This compact resource presents current data on health literacy as it affects child health outcomes, with a sharp focus on improving communication between healthcare providers and pediatric patients and their families. A frequently overlooked social determinant of health in children, health literacy is shown as a critical skill for patients and families and a key aspect of patient engagement. The authorsO evidence-based survey pinpoints common problems in healthcare providersO verbal and written communication with pediatric patients, their parents, and/or caregivers.a Readers will learn about practical health literacy strategies for addressing and preventing miscommunication at the individual and systems levels. These improvements are linked to immediate results (e.g., greater compliance, fewer medication errors) as well as improved long-term child health outcomes, including reduced health disparities and enhanced quality of life into adulthood.aThis transformativeguide:O Defines optimum health communication as necessary for working with all patientsO Identifies common barriers to clear health communicationO Traces the relationship between health literacy and child health outcomes, from the prenatal period and into young adulthoodO Offers guidelines for creating effective patient education materials and a safe, health literacy oriented patient-centered environmentO Integrates health literacy into health systemsO quality improvement plans a a a aaHealth Literacy and Child Health Outcomes informs students in MPH programs as well as public health scientists and scholars, and can also serve as an introductory text for students in public health ethics or a general applied ethics course. Public health professionals in diverse contexts such as local health departments and nonprofit organizations will appreciate its robust approach to ethical practice, professional development, and systems improvement. This will be a helpful guide for introducing health communication topics in medical education and allied health. Lastly, clinicians taking care of pediatric patients will find concise information and practical advice to apply in the clinical setting.
I. Introduction to Health Literacy and Health Communication Definition of Health Literacy Health Literacy as an Element of Health Communication Health literacy English language proficiency and cultural competency Health Literacy Skills Level and Health-Related Tasks Low Health Literacy Skills and Patients' Experiences of Health Care Health Literacy in Numbers: How big of a problem? How to know who is at risk? Health Literacy and Quality of Care II. Health Literacy and Child Health Outcomes: From the Perinatal and Birth Period to Young Adulthood Parental Health Literacy and Children From 0 to 3 Parental Health Literacy and Medication Errors Health Literacy and Growing Up Healthy Health Literacy and Childhood Chronic Health Conditions III. Health Literacy Universal Precautions: Strategies for Communication With All Patients Strategies for Spoken Communication Avoiding medical jargon Checking for understanding: Teach Back and Show-Me techniques Limiting amount of information and repeat Encouraging patients to ask questions: Ask Me 3 Strategies for Using Written Information Using pictures or models Using patient information materials effectively IV. Health Literacy and Effective Health Communication in Pediatric Practices and Health Systems Creating Shame-Free Environments and Patient-Friendly Institutions Will patients feel welcome and encouraged to ask questions? The patient-centered approach to communication Plain Language in Patient Information Materials: From Registration Forms, Consent Forms, and General Information, to Information Giving and Patient Education Resources Reducing Medication Errors: Brown Bag Review and Medication Reconciliation Ensuring patient understanding of medication instructions: dosing instruments, medication charts, and other tips V. Health Literacy and Medical Education Health Literacy as an Element of Interpersonal and Communication Skills Competency in Medical Education Undergraduate medical education Graduate medical education Continuing medical education Maintenance of board certification (MOC) Resources for Medical Professionals: American Board of Pediatrics, American Academy of Pediatrics, Academic Pediatric Association, American Medical Association, Healthy People 2020, Centers for Disease Control and Prevention VI. Health Literacy and Child Health, From Research to Policy Implications Research Opportunities and Evidence-Based Medicine Quality Improvement in Pediatric Practice: Measuring Performance and Resulting Patient Outcomes, Patient Satisfaction, Health Care Resources Utilization, and Medication Error Reduction Health Literacy and the Pediatric Patient-Centered Medical Home Health Literacy and Child Health Policy Implications
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