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Beyond an Apple a Day: Providing Consumer Health Information at Your Library

National Network of Libraries of Medicine http://nnlm.gov

(800) 338-7657

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Agenda Health information needs of patrons Challenges of providing CH services Planning a consumer health service Collection Development Consumer Health on the Internet The Reference Interview Ethics Outreach

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Consumer Health – then and now… 1972 – Patient Bill of Rights 2002 – Pew Internet and American Life 2006 – “Googling for a diagnosis” [BMJ] 2006 – Pew Internet and American Life

Only one quarter of online health seekers said they always or usually check the source and date of health information online!

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Realities of health care today Patients are now asked to make decisions

about their own disease process. Most patients do not have the tools to

make these kinds of decisions Libraries can help!

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A rose is a rose… “A high degree of intelligence, tact, imagination,

and resourcefulness coupled with such a background of education, professional training, and experience will enable the medical librarian to administer a library efficiently and to assist readers in the use of the bibliographic and other materials of his collection.”

Lucretia McClure quotes Judity W. Hunt from the first edition of A Handbook of Medical Library Practice (1943)

Source: McClure, L. A rose is a rose. JMLA 91(2) April 2003.

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Health Literacy The ability to read, understand and act on

health information [Pfizer 2002] The degree to which individuals have the

capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions [Healthy People 2010]

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Discussion

What are your thoughts on health literacy and how it impacts the individual and society?

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Why is health literacy so critical? Essential life skill Public health imperative Essential part of social capital Critical economic issue

Source: “Navigating Health: The Role of Health Literacy”, Kickbusch

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Resources for health literacy MedlinePlus – Easy to read

easy to read resources and a how to write easy to read page

Ask Me 3, Partnership for Clear Health Communication

1. What is my main problem? 2. What do I need to do? 3. Why is it important for me to do this?

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ACTIVITY Take 10 minutes to discuss with a partner

or a group, some examples of consumer health questions.

We wrap up this activity with a discussion of your examples together as a class.

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Challenges of the reference interview in the context of health information Not being familiar with the resources Medical terminology Knowing how much to ask Using open ended questions Being aware of body language Not offering personal experiences Others?

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The Reference Interview…in the context of health information

Be empathetic Be an active listener Use open ended questions Respect privacy / confidentiality Be prepared for emotions Be aware of body language Do not be afraid to refer the patron back to

his/her health care provider

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Disclaimers “Materials in the Resource Center

represent the opinions of the authors and are intended as a complement, not a substitute for the advice of your healthcare providers.”

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Ethical Guidelines Privacy / Confidentiality Know the limits of your collection Do not interpret medical information Use a disclaimer or caution statement

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The Librarian is In:Facing Modern Consumer Health Issues in the Public Library

Let’s take a few minutes to listen to best practices for common health reference interview.

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Planning the service Needs assessment

DRG’s Leapfrog Health grades

Analyze the demographics of your community CDC Faststats Kaiser State Health Facts Public Library Geographic Database

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The many considerations of planning a new consumer health service Salaries, Internet access, computers,

software, technology, books, medical texts, journals, newsletters, videos, databases, brochures, free research, free printing, telephone reference, office supplies, library supplies, fax supplies, programming, ILL, professional memberships, security services, maintenance

So many things to think about…

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Collection Development Book lists on CAPHIS

UCONN Healthnet Toronto Public Library

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Journals, Videos … Let’s take a look at the collection

development guides for journals and videos provided in your handout.

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Consumer Health on the Internet The ABC’s of evaluation

Accuracy Authority Bias Currency Coverage And, user friendliness

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Web sites you can trust… MedlinePlus NIH Senior Health Clinical Trials NCCAM National Library of Medicine

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More… American Heart Association National Cancer Institute Dirline Drug Digest Family Doctor Health News in Review

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Hands on Exercises Please turn to page 12 of your handout.

Try the hands on exercises. Recommended answers can be found on page 13.

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Collaboration / Partnerships Your local hospital librarian Your local hospital administration Community Based Organizations NN/LM MLA local chapters CAPHIS

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Marketing Group activity: Get together in groups of 2

or 3 and come up with a couple of good marketing ideas to share.

We will discuss them as a group.

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Resources for further information… CAPHIS OERC The Challenge of Providing Consumer

Health Information Services in Public Libraries

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Wrapping up… Think of the three most important take

home messages from today’s presentation.

Would someone like to share with the class?

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Thank you!

Contact information:

http://nnlm.gov

(800) 338-7657

Course developed by Michelle Eberle and Terri Ottosen

This project is supported under contract #N01-LM-6-3508 with the NN/LM New England Region and contract # N01-LM-6-3502 with the Southeastern Atlantic Region from the National Library of Medicine.