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Program Mobilizes Training Force to Combat Low Health Literacy

You or someone you know may be one of the 90 million Americans, as reported by the American Medical Association Foundation, having problems understanding the information presented to you by your physician.

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You or someone you know may be one of the 90 million Americans, as reported by the American Medical Association Foundation, having problems understanding the information presented to you by your physician. Knowing that low health literacy can cause barriers to access and quality of care, the foundation, which is the philanthropic arm of the AMA, is putting a training force in place to educate physicians across the country about this problem and how to improve it.

"A key component of the AMA Foundation's national Health Literacy Initiative is organizing a team of trainers who can help physicians and other healthcare workers in different regions of the country better understand the issue of low health literacy,"
says Dr. Duane Cady, president of the board of directors of the AMA Foundation.

The Train-the-Trainer program provides sessions for individuals from local medical societies and other organizations about the scope of the issue and the barriers faced by patients and physicians and about specific techniques for creating a shame-free environment and improving written and verbal communication.

The foundation held its first Train-the-Trainer session in May 2003 and now has new trainers in the field.

Participants have been enthusiastic about the program.

"The training sessions were just superb,"
said Mary Ann Abrams, M.D., a Des Moines, Iowa, pediatrician and member of the Iowa Medical Society.

"The training materials were excellent, and the program placed a lot of attention on providing follow-up support and resources."

Since returning to Iowa, Dr. Abrams' group has begun implementing a program that will identify and train others in the state, integrate the program into the activities of the Iowa Medical Society and identify collaborative partners from other organizations.

"One of the most rewarding things about the program was the opportunity to interact closely with national leaders in the field of health literacy,"
said Dr. Abrams, who has conducted two health-literacy training sessions in Iowa since completing the program.

Common problems among patients with low health literacy include misunderstandings about such things as:

* directions for taking prescribed medicines

* explanations of an illness or condition

* reasons for surgical procedures

* written materials, such as background forms, directions for pre-/post-surgical procedures,

appointments and patient brochures

The Train-the-Trainer program raises awareness among healthcare personnel about the serious nature of misunderstandings such as these and provides tips and tools to help them improve patient communication, as well as identify those who may be at risk.

Difficulties with issues such as language, reading and comprehension, fear and anxiety and memory, often are key indicators.

Physicians are listening and learning.

Since launching a major Health Literacy Initiative in 2003, including the Train-the-Trainer program, the foundation has distributed thousands of health literacy toolkits to physicians and other health professionals across the country.

Ask your physician if he or she knows about the program and the supporting health literacy materials.

Your health may count on it.

For more information about the American Medical Association Foundation's Health Literacy Initiative, including the Train-the-Trainer program, call (312) 464-4200 or visit www.amafoundation.org.

Courtesy of ARA Content

EDITOR'S NOTE: Participating organizations in the May 2003 Train-the-Trainer session included the American Academy of Neurology, Medical Society of Virginia, Georgia Academy of Family Physicians, Iowa Medical Society and Alliance and the U.S. Department of Defense Center for Education and Research in Patient Safety.

The Fall 2003 session included the American Academy of Pediatrics, Illinois State Medical Society and Alliance, Michigan State Medical Society, National Patient Safety Foundation and Texas Medical Association (in collaboration with Texas A&M Health Science Center), Oregon Medical Association, University of Pittsburgh Medical Center (in collaboration with Allegheny County Medical Society and St. Margaret Family Practice Residency Program).
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