National Institute for Literacy
 

[HealthLiteracy 967] Re: HealthLiteracy Digest, Vol 20, Issue 19

Andrew Pleasant pleasant at AESOP.Rutgers.edu
Fri Jun 1 12:50:20 EDT 2007


I did not write what you allege. We are talking about a specific
circumstance, not the universe.

andrew




>Andrew -

>

>I respectfully disagree. There is a place for higher literacy level

>materials.

>

>There should ALWAYS be materials available that everyone can

>understand. Having these materials as a base of information is

>essential for all of our patients.

>

>However, I don't believe that means that only materials written at a

>certain level should be produced. A wide range of materials would

>be more appropriate.

>

>Lisa Jones, MD

>

>

>

>

>

>

>

>

>

>From: healthliteracy-request at nifl.gov

>Reply-To: healthliteracy at nifl.gov

>To: healthliteracy at nifl.gov

>Subject: HealthLiteracy Digest, Vol 20, Issue 19

>Date: Thu, 31 May 2007 14:27:04 -0400

>>Send HealthLiteracy mailing list submissions to

>> healthliteracy at nifl.gov

>>

>>To subscribe or unsubscribe via the World Wide Web, visit

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>>than "Re: Contents of HealthLiteracy digest..."

>>

>>

>>Today's Topics:

>>

>> 1. [HealthLiteracy 953] Re: respectful terms question

>> (Julie McKinney)

>> 2. [HealthLiteracy 954] Re: respectful terms question

>> (Andrew Pleasant)

>> 3. [HealthLiteracy 955] Wednesday Question: The NAAL Report

>> (Julie McKinney)

>> 4. [HealthLiteracy 956] Re: respectful terms question

>> (Davies, Nicola)

>> 5. [HealthLiteracy 957] Re: respectful terms question

>> (Locke, Joanne N (HHS/OPHS))

>> 6. [HealthLiteracy 958] Re: respectful terms question

>> (Davies, Nicola)

>> 7. [HealthLiteracy 959] Re: respectful terms question

>> (Andrew Pleasant)

>> 8. [HealthLiteracy 960] Re: respectful terms question

>> (Julie McKinney)

>> 9. [HealthLiteracy 961] Re: respectful terms question (Kerry Harwood)

>>

>>

>>----------------------------------------------------------------------

>>

>>Message: 1

>>Date: Thu, 31 May 2007 12:09:55 -0400

>>From: "Julie McKinney" <julie_mcKinney at worlded.org>

>>Subject: [HealthLiteracy 953] Re: respectful terms question

>>To: <healthliteracy at nifl.gov>

>>Message-ID: <465EBB130200002D000027A5 at bostongwia.jsi.com>

>>Content-Type: text/plain; charset=US-ASCII

>>

>>Hi Trudy,

>>

>>"Plain Language" is very common, as is "Clear Language." You would

>>proably know better what is more common in Canada, but I have seen both

>>used in Canadian resources. There used to be a "Plain language" health

>>communication database, which I cannot find at it's old URL, but there

>>are "Clear Language" tools available on the National Adult Literacy

>>Database at:

>>

>>http://www.nald.ca/tools/practitioner/practitioner.htm

>>

>>I think it also depends on who is going to be using your website. If it

>>will be the libraians, then they can be trained to search for any term.

>>If consumers are going to be using the website to search for

>>information, I still belive in the term "Easy-to-read" as the most

>>self-explanatory!

>>

>>Good luck with this great project, and keep us informed how it goes!

>>

>>All the best,

>>Julie

>>

>>

>>Julie McKinney

>>Discussion List Moderator

>>World Education/NCSALL

>>jmckinney at worlded.org

>>

>> >>> "Health Connections" <healthconnections at ns.sympatico.ca> 05/31/07

>>8:42 AM >>>

>>I am working with a community based health resource centre called Health

>>Connections which has a mandate to help people to access health

>>information, programs and services. Health Connections is a service of

>>the health authority and delivered in partnership with the public

>>library. We are compiling resources with health literacy and cultural

>>competency in mind. Web resources will also be identified. I would like

>>to see the plain language items clearly identified on the our website,

>>currently in development.

>>

>>My question is - What words, phrases and/or common symbols are used to

> >identify plain language resources?

>>

>>Many thanks for this very helpful list serve.

>>

>>Trudy Watts

>>Resource Development Co-ordinator

>>Health Connections

>>Antigonish, Nova Scotia, Canada

>>

>>

>>

>>------------------------------

>>

>>Message: 2

>>Date: Thu, 31 May 2007 12:33:27 -0400

>>From: Andrew Pleasant <pleasant at aesop.rutgers.edu>

>>Subject: [HealthLiteracy 954] Re: respectful terms question

>>To: The Health and Literacy Discussion List <healthliteracy at nifl.gov>

>>Message-ID: <p06230904c28485ec00f6@[192.168.1.101]>

>>Content-Type: text/plain; charset=us-ascii; format=flowed

>>

>>Hello everyone,

>>

>>The question prompted a question ...

>>

>>Does this indicate that the organization will also be posting

>>materials that are difficult to read? Why? Will you flag those also

>>somehow?

>>

>>I suppose the point being, if the mandate is to help people access

>>information then I'd suggest only using materials that are accessible

>>... thereby making that the norm instead of something needing flagged

>>as somehow special or different which perhaps implies (with stigma

>>attached?) less capable audiences.

>>

>>If we collectively reduce the listing of, referencing to, and (by

>>extension) perceived demand for poorly conceived and written

>>materials, perhaps (far, far away I admit) the world will slowly

>>become less awash with reports and journal articles and books and

>>guides to health literacy that lack audiences and effectiveness. The

>>internet and Microsoft products make it easy to compile many long

>>lists of resources - but we don't have to.

>>

>>For what its worth ... (keeping in mind that it is free)

>>

>>ap

>>

>>

>>

>> >I am working with a community based health resource centre called

>> >Health Connections which has a mandate to help people to access

>> >health information, programs and services. Health Connections is a

>> >service of the health authority and delivered in partnership with

>> >the public library. We are compiling resources with health literacy

>> >and cultural competency in mind. Web resources will also be

>> >identified. I would like to see the plain language items clearly

>> >identified on the our website, currently in development.

>> >

>> >My question is - What words, phrases and/or common symbols are used

>> >to identify plain language resources?

>> >

>> >Many thanks for this very helpful list serve.

>> >

>> >Trudy Watts

>> >Resource Development Co-ordinator

>> >Health Connections

>> >Antigonish, Nova Scotia, Canada

>> >

>> >----------------------------------------------------

>> >National Institute for Literacy

>> >Health and Literacy mailing list

>> >HealthLiteracy at nifl.gov

>> >To unsubscribe or change your subscription settings, please go to

>> >http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >Email delivered to pleasant at aesop.rutgers.edu

>>

>>

>>--

>>-----------------------------------------------

>>Andrew Pleasant

>>Assistant Professor

>>Department of Human Ecology

>>Extension Department of Family and Community Health Sciences

>>Rutgers, the State University of New Jersey

>>Cook Office Building, 55 Dudley Road #207

>>New Brunswick, NJ 08901

>>phone: 732-932-9153 x. 320; fax: 732-932-6667

>>

>>

>>------------------------------

>>

>>Message: 3

>>Date: Thu, 31 May 2007 12:46:10 -0400

>>From: "Julie McKinney" <julie_mcKinney at worlded.org>

>>Subject: [HealthLiteracy 955] Wednesday Question: The NAAL Report

>>To: <healthliteracy at nifl.gov>

>>Message-ID: <465EC3920200002D000027A9 at bostongwia.jsi.com>

>>Content-Type: text/plain; charset=US-ASCII

>>

>>Hi Everyone,

>>

>>Last week there was a discussion on the Poverty, Race, Women and

>>Literacy Discussion List about the results of the 2003 National

>>Assessment of Adult Literacy (NAAL). There was some discussion of the

>>Health Literacy Data, which was collected for the first time in this

>>report, and some of you may be interested in reading through the

>>discussion. You can do so at:

>>

>>http://www.nifl.gov/pipermail/povertyracewomen/2007/date.html

>>

>>The moderator, Daphne Greenberg, asked some questions about how useful

>>the report is and how it is used by people in the adult literacy field.

>>I would like to pose a modified version of these questions for this

> >week's Wednesday question. (I know, it's Thursday...can I blame it on

>>the long weekend...?)

>>

>>These questions are for researchers, policy makers, health care

>>providers and educators, adult literacy practitioners and adult

>>learners. Of course, add "If so, how?" to each question!

>>

>>1. Are researchers using the report in their research studies?

>>2. Are policy makers in the health field using the report to make

>>decisions regarding allocation of resources?

>>3. Are policy makers in the adult literacy field using the report to

>>make decisions regarding allocation of resources?

>>4. Are teachers/administrators using the report to make decisions about

>>their classrooms?

>>5. Are health care providers and health educators using the report to

>>make decisions about their service delivery?

>>6. Do learners relate to the findings in the report?

>>

>>You can find the report at:

>>

>>http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006483

>>

>>See below for a summary of the key Health Literacy findings that Andres

>>Muro sent to this list last year. I am planning a discussion of these

>>results on this list in the next few months, so stay tuned. But in the

>>meantime, it would be nice to know what you all think of these

>>questions.

>>

>>All the best,

>>Julie

>>

>>*********************************

>>

>>National Assessment of Adult Literacy (NAAL) Health Literacy of

>>America's Adults

>>

>>Four levels:

>>

>>1. Below Basic: indicates no more than the most basic and concrete

>>literacy skills.

>>2. Basic: indicates skills to perform simple and everyday literacy

>>activities.

>>3. Intermediate: indicate skills to perform moderately challenging

>>literacy activities

>>4. Proficient: indicates skills to perform more challenging and

>>complex literacy activities

>>

>>I equate "Below Basic" level to reading skills and math skills of

>>someone in the

>>third grade. "Basic" would be someone with reading and math skills below

>>

>>seventh grade. "Intermediate" would be someone with the skills of a high

>>

>>school student. "Proficient" would define the skills of a high school

>>graduate. Note that this in not a scientific comparison but my own

>>estimation based on my years in the education field. [From Andres]

>>

>>Result of the health NAAL:

>>

>>Percentage of adults in each literacy level

>> Below basic: 14%

>> Basic: 22%

>> Intermediate: 53%

>> Proficient: 12%

>>

>>Percentage of males in each literacy level

>> Below basic: 16%

>> Basic: 22%

>> Intermediate: 51%

>> Proficient: 11%

>>

>>Percentage of females in each literacy level

>> Below basic: 12%

>> Basic: 21%

>> Intermediate: 55%

>> Proficient: 12%

>>

>>Note that women scored higher than males. This is not surprising since

>>women are usually the health providers of the entire family.

>>

>>

>>Percentage of Whites in each literacy level

>> Below basic: 9%

>> Basic: 19%

>> Intermediate: 58%

>> Proficient: 14%

>>

>>Percentage of Blacks in each literacy level

>> Below basic: 24%

>> Basic: 34%

>> Intermediate: 41%

>> Proficient: 2%

>>

>>Percentage of Hispanics each literacy level

>> Below basic: 41%

>> Basic: 25%

>> Intermediate: 31%

>> Proficient: 4%

>>

>>Note the very high numbers of Hispanics below basic. This is likely

>>because they are not native English speakers.

>>

>>Based on this assessment, one third to one half of all adults does not

>>understand written information related to health well or at all. There

>>is a third that understands information better. Only 14% of all adults

>>can understand health related information well.

>>

>>For more info go to: http://nces.ed.gov/naal/

>>

>>****************************************

>>

>>

>>

>>Julie McKinney

>>Discussion List Moderator

>>World Education/NCSALL

>>jmckinney at worlded.org

>>

>>

>>

>>------------------------------

>>

>>Message: 4

>>Date: Thu, 31 May 2007 08:30:27 -0600

>>From: "Davies, Nicola" <NDavies at dthr.ab.ca>

>>Subject: [HealthLiteracy 956] Re: respectful terms question

>>To: "The Health and Literacy Discussion List"

>> <healthliteracy at nifl.gov>

>>Message-ID:

>> <521441A4F164E1418DCAC093C9EE6D95026EDD06 at DTHREXCL1.dthr.ab.ca>

>>Content-Type: text/plain; charset="iso-8859-1"

>>

>>Hi Trudy,

>>I would love to learn more about your project. I will consult my

>>colleagues about the symbol and get back to you.

> >Thanks,

>>

>>Nicola Davies, BA<?xml:namespace prefix = o ns =

>>"urn:schemas-microsoft-com:office:office" />

>>

>>

>>Health Literacy Specialist

>>

>>Wellness Centre Coordinator

>>

>>Media Services Publications Clerk

>>

>>8 ndavies at dthr.ab.ca

>>

>>) (403)-352-7643

>>

>>* Red Deer Regional Hospital

>>

>> 3942-50A Ave

>>

>> Red Deer, AB

>>

>> T4N 4E7

>>-----Original Message-----

>>From: healthliteracy-bounces at nifl.gov

>>[mailto:healthliteracy-bounces at nifl.gov]On Behalf Of Health

>>Connections

>>Sent: Thursday, May 31, 2007 6:43 AM

>>To: healthliteracy at nifl.gov

>>Subject: [HealthLiteracy 950] respectful terms question

>>

>>

>>I am working with a community based health resource centre called

>>Health Connections which has a mandate to help people to access

>>health information, programs and services. Health Connections is a

>>service of the health authority and delivered in partnership with

>>the public library. We are compiling resources with health literacy

>>and cultural competency in mind. Web resources will also be

>>identified. I would like to see the plain language items clearly

>>identified on the our website, currently in development.

>>

>>My question is - What words, phrases and/or common symbols are used

>>to identify plain language resources?

>>

>>Many thanks for this very helpful list serve.

>>

>>Trudy Watts

>>Resource Development Co-ordinator

>>Health Connections

>>Antigonish, Nova Scotia, Canada

>>-------------- next part --------------

>>An HTML attachment was scrubbed...

>>URL:

>>http://www.nifl.gov/pipermail/healthliteracy/attachments/20070531/dbc68ea0/attachment-0001.html

>>

>>------------------------------

>>

>>Message: 5

>>Date: Thu, 31 May 2007 13:01:50 -0400

>>From: "Locke, Joanne N (HHS/OPHS)" <Joanne.Locke at hhs.gov>

>>Subject: [HealthLiteracy 957] Re: respectful terms question

>>To: "The Health and Literacy Discussion List"

>> <healthliteracy at nifl.gov>

>>Message-ID:

>> <A861DAB9B4748E4FBDEFF27C2F78676820C3CB at AVN3VS004.ees.hhs.gov>

>>Content-Type: text/plain; charset=us-ascii

>>

>>Andrew - I could not have said it better. Everyone deserves plain,

>>clear writing all the time - especially when it comes to information

>>about their health.

>>

>>Joanne Locke

>>Plain Language Advisor

>>

>>-----Original Message-----

>>From: healthliteracy-bounces at nifl.gov

>>[mailto:healthliteracy-bounces at nifl.gov] On Behalf Of Andrew Pleasant

>>Sent: Thursday, May 31, 2007 12:33 PM

>>To: The Health and Literacy Discussion List

>>Subject: [HealthLiteracy 954] Re: respectful terms question

>>

>>Hello everyone,

>>

>>The question prompted a question ...

>>

>>Does this indicate that the organization will also be posting

>>materials that are difficult to read? Why? Will you flag those also

>>somehow?

>>

>>I suppose the point being, if the mandate is to help people access

>>information then I'd suggest only using materials that are accessible

>>... thereby making that the norm instead of something needing flagged

>>as somehow special or different which perhaps implies (with stigma

>>attached?) less capable audiences.

>>

>>If we collectively reduce the listing of, referencing to, and (by

>>extension) perceived demand for poorly conceived and written

>>materials, perhaps (far, far away I admit) the world will slowly

>>become less awash with reports and journal articles and books and

>>guides to health literacy that lack audiences and effectiveness. The

>>internet and Microsoft products make it easy to compile many long

>>lists of resources - but we don't have to.

>>

>>For what its worth ... (keeping in mind that it is free)

>>

>>ap

>>

>>

>>

>> >I am working with a community based health resource centre called

>> >Health Connections which has a mandate to help people to access

>> >health information, programs and services. Health Connections is a

>> >service of the health authority and delivered in partnership with

>> >the public library. We are compiling resources with health literacy

>> >and cultural competency in mind. Web resources will also be

>> >identified. I would like to see the plain language items clearly

>> >identified on the our website, currently in development.

>> >

>> >My question is - What words, phrases and/or common symbols are used

>> >to identify plain language resources?

> > >

>> >Many thanks for this very helpful list serve.

>> >

>> >Trudy Watts

>> >Resource Development Co-ordinator

>> >Health Connections

>> >Antigonish, Nova Scotia, Canada

>> >

>> >----------------------------------------------------

>> >National Institute for Literacy

>> >Health and Literacy mailing list

>> >HealthLiteracy at nifl.gov

>> >To unsubscribe or change your subscription settings, please go to

>> >http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >Email delivered to pleasant at aesop.rutgers.edu

>>

>>

>>--

>>-----------------------------------------------

>>Andrew Pleasant

>>Assistant Professor

>>Department of Human Ecology

>>Extension Department of Family and Community Health Sciences

>>Rutgers, the State University of New Jersey

>>Cook Office Building, 55 Dudley Road #207

>>New Brunswick, NJ 08901

>>phone: 732-932-9153 x. 320; fax: 732-932-6667

>>----------------------------------------------------

>>National Institute for Literacy

>>Health and Literacy mailing list

>>HealthLiteracy at nifl.gov

>>To unsubscribe or change your subscription settings, please go to

>>http://www.nifl.gov/mailman/listinfo/healthliteracy

>>Email delivered to jlocke at osophs.dhhs.gov

>>

>>

>>

>>

>>------------------------------

>>

>>Message: 6

>>Date: Thu, 31 May 2007 11:10:27 -0600

>>From: "Davies, Nicola" <NDavies at dthr.ab.ca>

>>Subject: [HealthLiteracy 958] Re: respectful terms question

>>To: "The Health and Literacy Discussion List"

>> <healthliteracy at nifl.gov>

>>Message-ID:

>> <521441A4F164E1418DCAC093C9EE6D95026EDD0C at DTHREXCL1.dthr.ab.ca>

>>Content-Type: text/plain; charset="iso-8859-1"

>>

>>It's a nice idea, Andrew, but a lot of the materials shipped out by

>>health organisations are written at at least grade 12 level. A

>>Vancouver-based GI charity has wonderful patient teaching

>>resources, but a lot of their health information is very difficult

>>to understand (even my volunteers have trouble).

>>

>>Also, there is a question of the norm. When does a piece of health

>>information become easy or difficult to read? Two pieces of health

>>information could be at a Grade 6 level, but not everybody would

>>understand them both equally. The symbol, if one exists, should be

>>simply a guide.

>>

>>

>>

>>-----Original Message-----

>>From: healthliteracy-bounces at nifl.gov

>>[mailto:healthliteracy-bounces at nifl.gov]On Behalf Of Andrew Pleasant

>>Sent: Thursday, May 31, 2007 10:33 AM

>>To: The Health and Literacy Discussion List

>>Subject: [HealthLiteracy 954] Re: respectful terms question

>>

>>

>>Hello everyone,

>>

>>The question prompted a question ...

>>

>>Does this indicate that the organization will also be posting

>>materials that are difficult to read? Why? Will you flag those also

>>somehow?

>>

>>I suppose the point being, if the mandate is to help people access

>>information then I'd suggest only using materials that are accessible

>>... thereby making that the norm instead of something needing flagged

>>as somehow special or different which perhaps implies (with stigma

>>attached?) less capable audiences.

>>

>>If we collectively reduce the listing of, referencing to, and (by

>>extension) perceived demand for poorly conceived and written

>>materials, perhaps (far, far away I admit) the world will slowly

>>become less awash with reports and journal articles and books and

>>guides to health literacy that lack audiences and effectiveness. The

>>internet and Microsoft products make it easy to compile many long

>>lists of resources - but we don't have to.

>>

>>For what its worth ... (keeping in mind that it is free)

>>

>>ap

>>

>>

>>

>> >I am working with a community based health resource centre called

>> >Health Connections which has a mandate to help people to access

>> >health information, programs and services. Health Connections is a

>> >service of the health authority and delivered in partnership with

>> >the public library. We are compiling resources with health literacy

>> >and cultural competency in mind. Web resources will also be

>> >identified. I would like to see the plain language items clearly

>> >identified on the our website, currently in development.

>> >

>> >My question is - What words, phrases and/or common symbols are used

>> >to identify plain language resources?

> > >

>> >Many thanks for this very helpful list serve.

>> >

>> >Trudy Watts

>> >Resource Development Co-ordinator

>> >Health Connections

>> >Antigonish, Nova Scotia, Canada

>> >

>> >----------------------------------------------------

>> >National Institute for Literacy

>> >Health and Literacy mailing list

>> >HealthLiteracy at nifl.gov

>> >To unsubscribe or change your subscription settings, please go to

>> >http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >Email delivered to pleasant at aesop.rutgers.edu

>>

>>

>>--

>>-----------------------------------------------

>>Andrew Pleasant

>>Assistant Professor

>>Department of Human Ecology

>>Extension Department of Family and Community Health Sciences

>>Rutgers, the State University of New Jersey

>>Cook Office Building, 55 Dudley Road #207

>>New Brunswick, NJ 08901

>>phone: 732-932-9153 x. 320; fax: 732-932-6667

>>----------------------------------------------------

>>National Institute for Literacy

>>Health and Literacy mailing list

>>HealthLiteracy at nifl.gov

>>To unsubscribe or change your subscription settings, please go to

>>http://www.nifl.gov/mailman/listinfo/healthliteracy

>>Email delivered to ndavies at dthr.ab.ca

>>

>>

>>

>>------------------------------

>>

>>Message: 7

>>Date: Thu, 31 May 2007 13:37:16 -0400

>>From: Andrew Pleasant <pleasant at aesop.rutgers.edu>

>>Subject: [HealthLiteracy 959] Re: respectful terms question

>>To: The Health and Literacy Discussion List <healthliteracy at nifl.gov>

>>Message-ID: <p06230919c284b7699608@[192.168.1.101]>

>>Content-Type: text/plain; charset=us-ascii; format=flowed

>>

>>Sure, but my point is .. if it is at 12th grade level - don't list it

>>and don't use it - look farther, create new. Thinking you have to

>>simply perpetuates the myth that complex information can't be clearly

>>presented. After all, if it is very difficult to understand - is it

>>really so wonderful?

>>

>>ap

>>

>>

>>

>> >It's a nice idea, Andrew, but a lot of the materials shipped out by

>> >health organisations are written at at least grade 12 level. A

>> >Vancouver-based GI charity has wonderful patient teaching resources,

>> >but a lot of their health information is very difficult to

>> >understand (even my volunteers have trouble).

>> >

>> >Also, there is a question of the norm. When does a piece of health

>> >information become easy or difficult to read? Two pieces of health

>> >information could be at a Grade 6 level, but not everybody would

>> >understand them both equally. The symbol, if one exists, should be

>> >simply a guide.

>> >

>> >

>> >

>> >-----Original Message-----

>> >From: healthliteracy-bounces at nifl.gov

>> >[mailto:healthliteracy-bounces at nifl.gov]On Behalf Of Andrew Pleasant

>> >Sent: Thursday, May 31, 2007 10:33 AM

>> >To: The Health and Literacy Discussion List

>> >Subject: [HealthLiteracy 954] Re: respectful terms question

>> >

>> >

>> >Hello everyone,

>> >

>> >The question prompted a question ...

>> >

>> >Does this indicate that the organization will also be posting

>> >materials that are difficult to read? Why? Will you flag those also

>> >somehow?

>> >

>> >I suppose the point being, if the mandate is to help people access

>> >information then I'd suggest only using materials that are accessible

>> >... thereby making that the norm instead of something needing flagged

>> >as somehow special or different which perhaps implies (with stigma

>> >attached?) less capable audiences.

>> >

>> >If we collectively reduce the listing of, referencing to, and (by

>> >extension) perceived demand for poorly conceived and written

>> >materials, perhaps (far, far away I admit) the world will slowly

>> >become less awash with reports and journal articles and books and

>> >guides to health literacy that lack audiences and effectiveness. The

>> >internet and Microsoft products make it easy to compile many long

>> >lists of resources - but we don't have to.

>> >

>> >For what its worth ... (keeping in mind that it is free)

>> >

>> >ap

>> >

>> >

>> >

>> >>I am working with a community based health resource centre called

>> >>Health Connections which has a mandate to help people to access

>> >>health information, programs and services. Health Connections is a

>> >>service of the health authority and delivered in partnership with

> > >>the public library. We are compiling resources with health literacy

>> >>and cultural competency in mind. Web resources will also be

>> >>identified. I would like to see the plain language items clearly

>> >>identified on the our website, currently in development.

>> >>

>> >>My question is - What words, phrases and/or common symbols are used

>> >>to identify plain language resources?

>> >>

>> >>Many thanks for this very helpful list serve.

>> >>

>> >>Trudy Watts

>> >>Resource Development Co-ordinator

>> >>Health Connections

>> >>Antigonish, Nova Scotia, Canada

>> >>

>> >>----------------------------------------------------

>> >>National Institute for Literacy

>> >>Health and Literacy mailing list

>> >>HealthLiteracy at nifl.gov

>> >>To unsubscribe or change your subscription settings, please go to

>> >>http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >>Email delivered to pleasant at aesop.rutgers.edu

>> >

>> >

>> >--

>> >-----------------------------------------------

>> >Andrew Pleasant

>> >Assistant Professor

>> >Department of Human Ecology

>> >Extension Department of Family and Community Health Sciences

>> >Rutgers, the State University of New Jersey

>> >Cook Office Building, 55 Dudley Road #207

>> >New Brunswick, NJ 08901

>> >phone: 732-932-9153 x. 320; fax: 732-932-6667

>> >----------------------------------------------------

>> >National Institute for Literacy

>> >Health and Literacy mailing list

>> >HealthLiteracy at nifl.gov

>> >To unsubscribe or change your subscription settings, please go to

>> >http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >Email delivered to ndavies at dthr.ab.ca

>> >

>> >----------------------------------------------------

>> >National Institute for Literacy

>> >Health and Literacy mailing list

>> >HealthLiteracy at nifl.gov

>> >To unsubscribe or change your subscription settings, please go to

>> >http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >Email delivered to pleasant at aesop.rutgers.edu

>> >

>>

>>

>>--

>>-----------------------------------------------

>>Andrew Pleasant

>>Assistant Professor

>>Department of Human Ecology

>>Extension Department of Family and Community Health Sciences

>>Rutgers, the State University of New Jersey

>>Cook Office Building, 55 Dudley Road #207

>>New Brunswick, NJ 08901

>>phone: 732-932-9153 x. 320; fax: 732-932-6667

>>

>>

>>------------------------------

>>

>>Message: 8

>>Date: Thu, 31 May 2007 13:43:20 -0400

>>From: "Julie McKinney" <julie_mcKinney at worlded.org>

>>Subject: [HealthLiteracy 960] Re: respectful terms question

>>To: <healthliteracy at nifl.gov>

>>Message-ID: <465ED0F90200002D000027B5 at bostongwia.jsi.com>

>>Content-Type: text/plain; charset=US-ASCII

>>

>>Andrew,

>>

>>Good thought--I had the same impulse but, having worked on a health

>>literacy resource website myself, I have to admit that the reality is

>>not that simple. It depends on the scope of the intended audience. If

>>the audience is solely health consumers, then you are right, we should

>>include only plain language information. But most websites of this kind

>>are also for others, such as health care providers, educators, and

>>others who work with health consumers. For example, Trudy says that part

>>of the compilation will be cultural competency resources. Presumably,

>>these are written for health care professionals, and are bound to be at

>>a higher reading level, which is probably appropriate for that audience.

>>

>>When I worked on the Health & Literacy Special Collection, we tried to

>>deal with this by revising the design to include a section for "New

>>Readers", which consists only of plain language materials. We also

>>compiled a section called "e-for-easy" which includes only materials

>>that do not require the ability to read text (instead they use pictures,

>>audio, video or experience-based lessons.) See

>>http://healthliteracy.worlded.org

>>

>>I know you have studied health websites quite a bit--do you have any

>>resources to share about appropriate navigational design and other

>>factors that make these sites accessible for lower level readers?

>>

>>Thanks for your comments--I agree that we have to keep going in that

>>direction!

>>

>>All the best,

>>Julie

>>

>>Julie McKinney

> >Discussion List Moderator

>>World Education/NCSALL

>>jmckinney at worlded.org

>>

>> >>> Andrew Pleasant <pleasant at aesop.rutgers.edu> 05/31/07 12:33 PM >>>

>>Hello everyone,

>>

>>The question prompted a question ...

>>

>>Does this indicate that the organization will also be posting

>>materials that are difficult to read? Why? Will you flag those also

>>somehow?

>>

>>I suppose the point being, if the mandate is to help people access

>>information then I'd suggest only using materials that are accessible

>>... thereby making that the norm instead of something needing flagged

>>as somehow special or different which perhaps implies (with stigma

>>attached?) less capable audiences.

>>

>>If we collectively reduce the listing of, referencing to, and (by

>>extension) perceived demand for poorly conceived and written

>>materials, perhaps (far, far away I admit) the world will slowly

>>become less awash with reports and journal articles and books and

>>guides to health literacy that lack audiences and effectiveness. The

>>internet and Microsoft products make it easy to compile many long

>>lists of resources - but we don't have to.

>>

>>For what its worth ... (keeping in mind that it is free)

>>

>>ap

>>

>>

>>

>> >I am working with a community based health resource centre called

>> >Health Connections which has a mandate to help people to access

>> >health information, programs and services. Health Connections is a

>> >service of the health authority and delivered in partnership with

>> >the public library. We are compiling resources with health literacy

>> >and cultural competency in mind. Web resources will also be

>> >identified. I would like to see the plain language items clearly

>> >identified on the our website, currently in development.

>> >

>> >My question is - What words, phrases and/or common symbols are used

>> >to identify plain language resources?

>> >

>> >Many thanks for this very helpful list serve.

>> >

>> >Trudy Watts

>> >Resource Development Co-ordinator

>> >Health Connections

>> >Antigonish, Nova Scotia, Canada

>> >

>> >----------------------------------------------------

>> >National Institute for Literacy

>> >Health and Literacy mailing list

>> >HealthLiteracy at nifl.gov

>> >To unsubscribe or change your subscription settings, please go to

>> >http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >Email delivered to pleasant at aesop.rutgers.edu

>>

>>

>>--

>>-----------------------------------------------

>>Andrew Pleasant

>>Assistant Professor

>>Department of Human Ecology

>>Extension Department of Family and Community Health Sciences

>>Rutgers, the State University of New Jersey

>>Cook Office Building, 55 Dudley Road #207

>>New Brunswick, NJ 08901

>>phone: 732-932-9153 x. 320; fax: 732-932-6667

>>----------------------------------------------------

>>National Institute for Literacy

>>Health and Literacy mailing list

>>HealthLiteracy at nifl.gov

>>To unsubscribe or change your subscription settings, please go to

>>http://www.nifl.gov/mailman/listinfo/healthliteracy

>>Email delivered to julie_mckinney at worlded.org

>>

>>

>>

>>------------------------------

>>

>>Message: 9

>>Date: Thu, 31 May 2007 13:51:27 -0400

>>From: Kerry Harwood <harwo001 at mc.duke.edu>

>>Subject: [HealthLiteracy 961] Re: respectful terms question

>>To: The Health and Literacy Discussion List <healthliteracy at nifl.gov>

>>Cc: The Health and Literacy Discussion List <healthliteracy at nifl.gov>,

>> healthliteracy-bounces at nifl.gov

>>Message-ID:

>> <OFCD069364.277596BC-ON852572EC.0061B7FD-852572EC.006217B5 at notes.duke.edu>

>>

>>Content-Type: text/plain; charset="us-ascii"

>>

>>The challenge of using grade level assessments is that they depend so much

>>on word length (syllables). When you have to use medical terms, it jacks

>>up your reading level. For example, we have a patient education document

>>'Understanding Your Breast Cancer Pathology Report'. We worked very hard

>>to get this down to an 11th grade reading level. However, we also used all

>>the principles from the Suitability Assessment of Materials, including

>>headers, white space, active voice, etc. to improve readability.

>>

>>I would not present an essential education piece like taking care of

>>yourself after surgery at an 11th grade level. However, I also would not

> >refuse to provide elective information that information-seeking patients

>>have requested just because the required words place it at a higher

>>reading level.

>>

>>Kerry Harwood, RN, MSN

>>Director, Cancer Patient Education Program

>>Team Leader, Dept. of Advanced Clinical Practice

>>Duke University Medical Center Box 3677

>>Durham, NC 27710

>>919-681-5288

>>kerry.harwood at duke.edu

>>

>>A mind once stretched by a new idea never returns to its original

>>dimensions. A ship in the harbor is safe...but that's not what ships were

>>made for. Wisdom is knowing what path to take next...integrity is taking

>>it.

>>

>>

>>

>>Andrew Pleasant <pleasant at aesop.rutgers.edu>

>>Sent by: healthliteracy-bounces at nifl.gov

>>05/31/2007 01:37 PM

>>Please respond to

>>The Health and Literacy Discussion List <healthliteracy at nifl.gov>

>>

>>

>>To

>>The Health and Literacy Discussion List <healthliteracy at nifl.gov>

>>cc

>>

>>Subject

>>[HealthLiteracy 959] Re: respectful terms question

>>

>>

>>

>>

>>

>>

>>Sure, but my point is .. if it is at 12th grade level - don't list it

>>and don't use it - look farther, create new. Thinking you have to

>>simply perpetuates the myth that complex information can't be clearly

>>presented. After all, if it is very difficult to understand - is it

>>really so wonderful?

>>

>>ap

>>

>>

>>

>> >It's a nice idea, Andrew, but a lot of the materials shipped out by

>> >health organisations are written at at least grade 12 level. A

>> >Vancouver-based GI charity has wonderful patient teaching resources,

>> >but a lot of their health information is very difficult to

>> >understand (even my volunteers have trouble).

>> >

>> >Also, there is a question of the norm. When does a piece of health

>> >information become easy or difficult to read? Two pieces of health

>> >information could be at a Grade 6 level, but not everybody would

>> >understand them both equally. The symbol, if one exists, should be

>> >simply a guide.

>> >

>> >

>> >

>> >-----Original Message-----

>> >From: healthliteracy-bounces at nifl.gov

>> >[mailto:healthliteracy-bounces at nifl.gov]On Behalf Of Andrew Pleasant

>> >Sent: Thursday, May 31, 2007 10:33 AM

>> >To: The Health and Literacy Discussion List

>> >Subject: [HealthLiteracy 954] Re: respectful terms question

>> >

>> >

>> >Hello everyone,

>> >

>> >The question prompted a question ...

>> >

>> >Does this indicate that the organization will also be posting

>> >materials that are difficult to read? Why? Will you flag those also

>> >somehow?

>> >

>> >I suppose the point being, if the mandate is to help people access

>> >information then I'd suggest only using materials that are accessible

>> >... thereby making that the norm instead of something needing flagged

>> >as somehow special or different which perhaps implies (with stigma

>> >attached?) less capable audiences.

>> >

>> >If we collectively reduce the listing of, referencing to, and (by

>> >extension) perceived demand for poorly conceived and written

>> >materials, perhaps (far, far away I admit) the world will slowly

>> >become less awash with reports and journal articles and books and

>> >guides to health literacy that lack audiences and effectiveness. The

>> >internet and Microsoft products make it easy to compile many long

>> >lists of resources - but we don't have to.

>> >

>> >For what its worth ... (keeping in mind that it is free)

>> >

>> >ap

>> >

>> >

>> >

>> >>I am working with a community based health resource centre called

>> >>Health Connections which has a mandate to help people to access

>> >>health information, programs and services. Health Connections is a

>> >>service of the health authority and delivered in partnership with

>> >>the public library. We are compiling resources with health literacy

>> >>and cultural competency in mind. Web resources will also be

>> >>identified. I would like to see the plain language items clearly

>> >>identified on the our website, currently in development.

>> >>

>> >>My question is - What words, phrases and/or common symbols are used

>> >>to identify plain language resources?

>> >>

>> >>Many thanks for this very helpful list serve.

>> >>

>> >>Trudy Watts

>> >>Resource Development Co-ordinator

>> >>Health Connections

>> >>Antigonish, Nova Scotia, Canada

> > >>

>> >>----------------------------------------------------

>> >>National Institute for Literacy

>> >>Health and Literacy mailing list

>> >>HealthLiteracy at nifl.gov

>> >>To unsubscribe or change your subscription settings, please go to

>> >>http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >>Email delivered to pleasant at aesop.rutgers.edu

>> >

>> >

>> >--

>> >-----------------------------------------------

>> >Andrew Pleasant

>> >Assistant Professor

>> >Department of Human Ecology

>> >Extension Department of Family and Community Health Sciences

>> >Rutgers, the State University of New Jersey

>> >Cook Office Building, 55 Dudley Road #207

>> >New Brunswick, NJ 08901

>> >phone: 732-932-9153 x. 320; fax: 732-932-6667

>> >----------------------------------------------------

>> >National Institute for Literacy

>> >Health and Literacy mailing list

>> >HealthLiteracy at nifl.gov

>> >To unsubscribe or change your subscription settings, please go to

>> >http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >Email delivered to ndavies at dthr.ab.ca

>> >

>> >----------------------------------------------------

>> >National Institute for Literacy

>> >Health and Literacy mailing list

>> >HealthLiteracy at nifl.gov

>> >To unsubscribe or change your subscription settings, please go to

>> >http://www.nifl.gov/mailman/listinfo/healthliteracy

>> >Email delivered to pleasant at aesop.rutgers.edu

>> >

>>

>>

>>--

>>-----------------------------------------------

>>Andrew Pleasant

>>Assistant Professor

>>Department of Human Ecology

>>Extension Department of Family and Community Health Sciences

>>Rutgers, the State University of New Jersey

>>Cook Office Building, 55 Dudley Road #207

>>New Brunswick, NJ 08901

>>phone: 732-932-9153 x. 320; fax: 732-932-6667

>>----------------------------------------------------

>>National Institute for Literacy

>>Health and Literacy mailing list

>>HealthLiteracy at nifl.gov

>>To unsubscribe or change your subscription settings, please go to

>>http://www.nifl.gov/mailman/listinfo/healthliteracy

>>Email delivered to harwo001 at mc.duke.edu

>>

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>>

>>----------------------------------------------------

>>National Institute for Literacy

>>Health and Literacy mailing list

>>HealthLiteracy at nifl.gov

>>To unsubscribe or change your subscription settings, please go to

>>http://www.nifl.gov/mailman/listinfo/healthliteracy

>>

>>End of HealthLiteracy Digest, Vol 20, Issue 19

>>**********************************************

>

>

>----------------------------------------------------

>National Institute for Literacy

>Health and Literacy mailing list

>HealthLiteracy at nifl.gov

>To unsubscribe or change your subscription settings, please go to

>http://www.nifl.gov/mailman/listinfo/healthliteracy

>Email delivered to pleasant at aesop.rutgers.edu



--
-----------------------------------------------
Andrew Pleasant
Assistant Professor
Department of Human Ecology
Extension Department of Family and Community Health Sciences
Rutgers, the State University of New Jersey
Cook Office Building, 55 Dudley Road #207
New Brunswick, NJ 08901
phone: 732-932-9153 x. 320; fax: 732-932-6667



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