Next session is Kristen Gosse on "Healthy Content Matters: Bringing Patient Education Online." (I'm listening but may not be able to live-tweet very well because I'm eating.) #ihahlc21
InJoy Health Education is a company that started off as a video-based company, branched off into print materials and, especially this past year, online sessions. #ihahlc21
A few years ago, they added e-classes but there wasn't much uptake by healthcare professionals. Seemed to fear that they would cannibalize in-person sessions or undercut health educators. #ihahlc21
Now e-classes are bestselling format. #ihahlc21
Well-written content isn't enough. Also need dash of behavioural science. To get patients engaged, we need to get out of their way. Give them tools to make their learning easy and effective. Right now, that tool is e-learning. #ihahlc21
Online learning allows people to get the information they need at home, where they feel safe, which contrasts with the power imbalance they might feel face to face with a doctor in a clinic. #ihahlc21
Removes inconsistencies you may hear between different health care professionals. #ihahlc21
Equity: most people have mobile devices, not necessarily computers. So whatever content you develop should be compatible with those devices. And you may need loaner mobile devices at your site/office. #ihahlc21
Synchronous learning : instruction is live; hard to tell if students are engaged during virtual group sessions
Asynchronous: On-demand, provides flexibility—but relies on data to prove knowledge retention and learning engagement #ihahlc21
Goals of engagement—3 E's:
Easy E: empathy
Little E: experience—easier to measure
Big E: effect
#ihahlc21
Adults learn differently from children. They tend to be more self-motivated, understand the value of education and tend to have a goal when they start the learning process. Can tap into own knowledge base or experience. #ihahlc21
Always think of LX, your learning experience.

Address "What's in it for me?" right away.

Could do short list of what they're going to learn and why it's important. #ihahlc21
If someone isn't motivated to learn, they won't learn.

Controlled vs. autonomous motivation
Controlled motivation: change is harder, ppl more susceptible to barriers
Autonomous motivation: long-term change happens here

#ihahlc21
Human-centred design helps us identify needs and meet, alleviate, or even pre-empt those needs.

Who is our audience, really? What makes them tick? #ihahlc21
Even when scientists aim for objectivity, their personal biases influence their tone, narrative style, choices of words and visuals. #ihahlc21
First step: self-reflection
What are your attitudes toward controversial or politically polarized topics?
Who do you find yourself most likely to argue or debate with?
#ihahlc21
Next ingredient: empathy
Understand how audience's values influence their perceptions.
•How might you approach a particular topic differently if you held a different set of values?
•Consider role playing when creating communicating. #ihahlc21
Next: identity affirmation
Designing information that affirms a person's values and worldviews. How are you framing the message? Will it resonate with someone with individualist views? #ihahlc21
Next: non-threatening messaging
Framing information in non-alienating language and minimal value judgments
•Are you avoiding threatening or alienating specific worldviews? #ihahlc21
Next step: pluralistic advocacy
Designing the message with support from multiple worldviews.

Call on experts with diverse values to advocate various positions in your message; find quotes/evidence from sources across cultural worldviews. #ihahlc21
Next ingredient: emotional resonance
Using relevant metaphors and telling a meaningful story
•Engage with the audience in an emotionally resonant way: entertain, persuade, and inform.

People remembers facts told in the context of a story better than in any other form. #ihahlc21
What is healthy content? When you
•know your learner
•identify needs and gaps
•know what they want (nobody wants to feel ignorant)
•help them understand
•keep them engaged (right amt of content)
#ihahlc21
The right amount of content is probably WAY less than you think it is. Communicating more than your learner can learn is waste of your time and theirs. #ihahlc21
Focus on what's most important, what they most want to know. Can give further information later, once you've developed a relationship of sorts. #ihahlc21
Keep them engaged:
•entertain (appeal to emotions)
•ask questions—even if you don't hear their response, learners will think about the topic on their own
•change it up (multimodal)—videos, infographics
•interaction and activities
#ihahlc21
5 tips to write healthy content:
Know your audience: list & prioritize, identify characteristics. Who are you creating for? (It's not you!)

Who are you designing for? Who are you NOT designing for?
#ihahlc21
Structure the content
•organize the content so that it flows logically
•break content into short sections that reflect natural stopping points
•use headings
#ihahlc21
Use plain language
•keep it short/simple
•leave out details that don't help or distract
•make it conversational rather than legal or bureaucratic tone
#ihahlc21
Information design
•headers and subheaders
•clear typography
•white space
•images (make sure they are inclusive and diverse)
#ihahlc21
Test and tweak
•test the design at multiple points
•represent the intended audience
•ask readers to describe who and what the document is intended for
•have them show you how they'd find information
•use teach-back
#ihahlc21

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More from @IvaCheung

27 May
Last day of this conference! I had to miss the first session, but now I'm in "Best Practices for Communicating through Imagery" with speakers Kathleen Walker and David Pearl. #ihahlc21
Pictograms vs. icons—what's the difference?
Pictograms must be a literal representation. Icons may be literal or abstract.

Pictograms convey a complete idea with no additional explanation needed. #ihahlc21
Pictograms have a lot of different applications—e.g. with COVID-19: showing steps to wash hands, show symptoms, give instructions, showing social distancing. #ihahlc21
Read 24 tweets
26 May
Now tweeting from the session "Connecting the social determinants of health and health literacy" with speakers Speaker: Lauri J. DeRuiter-Willems and Jennifer Cannon. #ihahlc21
They recognized a connection between social determinants of health and health literacy, but the connection wasn't as clear to their students. Came up with a privilege activity for participants to self-reflect. #ihahlc21
Activity: 40 questions about privilege with yes/no answers. People move forward with a yes, backward with a no.

It can be intimidating or emotional to end up at the end or the front of the line.

Our history doesn't necessarily reflect our success. #ihahlc21
Read 13 tweets
25 May
Last session for the day! (I might duck out early to catch the BC COVID press conference.)

Integrating Patient Stories in Health Literacy Training
Speakers: Farrah Schwartz, Sophia Wong & Jack (John) R. Ireland, University Health Network, Toronto, Ontario, Canada #ihahlc21
The University Health Network's patient engagement portfolio supports UHN to provide equitable, clear, accessible, timely and compassionate care.
#ihahlc21
4 programs:
•patient portal
•patient learning & experience centres (libraries)
•patient education & engagement
•interpretation & translation
#ihahlc21
Read 13 tweets
25 May
Next session! I'm listening to Brenda Linares's presentation: Librarians partner with the Juntos Center for Advancing Latino Health to provide credible health information. #ihahlc21
In the US, Spanish-speaking immigrants are particularly affected by negative health outcomes associated with low health literacy. Health literacy is a social determinant of health. #ihahlc21
There's a lot of misinformation and mistrust in the Latinx community
•language barriers
•shortage of Spanish-speaking healthcare workers
•fact-checking organizations may not publish their work in Spanish
•rely on family & friends for information #ihahlc21
Read 13 tweets
25 May
For the next 3 days I'm going to try to catch as much of the @iha_the Health Literacy Conference as I can and live-tweet from the sessions I attend.

I'll be using the hashtag #ihahlc21, so feel free to mute or follow along as desired!
Keynote speaker today is Dr. @rayblock1, on "Literacy Tests and the Modern Day Jim Crow." #ihahlc21
Race, health disparities, and the “dual pandemics”

“Of all the forms of inequality, injustice in health care is the most shocking and inhumane because it often results in physical death.” Dr. Martin Luther King Jr. #ihahlc21
Read 37 tweets
2 Jan
This year I want to add one vegetarian dinner to my weekly repertoire. Suggestions of your favourites welcome! Conditions:
•not soy based
•not an attempt to replicate meat
•easy enough to cook on a weekday
•easy to find ingredients
•preferably cook once, eat multiple days
Oh, yeah, the kid won't eat mushrooms. But it's a texture thing—he's OK if I chop them up fine.
I already routinely make a leek and zucchini quiche, vegetable stirfry, minestrone, and a spinach, green bean & potato coconut curry.

(I'd make palak paneer more if I made paneer more.)
Read 5 tweets

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