy and Health in America (2004), Educational Testing Services. Dr. Rudd is one of the authors. Available at http://www.ets.org/Media/Research/pdf/PICHEATH.pdf
  • National Center for the Study of Adult Literacy and Learning (NCSALL), http://www.ncsall.net
  • Nielsen-Bohlman L, Panzer AM, Kindig DA, (ed), 2004. Health Literacy: A Prescription to End Confusion. The National Academies Press: Washington DC. Dr. Rudd was a member of the Institute of Medicine committee as well as writer/contributor to the book. Available at http://books.nap.edu

To read a written transcript, click http://healthliteracy.com/transcript.asp?PageID=11705