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
Pictogram best practices
1. Reduce cognitive load (how much info a person can process at a time)
2. Use literal representation—avoid abstract symbolism
3. Incorporate realistic details to help understanding
4. Tailor to your audience #ihahlc21
To reduce cognitive load, instead of mixing it up, use a consistent visual style (e.g., same character throughout your illustration). #ihahlc21
When we're designing materials quickly, it can be tempting to grab whatever images are freely available (e.g., clip art), but if they aren't a cohesive style, that can confuse people. #ihahlc21
Break complex actions down into steps (e.g., how to wash your hands properly). #ihahlc21
Main purpose of pictograms is to communicate the heart of your message through the image, which is important for people who don't understand the written language being used, so any text explanations should be brief. #ihahlc21
Create an obvious path for the eye to follow. Pictograms with multiple steps are often laid out in a comic-book style; the order of the steps or the order in which the images should be read should be clear. #ihahlc21
Be especially conscientious if you're creating for audiences more used to reading right to left. #ihahlc21
Avoid icons that show more than one concept at a time. #ihahlc21
If possible, focus on what to do, but when you must show what people should NOT do, use symbols to make that clear, like a big X or slash directly on the image. #ihahlc21
Even if you have a great header and even if the information is in the language you speak, your eye is naturally drawn to the image first, so if your image doesn't have an X, it's easy to interpret the image as what you *should* do. #ihahlc21
If you use characters, include facial expressions. You don't need a lot of detail, but the eyebrows, eyes, and a mouth are usually enough to convey that something is a face. Key example: pictogram showing proper mask wearing needs nose and a mouth. #ihahlc21
Use photos that are relatable, authentic, and actionable—but not to the point of scaring people (e.g., image of child getting upset at a needle). #ihahlc21
Stock images can overdramatize situations, and they can cause confusion or fear. Often they are also inaccurate (e.g., people using hospital wheelchairs), #ihahlc21
Instead of ambiguous visuals (person with a thermometer next to them to depict a fever), give details (person visibly sweating with a thermometer in their mouth). #ihahlc21
Use realistic colour. Colour that is more abstract can take viewers an extra minute to understand what's going on. #ihahlc21
Show realistic details when showing specific objects (e.g., show a shower chair next to a shower). #ihahlc21
Limit the use of numbers, but when you have to use numbers, provide them in context. #ihahlc21
Who is going to use your pictogram? Choose images that represent your priority audience. #ihahlc21
Using English plus whatever language your priority audience uses can help bridge communications—for example, between a health care professional and a patient. #ihahlc21
Communicate Health developed pictograms that were meant to help people identify and report COVID symptoms and tested them with people who didn't speak English as a native language and asked them to describe what the pictograms depicted in their own words. #ihahlc21
The user testing identified pictograms that people had trouble understanding and allowed the team to revise them based on feedback. #ihahlc21
Key takeaways—use pictograms to
•show recommended behaviours, symptoms, and other health concepts
•reach users who speak English as an additional language, limited literacy, limited English proficiency
•reinforce key messages #ihahlc21
David Pearl suggesting Boardmaker as a resource for people wanting to create accessible pictograms. #ihahlc21
The Noun Project is a good starting point for mock-ups. #ihahlc21

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More from @IvaCheung

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 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
Read 30 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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