[NIFL-HEALTH:4680] RE: Research on the use of Photonovellas?

From: William Smith (BSMITH@smtp.aed.org)
Date: Mon Mar 07 2005 - 15:19:44 EST


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From: "William Smith" <BSMITH@smtp.aed.org>
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Subject: [NIFL-HEALTH:4680] RE: Research on the use of Photonovellas?
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I spent a good deal of my early life developing photonovels in Latin
America.

I'd be glad to offer that experience if people want specific guidence.
I'm pretty  fluent in Spanish if that helps. 

Wm. Smith
Executive Vice President
Academy for Educational Development
1825 Connecticut Ave., NW
Washington, D.C. 20009

A little change hurts a lot.
A lot of change doesn't hurt that much more.
Phone: 202-884-8750
Fax: 202-884-8752
e-mail: bsmith@aed.org

>>> rrudd@hsph.harvard.edu 3/7/2005 12:30:23 PM >>>
Hello,
It is good to see discussions about this topic. I'd like to make a
brief note 
about photonovels. As you all now, this form of wrting material is very

popular in Central and South America. The format is set like a comic
book. 
However, photos are used instead of comics. The story line is carried
by 
dialogue bubbles and aided by a brief note on top of a new page [e.g.
the next 
day...]. The dialogue bubbles must be very brief and this helps with
literacy 
related issues.
However, as you examine a wide variety of photonovels developed to
address an 
array of health issues..... do look into the development process. In
some 
cases the photonovel was developed by experts. It will be important for
you to 
consider the rigor with which it was developed, piloted, and revised by

members of the intended audience. In some cases the photonovel was
developed 
by members of the intended audience through a process facilitated by an

outside or inside expert. Here too, be sure to consider the rigor of
the 
process. 
Debra Roter, John Comings and I [Rudd] wrote about this participatory
approach 
and indicated the importance of authentic voice. 
Also -- for those of you thinking about developing such material, you
will 
find a how-to approach on the following website: 
www.hsph.harvard.edu/healthliteracy. 
We've found this to be a rich experience, a lot fun, and a worthwhile 
endeavor. Participatory materials development enables members of the
intended 
audience to share a story of their own about critical topics. The power
of 
this story, told visually and in words that are the participants',
captures 
the attention of readers and most often speaks to them in 'plain'
everyday 
terms.
Rima Rudd


>===== Original Message From nifl-health@nifl.gov =====
>Hi-
>I just started working on an article related to our use of the
photonovels
>we developed for prenatal care.  (We've discussed the De Madre A
Madre/From
>Mother to Mother bilingual photonovels on this listserv previously.)
>Although the article is not published yet, you might be interested in
our
>work.
>
>After developing the photonovels (a hybrid design- combining a
traditional
>photonovel format with a literacy component) we received several
small
>grants to develop a method to teach prenatal education classes using
the
>photonovels.  We've developed a simple 6 step process.  Over a period
of
>about 4 years, we have tested the 'Teach-With-Stories' (TWS) method
in
>several sites across North Carolina with pregnant Latino women with
low
>literacy skills in English and/or Spanish.  The facilitators also had
>different skill and literacy levels. Each class they would read and
discuss
>a story together.  Group members took the photonovels home.  They
reported
>keeping them, rereading and sharing them with friends and other
family
>members.
>
>The TWS method addresses health literacy, health empowerment, and
health
>education needs. While our focus was on refining the method and
learning how
>to train facilitators in the process, we did some informal
qualitative
>evaluation. The results and stories were fairly consistent across
sites.
>Many of our findings are similar to the published findings in studies
on the
>efficacy of patient-centered care. Both clients and clinic staff
benefit.
>Note:  A great summary of these studies is in the Institute of
Medicine's
>Health Professions Education: A Bridge to Quality report (2003).
>
>At the core of the TWS method is a 'power-sharing' way of relating
and
>educating (i.e., educator as facilitator rather than expert).  In
addition,
>we have tried to build on your work, Dr. Rudd's work and the work of
Rick
>Arnold (who developed the 'Spiral Model'- an educational empowerment
>process).
>
>Just recently, the TWS method was selected as a national
demonstration
>project and will be more formally evaluated.  We are looking at how
to
>evaluate its impact on the group members' health literacy (and also
the
>impact on the group itself).  We are especially interested in how to
>evaluate change in levels/types of social support and how it relates
to
>health literacy of individuals and the group.)  If anyone has any
>suggestions about this, please let me know!
>
>If you would like additional information, feel free to contact me
directly.
>
>Hope this helpful-
>
>Susan Auger
>Executive Director
>Auger Communications/Aprendo Press
>sauger@mindspring.com 
>tel: 919-361-1857
>
>-----Original Message-----
>From: nifl-health@nifl.gov [mailto:nifl-health@nifl.gov] On Behalf Of
>Lendoak@aol.com 
>Sent: Monday, February 21, 2005 12:05 PM
>To: Multiple recipients of list
>Subject: [NIFL-HEALTH:4657] Research on the use of Photonovellas?
>
>Several of us are preparing a paper on the efficacy of visuals in
patient
>education.  Our question is:  What research or practice has been
published
>on the
>use of Photonovellas?
>
>We would appreciate any information.
>
>Len and Ceci Doak
>Patient Learning Assoc.
>4 Chilham Ct.
>Potomac, Md. 20854

Rima E. Rudd, MSPH, Sc.D.
Department of Society, Human Development,and Health
Harvard School of Public Health
677 Huntington Avenue
Boston, MA 02115
Phone: 617-432-1135
fax:   617-432-3123
Note new listings on our Health Literacy Web Site:
www.hsph.harvard.edu/healthliteracy 



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