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Good Questions for Good Health: How to Implement Health Literacy Coaching into your MOW and Senior Center Programs

Good Questions for Good Health: How to Implement Health Literacy Coaching into your MOW and Senior Center Programs . Vicki S. Freimuth, Ph.D. Terry Kaley, MA, RD University of Georgia. Presentation Overview. Why Health Literacy is important for MOW clients

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Good Questions for Good Health: How to Implement Health Literacy Coaching into your MOW and Senior Center Programs

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  1. Good Questions for Good Health: How to Implement Health Literacy Coaching into your MOW and Senior Center Programs Vicki S. Freimuth, Ph.D. Terry Kaley, MA, RD University of Georgia

  2. Presentation Overview • Why Health Literacy is important for MOW clients • Good Questions for Good Health Intervention—What it is • How to implement it in your programs • Materials to take home today • Testimonials from MOW clients

  3. Typical 75 Year Old. . . • Has three chronic health conditions • Takes 5 prescription drugs • Intense need for health information • 39% have below basic functional health literacy (based on reading skills)

  4. Interactive Health Literacy… …the personal trait, as well as the process, of actively seeking out information about health and safety from interpersonal sources in order to treat current disease and reduce future risk.

  5. Why is Interactive Health Literacy so Important? Participation in medical encounters Higher satisfaction Higher compliance Better health outcomes Disease management Reducing health disparities Patient/Hospital safety

  6. Health Literacy and Shame People with limited health literacy often report feeling a sense of shame about their skill level. Individuals with poor literacy skills are often uncomfortable about being unable to read well, and they develop strategies to compensate. 7

  7. Health Literacy on Wheels Months 7-9 Coaching Session Coaching Session

  8. Steps to Implement • Recruit coaches • Train coaches • Coaches implement (over 3 months) • Visit 1—Deliver materials, show video one, first coaching • Visit 2-second coaching • Visit 3-show video 2, final coaching

  9. How to Recruit Coaches Volunteers and Staff Home Bound & Congregate Dining Sites Selling the intervention

  10. Benefits to Coaches • Improved personal communication and literacy skills • Help clients improve their health • Deepen relationships with clients

  11. Coaches Must Agree to… • Continue MOW for 3 months • Attend a two hour training session • Identify up to 5 clients to participate • Conduct a minimum of 3 coaching sessions with each client over 3 months

  12. Our Coaches!!

  13. Training Coaches • Introducing GQ4GH to your volunteers and staff • What are the program steps? • How to train health literacy coaches • Materials to make training and coaching easy

  14. Start with questions… QUESTIONS ARE THE ANSWERS!!! What is my main problem? What do I need to do? Why is it important for me to do it? 15

  15. Question #1: What is my main problem? “Mrs. Johnson, we have found some skin cancer on your cheek” 16

  16. Question #2:What do I need to do? “Mrs. Johnson, we need to remove that skin cancer by….” 17

  17. Question #3:Why is it important for me to do this? “If we do not remove it, the cancer will grow and spread and could lead to your death.” 18

  18. When should I ask these questions? When you see your doctor or a nurse—or a pharmacist When you prepare for a medical test When you pick up your medications 19

  19. Health Literacy on Wheels Months 7-9 Coaching Session Coaching Session

  20. Month 1 • Coaches Deliver Materials to Clients • GQ4GH Brochure • GQ4GH Question Notepad • Coaches Show video #1: Three Little Questions Your Health Care Professional Wants You to Ask” • Script for coach and client to discuss the video

  21. Health Literacy on Wheels Months 7-9 Coaching Session Coaching Session

  22. Month 2: Coaching Clients • Training Volunteers to Coach • Good Communication Skills for coaching • How to Coach for Health Literacy • Coach Modeling Video • Coach Role Play Training Script

  23. Communication Skills:What to do… What to avoid… “Empower” the person you are talking to Offer information in a caring and helpful way Avoid judging Avoid advising Don’t preach 24

  24. How to Train Coaches • View Coach Modeling Video • Homebound Client • Congregate Dining Client • Role Play Practice Session - Breakout • Coach • Client • Observer

  25. Health Literacy on Wheels Months 7-9 Coaching Session Coaching Session

  26. Month 3 • Coach shows video #2 to client: “How to Make Sure You Get Answers to Good Questions for Good Health” • Coach clients to overcome barriers they may have encountered after using GQ4GH

  27. Coaching to Overcome Barriers • View video #2 • Breakout session #2 to practice • Coach script • Switch places: Coach, client & observer

  28. Health Literacy on Wheels Months 7-9 Coaching Session Coaching Session

  29. Toolkit Materials • Toolkit Overview & Instructions • Recruitment Flyer • Coach Training Materials • Scripts for coaching & showing videos • Print Materials • Templates: Calendar, brochure, notepad, newsletter • Videos

  30. Contact Us • University of Georgia Center for Health & Risk Communication • Vicki Freimuth, Director freimuth@uga.edu • Terry Kaley tkaley@uga.edu

  31. Some Final Words • GQ4GH Succeeds Because • It’s easy • The message is simple and delivered by a personal contact • Benefits • Better reporting to doctors • Better patient understanding and compliance; fewer medication errors • Listen to what one client has to say…

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