““A Pilot-test of the Effectiveness A Pilot-test of the Effectiveness of Spanish Health Literacy Skills of Spanish Health Literacy Skills and Health Knowledge Videos on and Health Knowledge Videos on Health Literacy and Related Health Literacy and Related Outcomes”Outcomes”

Centre for Population Health Promotion Research,Human Early Learning Partnership

Research TeamResearch Team

Iraj Poureslami, UBCIraj Poureslami, UBC

Irv Rootman, UVICIrv Rootman, UVIC

Jim Frankish, UBCJim Frankish, UBC

Marina Nicks, Douglas CollegeMarina Nicks, Douglas College

Margreth TolsonMargreth Tolson , VCH, VCH

Patricia Dabiri, Multicultural Family Centre, BCPatricia Dabiri, Multicultural Family Centre, BC

One-year Pilot Project One-year Pilot Project CCL Grant CCL Grant

To develop two short Spanish language To develop two short Spanish language informational videos on type 2 diabetesinformational videos on type 2 diabetes

Measure their effectiveness related to Measure their effectiveness related to health knowledge and health literacy health knowledge and health literacy within a sample of recent Latin American within a sample of recent Latin American immigrants to BC immigrants to BC

Spanish Health Literacy VideosSpanish Health Literacy Videos

““Knowledge” VideoKnowledge” Video

““Appraisal of Health Information” VideoAppraisal of Health Information” Video

““Knowledge” VideoKnowledge” Video

Content:Content: - - Direct Messages about prevention & Direct Messages about prevention &

Management of Type 2 DiabetesManagement of Type 2 Diabetes - Plain Language- Plain Language - List of Community Resources - List of Community Resources (in Spanish)(in Spanish)

Format:Format: - Questions and Answers (performed by- Questions and Answers (performed by

an expert and audience)an expert and audience) - Illustrations- Illustrations

““Appraisal of Health Appraisal of Health Information” VideoInformation” Video

Community Participation:Community Participation:

Two-day Popular Theatre WorkshopTwo-day Popular Theatre Workshop

Development of Script (two stories)Development of Script (two stories)

Performance Performance

University - Community PartnershipUniversity - Community Partnership

Project Team and CAC Members:Project Team and CAC Members:

AcademicsAcademicsHealth Literacy ExpertsHealth Literacy Experts

Health ProfessionalsHealth ProfessionalsCommunity AgenciesCommunity Agencies

RepresentativesRepresentatives

Data CollectionData Collection

QuestionnairesQuestionnairesFocus GroupsFocus Groups

13 sessions (October 07- March 08)13 sessions (October 07- March 08)Follow up InterviewsFollow up Interviews

Study DesignStudy Design

Participants’ RecruitmentParticipants’ Recruitment ““Knowledge” Groups Knowledge” Groups ““Appraisal” Groups Appraisal” Groups ““Knowledge & Appraisal” GroupsKnowledge & Appraisal” Groups

Some Preliminary Findings - UsefulnessSome Preliminary Findings - Usefulness

• Videos are useful because:Videos are useful because:

1. Increase knowledge about the disease1. Increase knowledge about the disease

2. Increase awareness about community 2. Increase awareness about community resources resources

3. Reinforce self-management3. Reinforce self-management

4. Strengthen family and friend support4. Strengthen family and friend support

Some Preliminary Findings - Health NumeracySome Preliminary Findings - Health Numeracy

• No difference in understanding food label when used No difference in understanding food label when used Spanish label vs. English labelSpanish label vs. English label

• Reading information in the nutritional labels:Reading information in the nutritional labels:1. 1. Easy to Understand:Easy to Understand: - Used to read labels- Used to read labels - Easy to find info in the labels- Easy to find info in the labels - Because It’s important to read labels for our health- Because It’s important to read labels for our health2. 2. Difficult to Understand:Difficult to Understand: - Numbers are difficult to understand- Numbers are difficult to understand - Labels are too difficult to follow- Labels are too difficult to follow - Did not understand the questions- Did not understand the questions - Need more time to respond- Need more time to respond

Some Preliminary Findings - RelevanceSome Preliminary Findings - Relevance

• Relevant and practical source of information:Relevant and practical source of information:

1.1. Videos developed in SpanishVideos developed in Spanish2.2. Used plain language, clear content: e.g., how Used plain language, clear content: e.g., how

Diabetes affects body, risk factorsDiabetes affects body, risk factors3.3. It is real, contained examples in a simple, It is real, contained examples in a simple,

everyday wayeveryday way4.4. Encouraged changes in lifestyleEncouraged changes in lifestyle5.5. Can be shared with othersCan be shared with others6.6. Supported by informative materials and Supported by informative materials and

graphics graphics

Some Preliminary Findings - TrustworthinessSome Preliminary Findings - Trustworthiness

• Reliable source of informationReliable source of information Participants’ perspectives on reliability were Participants’ perspectives on reliability were

based on: based on:

1.1. who provided the information (i.e. doctor, who provided the information (i.e. doctor, coordinated by UBC)coordinated by UBC)

2.2. Videos provide scientific evidence and up-to-Videos provide scientific evidence and up-to-date informationdate information

3.3. Videos provide information based on Videos provide information based on experiences of people who have the diseaseexperiences of people who have the disease

Mutual BenefitsMutual Benefits

Community members:Community members: Increased awareness and knowledge Increased awareness and knowledge

about the health conditionabout the health conditionIncreased Access to community resources Increased Access to community resources

(i.e. Spanish Diabetes Health Educator)(i.e. Spanish Diabetes Health Educator) Identification of Needs and Challenges Identification of Needs and Challenges

(i.e. Information about balanced diet, food (i.e. Information about balanced diet, food labels, etc)labels, etc)

Mutual Benefits Mutual Benefits University:University:

Increased Knowledge about:Increased Knowledge about:

Latin American immigrants’ Health Literacy skills as well as their traditions, Latin American immigrants’ Health Literacy skills as well as their traditions, beliefs, health practices, priorities and needs in Greater Vancouver Areabeliefs, health practices, priorities and needs in Greater Vancouver Area

How to develop culturally and linguistically appropriate health How to develop culturally and linguistically appropriate health communication toolscommunication tools

New Spanish Video:New Spanish Video: * Balanced Diet, Prevention and Management of Type 2 Diabetes * Balanced Diet, Prevention and Management of Type 2 Diabetes

For more information about the project For more information about the project and videos, contact: and videos, contact:

Dr Iraj Poureslami, Principal Investigator: Dr Iraj Poureslami, Principal Investigator: pouresla@interchange.ubc.ca or or

Dora Replanski, Research Coordinator:Dora Replanski, Research Coordinator: dreplans@interchange.ubc.ca