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CHRC News
Vol.3 No. 3, April 2001
INTRODUCTION
How do you assist a patron who is unable to
read beyond an eighth grade level? Low-
literacy consumer health material is often
much more difficult to locate than non-
English language information, yet the need
for it is enormous. Cecilia Conrath Doak, in
Teaching patients with low literacy skills
(Lippincott, 1996) stated, "Literacy
authorities tell us that 27 million American
adults - nearly one out of five - may not be
able to read a pamphlet."
In this issue, selected web sites which offer
low-literacy or easy to read consumer health
information are presented. However, keep
in mind that what is easy for some
consumers may be very difficult for others.
As Boston-based World Education's
glossary, at
http://www.worlded.org/us/health/docs/com
p/Introduction/define_terms.html states,
"easy-to-understand" or "plain language"
will depend on the needs, background
knowledge, and interests of the readers.
Keep in mind, too, that the only information
available for topics such as rare genetic
diseases or some forms of cancer is in
medical textbooks or scientific web sites.
Also in this issue, some of the new titles in
our consumer health collection will be
highlighted in the In Print column.
As always, we would like to know what
topics you'd like to see covered. Our contact
information is on the last page.
In the News
The Public Library and Consumer Health
Martha Stone, Treadwell Library's
Coordinator for Reference Services,
attended the first Public Library and
Consumer Health conference held in
January, 2001. Subtitled "Meeting
Community Needs through Resource
Identification and Collaboration," it was
sponsored by the Public Library Association
(PLA), the Medical Library Association
(MLA) and the National Library of
Medicine (NLM), and was aimed at public
library directors and administrators,
collection development staff, community
information specialists, and reference
librarians. Some of the goals of this
conference were to assist attendees in:
- acquiring resources and development tools
to establish a consumer health collection,
- implementing processes for assisting
patrons in finding health information, and
- developing the ability to determine the
authority, accuracy, purpose, and audience
of a health information web site and its
appropriate use as a consumer/public
resource.
Public Library and Consumer Health
Conference Keynote Speaker, Tom
Ferguson, M. D.
Tom Ferguson, M.D., is the author of a free
web-based newsletter, available at
http://www.fergusonreport.com. In his
keynote speech, "The Empowered Medical
Consumer," he discussed such topics as
"patient-helpers" whom he described as a
"vital new health care resource" and
physicians' new allies in pointing out web
sites. He also focused on "online disease
clubs" for a wide variety of concerns that do
not replace, but enhance, professional care.
He cited the web based Association of
Cancer Online Resources, ACOR,
http://www.acor.org, a cancer information
system currently offering access to 99
electronic mailing lists and a variety of web
sites, as a example. As a "wave of the
future" he predicted 24-hour a day live chat
with "e-docs." An example can be found at
http://www.americasdoctor.com (sponsored by
AmericasDoctor, a pharmaceutical service).
Tom Ferguson said he is delighted to hear
from librarians at his email address,
doctom@doctom.com
Cultural Competency Resource Center
Making sure that MassHealth insurance
recipients are receiving health care services
appropriate for their language or culture is
the goal of the Commonwealth of
Massachusetts' Division of Medical
Assistance (DMA)'s new Cultural
Competency Initiative, whose motto is
"Cultural Competency, Quality Healthcare
for our Members." The DMA has organized
a Cultural Competency Resource Center
(CCRC) consisting of two librarian
consultants, a library technical assistant, and
a manager. At the moment, they do not have
a web site. The CCRC Health Librarian
Consultant is Peter Droese, at 617-210-5354
or e-mail at pdroese@nt.dma.state.ma.us
MEDEM
http://www.medem.com/
Seven medical societies, including the
American Medical Association (AMA),
founded Medem. Subtitled "Healthcare
Information brought to you by the nation's
medical societies," it includes information
that had previously been found in the web
sites of the AMA, the American Academy of
Ophthalmology, the American Academy of
Pediatrics, the American College of Allergy,
Asthma & Immunology, the American
College of Obstetricians and Gynecologists,
the American Society of Plastic Surgeons,
and the American Psychiatric Association.
The Physician Finder section includes
listings of specialists in several fields.
Choose Medical Library to find consumer
level information divided into topics,
including Diseases and Conditions and
Therapies and Health Strategies. Every
document's "complexity indicator" is
indicated, ranging from introductory through
professional. For example, choose the broad
subject area Health and Society, and click
on Genetics. Choose Human Genome
Project from the topics listed. There are six
documents listed, all considered "general"
reading level. The first is the Department of
Energy's "Cloning Fact Sheet." You can
also search for a word or phrase using the
Search function. Documents retrieved are
annotated with a "relevancy indicator." For
example, type skin cancer. The first
document, from the National Institute of
Health (NIH), is noted as being 100%
relevant and written on an introductory
level.
Low-literacy Web Sites
ARCH's Health Literacy
http://www.mgh.harvard.edu/library/arch/literacy.asp
Access to Resources for Community Health
(ARCH) is a partnership among Treadwell
Library, the MGH Community Health
Associates, the Massachusetts Prevention
Centers Boston Office, and the Chelsea, MA
Health Department. The Health Literacy
page includes links to pamphlets and
programs on both local and national scales.
Medlineplus
http://www.medlineplus.gov
There are, to date, 64 documents available in
the Medlineplus databases, in miscellaneous
order. Just type the phrase easy to read into
the search box. If there's a specific topic
you're seeking, such as cancer, type the
phrase easy to read and cancer. When
available, easy to read Spanish documents
are also included. Click on the topic, such
as Juvenile Diabetes. Do Your Level Best:
Start Controlling Your Blood Sugar Today
(National Institute of Diabetes and Digestive
and Kidney Diseases) is the only document
with the easy to read designation. It covers
a range of information but it should be noted
that it does not include other information
from the Juvenile Diabetes page, such as
clinical trials, alternative therapy, or
research.
Medlineplus Tutorials
http://www.nlm.nih.gov/medlineplus/tutorials.html
These 29 tutorials take users through
information on a disease (e.g. inguinal
hernia, diabetes), diagnostic test (e.g.
colonoscopy, MRI), or surgical procedure
(e.g. hip replacement, breast cancer surgery).
Information is presented in short sentences,
with simple illustrations, and medical
terminology is defined when appropriate. In
addition, each tutorial is fully narrated and a
PDF version of the material can be printed.
You can view the entire list of tutorials at the
URL above, or you can link from individual
health topic pages. Two tutorials, diabetes
and hypertension, are available in Spanish.
Healthfinder
http://www.healthfinder.gov
Lagging somewhat behind Medlineplus,
healthfinder includes 23 easy to read
documents. Again, type the phrase easy to
read into the search box. Use Medicine
Safely is one of the documents, a succinct
booklet telling how and why to take
prescribed medications. Easy to read
Spanish documents are included when
available. Healthfinder's new web site is in
beta testing, and comments are being
solicited. It is being redesigned to offer
more customization and personalization, at
http://www.healthfinder.gov/betatest. Note
that not all features are activated in this test
site.
National Library of Medicine
http://www.nnlm.nlm.nih.gov/train/chi/easy.html
"Easy to Read Consumer Health
Information" is an annotated list of web
sites from federal, regional, and national
organizations. Easy to read Spanish
documents are included when available.
Health Promotion Council of
Southeastern Pennsylvania
http://www.hpcpa.org/materials.html
Health Promotion Council of Southeastern
Pennsylvania (HPC) is a non-profit
corporation organized in 1981. HPC's
mission is to promote health and prevent
disease, especially among those at greatest
risk, through education, outreach and
advocacy. HPC provides low-literacy
health education materials in English,
Spanish and a selection of Asian languages.
The primary focus of most of these materials
is chronic disease risk reduction and control,
and features topics such as healthy eating,
exercise, tobacco use, high blood pressure,
and diabetes.
Oncolink
http://oncolink.upenn.edu
Oncolink is the University of
Pennsylvania's excellent cancer
information web site. Click on Search
Oncolink, choose the Advanced Query
mode, and from the drop-down menu,
choose to search Everything Except
Citations. Type the phrase easy to read
into the search engine, and you'll find over
50 documents. "Recommended Reference
List and Book Reviews" is one such
example. Click on it to find an OncoLink
book review of Non-Hodgkin's
Lymphomas: Making Sense of Diagnosis,
Treatment & Options. The Oncolink
reviewing physician is quoted as saying that
it is an "easy to read book containing a lot of
helpful information."
World Education's Health and Literacy
Compendium
http://www.worlded.org/us/health/docs/comp/
World Education is a Boston-based non-
profit organization dedicated to improving
the lives of the poor through economic and
social development programs. The Health
and Literacy Compendium was written
with two main goals in mind: to help literacy
teachers and students find and use health
information and to share literacy information
and easy to read health materials with health
professionals, community educators, and
patients. Each citation includes a description
and ordering information. At the back of the
Compendium is a list of key organizational
resources; publishers and distributors in the
health and literacy fields, many of whom
produce easy to read and multilingual
brochures and pamphlets; and indexes by
subject, language, reading level, and
document format.
Readability Analysis of Consumer
Health Materials
http://www.nnlm.nlm.nih.gov/scr/conhlth/read.htm
Readability Analysis of Consumer Health
Materials was compiled by Dixie Jones
Reference Librarian, Louisiana State
University Health Science Center Library,
Shreveport, LA. The "Web Resources"
section lists sources for finding information
for patients with low literacy levels.
Clear and Simple
http://rex.nci.nih.gov/NCI_Pub_Interface/Cl
ear_and_Simple/HOME.HTM
Subtitled "Developing Effective Print
Materials for Low-Literate Users" this guide
outlines a process for developing
publications for people with limited literacy
skills. The process was derived from
communications, health education, and
literacy research and practice. The five
standard steps in developing print materials,
each of which is thoroughly discussed in this
web site, are defining the target audience,
conducting target audience research,
developing a concept for the product,
developing content and visuals, and pre-
testing and revising draft materials.
Keep in mind that some web sites place
hyphens in the phrase easy to read. Thus,
when you're using your browser's "find"
feature to look for that phrase, you may
sometimes have to insert hyphens.
In Print in Treadwell's
Consumer Health Collection
A plethora of new titles are available in our
Consumer Health section, and a few new
books are highlighted below.
American Cancer Society's guide to
complementary and alternative cancer
methods / [foreword by David S.
Rosenthal] / Atlanta, Ga. : American Cancer
Society, 2000. Arranged in broad topic
areas (mind/body/spirit; manual
healing/physical touch; pharmacological/
biological), this readable guide covers many
commonly used alternative methods, e.g.
cat's claw. Warnings are prominently
placed, and bibliographic references include
web sites.
Consumer guide to long-term care / Gary
Ilminen /Madison, Wis. : University of
Wisconsin Press, 1999. The author is a
registered nurse and health care
administrator who has great familiarity with
long-term care. This book is a readable
guide that helps to demystify virtually every
aspect of the field, both legal and medical.
The Consumer health information source
book / edited by Alan M. Rees/ Phoenix,
AZ : Oryx Press, 2000. The sixth edition of
this valuable text contains evaluations of
over 600 books (of which 144 relate to
alternative medicine), 170 popular health
magazines, 1,500 English-language
pamphlet titles, 640 Spanish-language
pamphlet titles, and more. The content is all
new and does not duplicate previous
editions. This book is a treasure trove of
information.
Dr. Susan Love's breast book / Susan M.
Love, with Karen Lindsey ; illustrations
by Marcia Williams /Cambridge, Mass. :
Perseus Publishing, 2000. Now in its third
edition, this fully revised guide is a
tremendously useful "one-stop" for
questions relating to breast cancer.
Grounded in Western science and research,
it is also highly readable. There are
extensive resources listed in the appendix.
Mayo Clinic heart book : the ultimate
guide to heart health / Bernard J. Gersh,
editor in chief / New York : W. Morrow,
2000. Attractively illustrated, filled with
?healthy heart tips? and information on a
wide variety of heart diseases, including
chapters covering common tests, emergency
situations, and cardiac surgery, this book,
now in its second edition, is completely
revised and expanded.
Second opinion : the Columbia
Presbyterian guide to surgery / Eric A.
Rose / New York : St. Martin's Press, 2000.
How to go about getting a second opinion;
what questions to ask; how to get ready for
surgery; and a brief guide to some common
surgical procedures, are all presented in a
matter-of-fact style.
We're here to help you! Please don't hesitate
to contact us for assistance.
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CHRC Contact Information
Tel: 1-877-MEDI-REF (1-877-633-4733)
or 617-726-8600
Fax: 617-726-6784
E-mail:
treadwellqanda@partners.org
or treadwellqanda@partners.org
Consumer Health Reference Center
Treadwell Library
Bartlett Hall Extension 1
Massachusetts General Hospital
Boston, MA 02114.
http://www.mgh.harvard.edu/library/chrcindex.html
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