12. Developing Community Programs

Question 1

Developing Community Programs

Use Organized Model

• ____
• planning
• ____
• evaluation

Answer 1

assessment

implementation

Question 2

Health Literacy
“The degree to which individuals have the capacity to ____, process and ____ basic health information needed to make ____ health decisions and services needed to prevent or treat illness” HRSA

Answer 2

obtain
understand
appropriate

Question 3

Process Evaluation: Criteria For Successful Programs

\_\_\_\_ Based?
Technically Accurate?
\_\_\_\_ Relevant?
Promote Personal Responsibility? 
Involve \_\_\_\_? Age/Developmentally Appropriate? 
Ensure \_\_\_\_ of Health Care?

Answer 3

science
culturally
family
continuity

Question 4

HP 2020: Estimate ____ out of 10 Americans have difficulty in Health Literacy

Answer 4

9

Question 5

Consequence of Poor Health Literacy

Higher Health Care ____
Costs ____ greater for low literate patients, estimated additional 73 billion dollars

Poor ____ Outcomes
Poor glycemic control, greater retinopathy among ____ patients with low literacy levels
Greater ____ room use, less knowledge regarding use of ____ among asthma patients with low literacy levels

Poor ____ Health Outcomes
Higher caries rates, fewer ____ visits among children of parents with lower literacy levels (Lee et al)

Answer 5

costs
4X

health
diabetic
emergency
inhalers

oral
dental

Question 6

Who Has Low Literacy in Philly?

• ____ of Philly reading below 6th grade level
• those who have good ____ skills?
• any ____ distribution in literacy?
• any gender or age distribution?
• clinical cues and take home messages
• • difficult to predict who is ____
• • use ____ cues and ____ for help

Answer 6

67%
conversational
racial
non-literate
non-verval
requests

Question 7

National efforts in health literacy

• healthy people 2020 goal: use ____ strategies and ____ to improve population health outcomes & quality

2010 National Action Plan
◦ Develop accurate, accessible & actionable ____
◦ Change ____ in health care system
◦ Include ____ & ____curricula in pre-K to college
◦ Support & expand ____ education
◦ Build novel, ____ partnerships
◦ Increase ____ on health literacy interventions
◦ Increase use of ____ based literacy intervention

Answer 7

communication
IT
materials
communication
health
science
adult
interdisciplinary
research
evidence

Question 8

Oral health literacy

• Training and education
• • ____
• • research
• • ____
• • building and maintaining coalitions

Answer 8

advocacy

dental practice

Question 9

Clear communication is the answer
• “Ask Me \_\_\_\_”
---• What is My \_\_\_\_ 
---• What to I Need to \_\_\_\_ 
---• Why is it \_\_\_\_
• Use \_\_\_\_ Language
• Use \_\_\_\_ to Confirm Understanding

Answer 9

three
problem
do
important
plain
"teach back"

Question 10

Implementation
Let’s Have Fun
Written Lesson Plan Allows Coordination
____, What, ____, Where, How

Paper Due At End of Course
____: Describe school, teachers, children. Any surprises, what you expected
____: Describe your lesson plans
____: What happened, how closely did you follow your plans
____: How effective was your program

Answer 10

who
when
assessment
planning
implementation
evaluation

Question 11

Implementation Issues
Evaluate ____ Space & Resources
____ and Insurance Issues
Permission with ____
Professional & General ____ Liability
Criminal Background & Child Abuse Checks
Keep Volunteer & Participant ____
Clarify Staff Roles & Responsibilities
Specify Protocols for Procedures
Verify General ____ Protocol

Answer 11

physical
legal
children
accident
records
emergency

Question 12

Evaluation of Community Programs Structure, Process, Outcome (Donabedian)

____ Evaluation
Did We Have Enough Products, Physical Space, Equipment For Program?

____ Evaluation
How Did It Go?
What Will You Do Differently Next Time?

Answer 12

structure

process

Question 13

Evaluation of Community Programs

• ____ evaluation measures final results
• • how did program affect ____, ie dental visits, dental disease rates, oral hygiene behaviors
• • how did program affect constituents in ____: parents, teachers, school and district funding, as well as dentists

Answer 13

outcome
participants
community

Question 14

Evaluating Community Programs

• ____ components
• qualitative/quantitative methods
• ____ methods
• case control/randomized clinical trials
• logic model
• • ____, ____, ____

Answer 14

formatitve/summative
prospective/retrospective
inputs
outputs
outcomes

Question 15

Process Evaluation: Criteria For Successful Programs and Materials

\_\_\_\_ Based?
Technically Accurate?
\_\_\_\_ Relevant?
Promote Personal Responsibility? 
Involve \_\_\_\_? Age/Developmentally Appropriate? 
Ensure \_\_\_\_ of Health Care?

Answer 15

science
culturally
family
continuity