Older Adults, Brain Changes, and Health Understanding (HLOL #163)

Mark Hochhauser, PhD, is a psychologist and readability consultant in Golden Valley, MN. He also is a long-time health literacy champion. Among his many accomplishments, Hochhauser has researched the readability of consent forms, HIPAA notices, and patient’s bill of rights. He has given more than 100 presentations and authored over 200 articles. Hochhauser has also taught undergraduate and graduate courses on topics that include Adulthood and Aging, Human Learning and Memory, Motivation and Emotion, and Abnormal Psychology.

In this podcast, Mark Hochhauser and Helen Osborne talk about:

  • Brain changes including working memory, processing speed, selective attention, and other factors that tend to decline with age.
  • What listeners can do to effectively communicate with older adults.
  • What patients and families can do to better understand health information.
  • How technology offers hope, opportunity, and tools for health communication.

More ways to learn:

Read the transcript of this podcast.

Communicating About Food in Culturally Sensitive Ways (HLOL #159)

j-o-frempong-photoJanet Ohene-Frempong, MS, is a plain language and cross-cultural communications consultant with over 25 years of experience in consumer communications. She brings to this work a passion for health literacy and background as a registered dietitian. Janet often is invited to speak at national conferences and provides consultation on plain language and cross-cultural communications for a wide range of health information providers. Deservedly, Janet has received many honors and accolades for her work.

In this podcast, Janet Ohene-Frempong and Helen Osborne discuss:

  • Communicating about food in a multicultural world. Why this matters today.
  • Issues to consider such as whether foods are available, affordable, convenient, appropriate, and familiar.
  • Examples of respectful and inclusive ways to communicate about food. Why doing so is not only appropriate but also can be deeply satisfying and gratifying.

More Ways to Learn:

Read the transcript for this podcast.

End of Life Education (HLOL #157)

1_dk_kkKathy Kastner is founder and curator of the only patient/consumer-perspective website for end of life education, BestEndings.com, and author of the eBook, Death Kills… and other things I’ve learned on the Internet. Kastner also shares this information by speaking at healthcare conferences, blogging on health websites, hosting tweetchats, and participating in invitation-only think tanks. Kathy Kastner has received numerous awards for her advocacy and work in end of life education.

In this podcast, Kathy Kastner talks with Helen Osborne about:

  • End of life. An emotionally fraught topic often prompted by a new diagnosis, change in health status, or even news reported in the media.
  • Examples of words, terms, and end of life concepts that are often misunderstood.
  • Ways professionals can help improve education and understanding about end of life. Ways patients, families, and the public can help in these conversations too.

More Ways to Learn:

Read the written transcript of this podcast. 

After Visit Summaries (HLOL #152)

image001-2Alex Federman. MD, MPH, is an aging-focused health services researcher at Icahn School of Medicine at Mount Sinai. His research addresses chronic illness self-management in older adults and focuses on health literacy, cognition and health-related beliefs. Dr. Federman also provides primary care to adults in clinic and home-based settings in New York City.

In this podcast, Dr. Federman talks with Helen Osborne about:

  • After Visit Summaries (AVS), electronic health records, and other ways for patients and providers to exchange information.
  • Language, formatting, and other reasons AVS are not yet ideal patient summaries.
  • Ways providers and patients can use AVS to increase understanding and improve the delivery of care.

Read the transcript of this podcast.

Implicit Bias: A Factor in Health Communication (HLOL #146)

Winston WongWinston F. Wong, MD, MS, FAAFP, is a practicing physician who also serves as the Medical Director of Community Benefit at Kaiser Permanente. His work includes developing community and organizational partnerships to eliminate health disparities. Dr. Wong has won numerous awards and serves on a number of national advisory boards including the Institute of Medicine’s Health Literacy Roundtable.

In this podcast, Dr. Wong talks with Helen Osborne about:

  • What implicit bias is and examples of how it can affect health communication.
  • Why even those who consider themselves as unbiased may unconsciously make snap judgments based on how others look and speak.
  • Health literacy and implicit bias. Recommendations of ways to improve health communication and actively explore what matters to each patient.

More ways to learn:

Read the transcript of this podcast.

Research to Practice: How Much Patient Teaching is Enough? (HLOL #144)

Mike Pignone headshotMichael Pignone, MD, MPH, is professor of medicine at the University of North Carolina Department of Medicine and chief of the university’s Division of General Internal Medicine. In addition to his numerous clinical and teaching responsibilities, Dr. Pignone researches chronic disease prevention and treatment, physician-patient communication, and decision-making in primary care settings. Health literacy is a thread woven throughout all his work.

In this podcast, Dr. Pignone talks with Helen Osborne about:

  • Recognizing the challenge of treating patients who have chronic illnesses, complex medical regimens, and a range of interests and abilities.
  • Teaching in ways patients can learn. This starts with knowing each patient and continues with a team over time.
  • Valuing the intersection of research and practice to help patients reach their goals.

More Ways to Learn:

Read the written transcript of this podcast

Ethnodrama: Conveying Health Concepts in Culturally Relevant Ways (HLOL #140)

Anita Woodley - Headshot Black & WhiteAnita Woodley is an award-winning actress, playwright, producer, musician, poet, and journalist. She also is a certified HIV counselor and advocate for many healthcare initiatives. One powerful way that Anita communicates is with ethnodramas—non-traditional theatrical performances based on ethnographic research data used to educate, promote, and prevent harmful practices to overall health.

In this podcast, Helen Osborne talks with Anita Woodley about:

  • How theatric performances can communicate health messages in meaningful, memorable, and culturally relevant ways.
  • Examples of using characters, language, and laughter to teach about health.
  • Woodley’s suggestions about ways everyone (not just actors) can be authentic and inform those we care about, and care for.

More Ways to Learn

  • Anita Woodley: Award-winning Entertainer, Journalist, and Visual Artist. Read about, watch, and learn much more at Anitawoodley.com
  • Strang F, Gonzalez S, 100 Perks of Having Cancer plus 100 Health Tips For Surviving It. At http://100perksofhavingcancer.com

Read the written podcast transcript.

Health Literacy and The Joint Commission (HLOL #139)

Cordero 3-13Christina (Tina) Cordero, PhD, MPH, is a Project Director in the Department of Standards and Survey Methods, Division of Healthcare Quality Evaluation at The Joint Commission. Among her many accomplishments, Tina developed the patient-centered communication standards and The Joint Commission monograph Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.

In this podcast, Tina Cordero talks with Helen Osborne about:

  • Why, how, and when The Joint Commission got interested in health literacy.
  • What The Joint Commission requires and recommends in regard to patient communication interaction.
  • The Joint Commission’s Roadmap as a resource and framework for practice.

More Ways to Learn:

Read the podcast transcript.

How to Find and Use Health Apps (HLOL #137)

rschnallRebecca Schnall, PhD, RN, is a nurse-researcher whose work focuses on informatics strategies for persons from underserved communities. One of her many accomplishments is researching ways that health information technology can help prevent disease, improve care, and reduce health disparities for persons at risk for, or living with, HIV.

In this podcast, Rebecca Schnall talks with Helen Osborne about:

  • What are apps? What are health apps? Examples of how apps can provide real-time, personalized, health information that patients want to know and use now.
  • Tips for finding good health apps. Including how to search for what you need, what to be cautious about, and issues of privacy and confidentiality.
  • Looking ahead to what’s next in health app technology.

More Ways to Learn:

Read the written transcript.

Communicating About Health with LGBTQ Youth (HLOL #136)

VettersRalph Vetters MD, MPH, is the site medical director of the Sidney Borum, Jr. Health Center, a program of Fenway Health in Boston, MA. He is a graduate of Harvard Medical School and trained as a pediatrician at Boston Children’s Hospital and the Boston Medical Center. The Sidney Borum, Jr. Health Center focuses on caring for youth who are alienated from the traditional health care system – LGBTQ youth, street youth and homeless youth.

In this podcast, Dr. Ralph Vetters talks with Helen Osborne about:

  • What this term means, who it includes, and how it covers a wide range of issues and identities.
  • Strategies to communicate health information in ways that are respectful, helpful, and inclusive. This includes pronouns, words, non-words, health history forms, and electronic medical records.
  • How health literacy and communicating with LGBTQ youth share many characteristics, goals, and strategies.

More ways to learn:

Read the written transcript.

Helping Teens Transition from Pediatrics to Adult-Centered Care (HLOL #132)

CDS CAC member Cory NourieCory Ellen Nourie, MSS, MLSP, is the Transition Social Work Coordinator at Nemours Alfred I. duPont Hospital for Children in Wilmington, DE. She supports young adults with disabilities and special health care needs as they transition to adulthood. Nourie is active in research and advocacy work, serves on numerous advisory boards, and frequently gives presentations about young adults’ disease self-management and transitions in healthcare services.

In this podcast, Cory Nourie talks with Helen Osborne about:

  • How a healthcare transition is a planned purposeful movement from pediatric care to adult medicine.
  • Ways children can start assuming responsibility for their own medical management.
  • What physicians, other clinicians, office staff, parents, and others can do to help.

More ways to learn:

  • Got Transition. Includes strategies for health professionals, youth, and families. At http://www.gottransition.org
  • Nemours Alfred I. duPont Hospital for Children produced a series of videos about healthcare transition. They include “Becoming an Adult: Taking More Responsibility for My Care” at http://youtu.be/cjXurYrFMZM

Read the written transcript.

Health Literacy and Hearing Loss (HLOL #130)

MckeeMikeMichael McKee, MD, MPH, is a family medicine physician and Assistant Professor at the Department of Family Medicine at the University of Michigan. Dr. McKee’s clinical work and research focuses on health care access, health literacy, and health communication with disadvantaged populations including those who are Deaf or hard of hearing. Dr. McKee not only has a professional interest in this topic but also personal experience as he himself has a profound hearing loss.

In this podcast, Helen Osborne talks with Dr. Michael McKee about:

  • How hearing loss can affect health knowledge and understanding.
  • Assessing a person’s preferred language and mode of communication.
  • Respectful ways to improve communication as with pictures, technology, and community education.

More Ways to Learn:

Read the written transcript.

Teach-back (HLOL #129)

Dean's photoDean Schillinger MD is a practicing primary care physician and Professor of Medicine in Residence at the University of California San Francisco and Chief of the UCSF Division of General Internal Medicine at San Francisco General Hospital. He also directs UCSF’s research program about health communication with vulnerable populations. Dr. Schillinger has authored over 200 publications about this work. Dr. Schillinger recently co-founded a novel public health literacy campaign called “The Bigger Picture,” harnessing the voices of young people to help change the social and environmental conditions leading to the epidemic of diabetes in minority youth.

In this podcast, Dr. Schillinger talks with Helen Osborne about:

  • Teach-back, a technique to arrive at shared meaning.
  • What to do (and not do) before, during, and after teach-back.
  • How teach-back can be freeing, not restrictive, for your practice.

More Ways to Learn:

Read the written transcript.

Research About Using the Milliliter as a Standard Unit for Liquid Medication (HLOL #126)

Yin_Dreyer_IMG_4472Benard Dreyer, MD, is Professor of Pediatrics, Director of the Division of Developmental-Behavioral Pediatrics, Director of Pediatrics at Bellevue Hospital, and a pediatric hospitalist at NYU Langone Medical Center. He co-chaired the American Academy of Pediatrics “Project Advisory Committee on Health Literacy,” co-edited the book Plain Language Pediatrics, and serves on the Institute of Medicine’s Health Literacy Roundtable.

Shonna Yin, MD, MSc, is a general pediatrician and Assistant Professor of Pediatrics and Population Health at the NYU School of Medicine, Bellevue Hospital Center. She is an NIH-funded researcher focused on the development and evaluation of low literacy strategies to improve parent understanding of health information, including medication instructions.

In this podcast, Dr. Dreyer and Dr. Yin talk with Helen Osborne about:

  • Common dosing errors parents make with liquid medication
  • Research about using the milliliter as a standard dosing unit
  • Ways professionals and parents can help improve medication safety

More Ways to Learn:

Read the written transcript.

Health Literacy Screening Tools (HLOL #124)

IMG_2662Barry D Weiss, MD is a tenured professor in the Department of Family and Community Medicine at the University of Arizona College of Medicine. He also is an affiliate professor of public health in the College of Health Sciences at the University of Alaska Anchorage. Dr. Weiss has been involved in health literacy and patient-physician communication for much of his professional career. Among his many accomplishments, he has written more than 150 journal articles, authored several books, advised numerous committees and organizations about health literacy, and developed the health literacy screening tool, the Newest Vital Sign.

In this podcast, Dr. Weiss talks with Helen Osborne about:

  • Several well-known health literacy screening tools including the REALM (Rapid Estimate of Adult Literacy in Medicine), TOFHLA (Test of Functional Health Literacy in Adults), Single Item Health Literacy Screen, and NVS (the Newest Vital Sign).
  • Reasons to use, and more importantly, not to use health literacy screening tools in routine clinical settings.
  • Recommendations about communicating effectively with everyone.

More ways to learn:

Read this podcast’s written transcript.

Before You Teach Find Out What Learners Know, Feel, and Believe (HLOL #119)

Susan ReidSusan Reid is the Consulting Manager at Workbase, a not for profit organization in New Zealand that specializes in workforce and health literacy issues. Susan and her colleagues are currently working with New Zealand’s Ministry of Health and healthcare organizations to identify the impact of health literacy on their systems, workforce, and patients and families.

In this podcast, Susan Reid talks with Helen Osborne about:

  • What to know about learners before deciding how much to teach.
  • How reading theory helps make health teaching more effective.
  • Examples of ways to learn about your learners.

More Ways to Learn:

To read a written transcript, go to http://healthliteracy.com/transcript.asp?PageID=12050

Communicating with Compassion (HLOL #118)

Dr.Beth Lown WebSize19Beth Lown, MD, FAACH, is a general internist at Mount Auburn Hospital in Cambridge, MA and associate professor of medicine at Harvard Medical School. She teaches learners across the spectrum of medical education. Among her many accomplishments, Dr. Lown is the first medical director of the Schwartz Center for Compassionate Healthcare, a nonprofit organization dedicated to strengthening the relationship between patients and care providers and creating more compassionate healthcare systems.

In this podcast, Helen Osborne talks with Dr. Lown about: 

  • Compassion. How it builds upon, yet differs from, empathetic concern.
  • Examples of ways to bring compassion into health communication.
  • How listeners can learn more about using these skills in practice.

More Ways to Learn

To read a written transcript, go to http://healthliteracy.com/transcript.asp?PageID=12017

Consultations are Conversations: How Clinicians and Patients Can Help (HLOL #117)

MontoriPhotoVictor M. Montori, MD is Professor of Medicine at Mayo Clinic. He not only is a practicing endocrinologist, researcher, and author but also a recognized expert in evidence-based medicine and shared decision-making. Dr. Montori developed the concept of minimally disruptive medicine and works to advance person-centered care for patients with diabetes and other chronic conditions.

In this podcast, Helen Osborne talks w Dr. Victor Montori about:

  • Patient-centered care. How clinicians and patients both bring expertise to this conversation.
  • Strategies busy clinicians can use such as setting priorities and advocating for the patient’s agenda.
  • Strategies busy patients can use such as bringing in an “extra set of ears” and asking questions

More Ways to Learn

To read a written transcript, go to http://healthliteracy.com/transcript.asp?PageID=12008

Dentists and Patients: How to Communicate Clearly (HLOL #111)

Leila-Jahangiri-profile-image 2013Dr. Leila Jahangiri is a dentist, clinical professor and department chair in Prosthodontics at New York University College of Dentistry. NYU is the largest dental school in the United States and Dr. Jahangiri has vast experience in teaching and patient care. She focuses a considerable amount of time researching effective communications and is co-author of the book, A Guide to Better Teaching.

In this podcast, Dr. Jahangiri talks with Helen Osborne about:

  • How good communication starts even before the patient sits in a dental chair.
  • Ways to help reduce a patient’s anxiety and fear of pain or the unknown.
  • Strategies that dentists, medical professionals, and patients can use to improve communication.

More Ways to Learn:

  • Jahangiri L, Mucciolo T (2012), A Guide to Better Teaching: Skills, Advice, and Evaluation for College and University Professors. Rowman & Littlefield Publishers, Inc.
  • ADA (American Dental Association). With resources for professionals and the public. At http://www.ada.org.

Read a transcript of this podcast.

Comics and Medicine: That’s Health Literacy, Too. (HLOL #110)

MKMK Czerwiec is a nurse who makes comics. MK has a Masters degree in medical humanities from Northwestern University, where she developed and teaches a seminar to medical students called “Drawing Medicine.” With Ian Williams, a doctor in the UK who also makes comics, MK co-runs GraphicMedicine.org, a website that looks at the intersection between comics and the discourse of medicine.

In this podcast, MK Czerwiec talks with Helen Osborne about:

  • How comics use sequential art to tell about health, illness, and medicine.
  • Why comics are effective and how they transcend differences in culture, language, and educational level.
  • What listeners can do to find, create, use, and learn more about comics in medicine.

Ways to Learn More:

To read a transcript of this podcast, go to http://healthliteracy.com/transcript.asp?PageID=11843

PEMAT: Patient Education Materials Assessment Tool (HLOL #109)

cindybrachCindy Brach is the lead for health literacy and cultural competence at the Agency for Healthcare Research and Quality (AHRQ), part of the U.S. Department of Health and Human Services. Brach helped create several very important health literacy tools and resources including AHRQ’s Health Literacy Universal Precautions Toolkit and the Institute of Medicine’s discussion paper, “Ten Attributes of a Health Literate Health Care Organization.” Now, she is one of three authors of PEMAT: Patient Education Materials Assessment Tool.

In this podcast, Cindy Brach talks with Helen Osborne about:

  • How PEMAT differs from other patient education material assessment tools.
  • Using PEMAT to assess usability and actionability of print and audio-visual materials.
  • Putting PEMAT into practice. Including how to score items and then use these scores to compare patient education materials.

More Ways to Learn:

To read a transcript of this podcast, go to http://healthliteracy.com/transcript.asp?PageID=11799

Health Literacy and Pediatrics (HLOL #107)

Cronan_ Kate DSC6430Kate Cronan MD is a Pediatric Emergency Medicine physician, Associate Professor of Pediatrics at Jefferson Medical College, Director of Health Content Integration for the Nemours Children’s Health Media Center, and Senior Editor for KidsHealth.org. She is also an active and enthusiastic health literacy champion who co-chairs the Language Proficiency and Health Literacy Committee at Nemours/Alfred I. duPont Hospital for Children in Wilmington, Delaware.

In this podcast, Dr. Kate Cronan talks with Helen Osborne about:

  • Health literacy issues to consider when communicating with children, along with their parents or caregivers.
  • Strategies to help set a positive tone, put children at ease, and communicate medical information in ways they can understand.
  • Choosing words, using pictures, and otherwise being clear when teaching children about health and illness.

More Ways to Learn:

  • KidsHealth from Nemours. Communicating complex medical information in ways that parents, kids, and teens can understand. At http://kidshealth.org
  • Abrams MA, Dreyer BP, (2009) Plain Language Pediatrics: Health Literacy Strategies and Communication Resources for Common Pediatric Topics. Available as an eBook from AAP, at http://ebooks.aap.org/product/plain-language-pediatrics

To read a written transcript, go to http://healthliteracy.com/transcript.asp?PageID=11763

Choosing Wisely: A Campaign Helping Patients Be Engaged Consumers (HLOL #104)

Rothschild HeadshotBeccah Rothschild, MPA, is the Senior Outreach Leader for the Choosing Wisely campaign at Consumer Reports. Beccah has over 15 years experience in the fields of adult literacy, health literacy, health communication, and outreach including direct service interventions, research, and policy. Her role at Consumer Reports focuses on patient engagement around the issues of overuse and misuse of medical tests, treatments, and procedures that provide little benefit and in some cases cause harm.

In this podcast, Beccah Rothschild talks with Helen Osborne about:

  • Choosing Wisely. How this campaign helps patients, consumers, and providers engage in important conversations about medical tests, treatments, and procedures.
  • Consumer-friendly teaching materials from Choosing Wisely. These materials not only are free and easy-to-read but also approved by national medical societies and organizations.
  • Health literacy, and its important role in the Choosing Wisely campaign.

More Ways to Learn:

To read a transcript of this podcast, go to http://healthliteracy.com/transcript.asp?PageID=11713

Health Literacy and Hearing Loss (HLOL #103)

Bonnie, Ranger, and Mickey at a conferenceBonnie Bartos PA-C, MHP, CDE is a Physician Assistant and Certified Diabetes Educator in the Mayo Clinic Health System. Her clinical focus is primary care, diabetes, and anticoagulation care. Bartos is a long-time health literacy advocate who uses pictograms as well as many other formats to teach patients who are visual learners, those who have poor literacy skills, use English as a second language, or have disabilities. Bartos knows the challenges of health education as she herself has a severe-to-profound hearing loss.

In this podcast, Bonnie Bartos talks with Helen Osborne about:

  • The spectrum of hearing loss, including how hearing loss can affect speech.
  • Strategies to communicate clearly with people who have hearing loss.
  • Types of technology designed to help people with hearing loss.
  • Bartos’s story about how she lost hearing. And ways her service dogs help.

More Ways to Learn:

  • Osborne H (host), Cushman C (guest). “Health Education for Children with Disabilities (HLOL #89),” January 8, 2013. Podcast at http://healthliteracy.com/hlol-children-disabilities. Transcript at http://healthliteracy.com/transcript.asp?PageID=11492
  • Osborne H, Health Literacy from A to Z: Practical Ways to Communicate Your Health Message, Second Edition published by Jones & Bartlett Learning, 2011. One chapter is “Know Your Audience: Hearing Loss.” Available at http://www.jblearning.com/catalog/9781449600532/ and most online bookstores.
  • Osborne H, “Communicating About Health with ASL.” First published in On Call magazine, June 2003. Now available at http://healthliteracy.com/hlol-asl
  • Health Education in American Sign Language at http://www.deafmd.org
  • Communication Services for the Deaf (CSD) at http://www.c-s-d.org
  • American Speech-Language-Hearing Association (ASHA) at http://www.asha.org
  • Search the internet or your state’s information for advocacy groups or organizations and services for deafness and hearing loss.

To read a transcript of this podcast, go to http://healthliteracy.com/transcript.asp?PageID=11710

Communicating Clearly During Transitions in Care (HLOL #101)

BLUEJACKETPINCarol Levine directs the Families and Health Care Project at the United Hospital Fund in New York City. Levine has written extensively on family caregiving. Her next book, Living in the Land of Limbo: Fiction and Poetry about Family Caregiving, will be published in 2014 by Vanderbilt University Press.

In this podcast, Carol Levine talks with Helen Osborne about:

  • What “transitions in care” are and why they matter so much today.
  • Why communication is often difficult during transitions in care.
  • How both health professionals and family caregivers can help improve understanding.

More Ways to Learn:

To read a transcript of this podcast, click http://healthliteracy.com/transcript.asp?PageID=11698