Results from the MLA Health Results from the MLA Health Information Literacy (HIL) Information Literacy (HIL)

Research Project*Research Project*Health Literacy WorkshopHealth Literacy Workshop

October 23, 2009October 23, 2009

*Sponsored by the Medical Library Association *Sponsored by the Medical Library Association with funding from the National Library of with funding from the National Library of

Medicine contract number Medicine contract number HHSN276200663511/NO1-LM-6-3511HHSN276200663511/NO1-LM-6-3511

Project GoalsProject Goals

Understand administrators’ and health Understand administrators’ and health care providers’ value of consumer health care providers’ value of consumer health information resources and servicesinformation resources and services

Increase awareness of health literacy and Increase awareness of health literacy and the use of online health information the use of online health information resources by health care providers and resources by health care providers and their patients their patients

Promote the role of librarians as key Promote the role of librarians as key providers of health information literacy providers of health information literacy resources and servicesresources and services

Key ActivitiesKey Activities

Survey hospital administrators and Survey hospital administrators and health care providershealth care providers

Develop multi-format health literacy Develop multi-format health literacy curriculumcurriculum

Pilot curriculum with hospital-based Pilot curriculum with hospital-based librarieslibraries

Disseminate resultsDisseminate results

SurveySurvey

Survey by Tap Consulting- Survey by Tap Consulting- Fall 2007Fall 2007• Used AHA mailing listsUsed AHA mailing lists• 7655 individuals contacted7655 individuals contacted• 22ndnd reminder sent reminder sent• Librarians asked to help solicit feedbackLibrarians asked to help solicit feedback• 4% response rate (n=301)4% response rate (n=301)

Survey FindingsSurvey Findings Majority felt provision of consumer health Majority felt provision of consumer health

information resources critically important to information resources critically important to fulfilling hospital mission fulfilling hospital mission

General awareness of online consumer health General awareness of online consumer health information resources, but little awareness of information resources, but little awareness of Information Rx or similar servicesInformation Rx or similar services

Majority believed their hospital could improve Majority believed their hospital could improve health literacy by training staff to respond health literacy by training staff to respond appropriately to patient health information appropriately to patient health information needsneeds

Curriculum PilotCurriculum Pilot

• Selected nine hospital-based, pilot site Selected nine hospital-based, pilot site libraries from the U.S. and Canada libraries from the U.S. and Canada

• Prepared pilot site librarians via Prepared pilot site librarians via listserv, conference calls, project blog, listserv, conference calls, project blog, and working meeting in Indianaand working meeting in Indiana

• Implemented and evaluated Implemented and evaluated curriculum curriculum

April – September 2008April – September 2008

Results of Curriculum Pilot TestResults of Curriculum Pilot Test

Pilot test lasted 4 monthsPilot test lasted 4 months 67 sessions offered (35 slated)67 sessions offered (35 slated) 1114 providers trained (350 slated)1114 providers trained (350 slated) 912 pre/post tests completed (82%)912 pre/post tests completed (82%)

• 46% used MedlinePlus prior46% used MedlinePlus prior• 91% intend to use after training 91% intend to use after training • 6% had used Info Rx prior6% had used Info Rx prior• 52% intent to after training 52% intent to after training

MLANET.orgMLANET.org Curriculum available at:Curriculum available at:

www.mlanet.org/resources/healthlit/#1www.mlanet.org/resources/healthlit/#1

Two PowerPoint program lengths – Two PowerPoint program lengths – • 40-50 minutes40-50 minutes• 20-40 minutes20-40 minutes

Online Tutorial developedOnline Tutorial developed

MLANET.ORG SiteMLANET.ORG Site

Online Tutorial - freeOnline Tutorial - free

Online TutorialOnline Tutorial

Online Tutorial (cont.)Online Tutorial (cont.)

Evaluation MethodsEvaluation Methods

Pre- and post-session evaluationsPre- and post-session evaluations

Story-based Info Rx tracking reportsStory-based Info Rx tracking reports

Semi-structured feedback collected Semi-structured feedback collected directly from pilot site librariansdirectly from pilot site librarians

2-month follow-up email survey2-month follow-up email survey Project webinar – July 2008 Project webinar – July 2008

Two-Month Follow-Up Two-Month Follow-Up Evaluation Findings (n=158)Evaluation Findings (n=158)

63% used MedlinePlus post training63% used MedlinePlus post training 26% referred patients to hospital library26% referred patients to hospital library 85% changed their behaviors – 85% changed their behaviors –

• Used plain language – 55%Used plain language – 55%• Educated self – 48%Educated self – 48%• Educated colleagues – 42%Educated colleagues – 42%

20% used Info Rx, 127 patients20% used Info Rx, 127 patients• Reasons for not using – forgetting, losing, not Reasons for not using – forgetting, losing, not

having them handy when neededhaving them handy when needed

Two-Month Follow-Up Two-Month Follow-Up Evaluation Findings (cont.)Evaluation Findings (cont.)

80% likely or very likely to seek 80% likely or very likely to seek assistance from their librarian re. HILassistance from their librarian re. HIL

Who responded –Who responded –• 34% nurses34% nurses• 11% physicians11% physicians• 10.6% administrators and health 10.6% administrators and health

educators eacheducators each• 6% pharmacists6% pharmacists

Project OutputsProject Outputs

• Sessions conducted N=67Sessions conducted N=67• Number of participants N=1,114Number of participants N=1,114

Administrators (5%)Administrators (5%) Nurses (38%) Nurses (38%) Pharmacists (4%)Pharmacists (4%) Physicians (15%) Physicians (15%) Other (39 %) – residents, social workers, PTs, etcOther (39 %) – residents, social workers, PTs, etc

• Pre-/post-evaluations collected Pre-/post-evaluations collected N=910N=910

Project OutcomesProject Outcomes

Increases in health literacy Increases in health literacy knowledgeknowledge

Increases in awareness of consumer Increases in awareness of consumer health information resourceshealth information resources

Increases in intention to act…Increases in intention to act… to use MedlinePlusto use MedlinePlus to use Info Rx to use Info Rx to refer patients to the libraryto refer patients to the library

Project Outcomes (cont.)Project Outcomes (cont.)

More became aware of NLM and MLA More became aware of NLM and MLA resourcesresources

Librarians seen as educatorsLibrarians seen as educators Consumer info services of value Consumer info services of value Disseminating results through Disseminating results through

presentations, papers and word of presentations, papers and word of mouthmouth

Lessons LearnedLessons Learned

√√ Create short version of curriculumCreate short version of curriculum

√√ Include more on what providers can Include more on what providers can dodo• ““Participates were ready for answers”Participates were ready for answers”

√ √ Become a championBecome a champion• ““help to open doors especially promotion and help to open doors especially promotion and

recruitment.”recruitment.”

Dissemination of ResultsDissemination of Results

88thth & 9 & 9thth Annual Health Literacy Annual Health Literacy Conference, CA – Inst for Healthcare Adv.Conference, CA – Inst for Healthcare Adv.

Presentation at IFLA 2009 Annual Meeting, Presentation at IFLA 2009 Annual Meeting, Aug. 2009 and web paper Aug. 2009 and web paper

Health administrator journal article on Health administrator journal article on value survey results (pending)value survey results (pending)

Journal of the MLAJournal of the MLA paper – Oct ’09 issue paper – Oct ’09 issue Conference sessions & presentationsConference sessions & presentations Newsletter articlesNewsletter articles

FutureFuture Consider public domain and useConsider public domain and use Create Health Literacy GroupsCreate Health Literacy Groups Conduct training in our institutionsConduct training in our institutions How curricula differ from othersHow curricula differ from others More research publications neededMore research publications needed Promote as a public health issuePromote as a public health issue Encourage interdisciplinary approachEncourage interdisciplinary approach

What can you do?What can you do?

Group discussion on resultsGroup discussion on results Local applicationsLocal applications Encourage others to take tutorialEncourage others to take tutorial Look at MLANET.org site for ideasLook at MLANET.org site for ideas Report what you do to JeanReport what you do to Jean Questions?Questions?

More To DosMore To Dos

Teach at a local conferenceTeach at a local conference Set up journal club or discussion seminarsSet up journal club or discussion seminars Present at staff meetings or workshopsPresent at staff meetings or workshops Offer CE creditOffer CE credit Include for Magnet applicationsInclude for Magnet applications Get on local radio or TV stationGet on local radio or TV station Write article for institution’s health newsWrite article for institution’s health news

Project Team – ThanksProject Team – Thanks Carla Funk and Jean Shipman, co-PIsCarla Funk and Jean Shipman, co-PIs Sabrina Kurtz-Rossi, Project CoordinatorSabrina Kurtz-Rossi, Project Coordinator OERC – Susan Barnes and Cindy OlneyOERC – Susan Barnes and Cindy Olney Project Advisors – Drs. Elliot Siegel, Rob Project Advisors – Drs. Elliot Siegel, Rob

Logan, Angela Ruffin and NN/LM, MLA Logan, Angela Ruffin and NN/LM, MLA Section and Committee representativesSection and Committee representatives

Pilot Site LibrariansPilot Site Librarians Dr. Kathy Schilling, Indiana UniversityDr. Kathy Schilling, Indiana University TAP ConsultingTAP Consulting