using a health literacy approach when integrating oral ... department of health minnesota oral...

MINNESOTA DEPARTMENT OF HEALTH

Using a Health Literacy Approach When Integrating Oral Health Data into an Online Public Health Data Portal:

Lessons from the Minnesota Oral Health Statistics System

GenelleR.S.Lamont,MPH,PhDCandidateApril29,2015

NationalOralHealthConference(KansasCity,MO)

MINNESOTA DEPARTMENT OF HEALTH

Overview

• Background• Webconsiderations• Plainlanguage• Numeracy• Accessibility(508‐compliance)• Workingwithaprojectteam

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MINNESOTA DEPARTMENT OF HEALTH

Background

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MINNESOTA DEPARTMENT OF HEALTH

Minnesota Oral Health Statistics System (pronounced “minnows”)

SoyouDon’tHavetoGoFishing!

One‐StopSourceforOralHealthData

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MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

Web Considerations

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MINNESOTA DEPARTMENT OF HEALTH

Web Considerations

• Anengagedaudiencestays

• F‐shapepattern

• UsersleaveWebpagein10‐20seconds

• Averagewebvisit,usersread20‐28%ofthewords

NielsenNormanGroup,www.nngroup.com/articles7

MINNESOTA DEPARTMENT OF HEALTH

Web Tips

• Keepitshort,simple

• Useplentyofwhitespace

• Useacenter‐focuseddesign

• Chunkinformation– Anchors– Headingsandsubheadings– Bullet‐points– Side‐bar,call‐outs,andquotes

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MINNESOTA DEPARTMENT OF HEALTH

Web Tips (contin.)

• Useconsistentlanguage,style

• Usereadablefont(atleast11‐point,sans‐serif)

• Useofcolors,images,andgraphsprovideinterest

• Googleanalyticsandaudiencetestingcanguidework

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Most Web Users Hate 

the “Normal”Font Size

MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

https://apps.health.state.mn.us/mndata11

MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

Mobile Responsive Technology

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MINNESOTA DEPARTMENT OF HEALTH

Oral Health Literacy

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MINNESOTA DEPARTMENT OF HEALTH

What is health literacy?

Theabilitytofind,understand,interpret,useandactonhealthinformation.

‐MinnesotaDept.ofHealthCenterforHealthPromotionAdoptedDefinition(January16,2014)

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MINNESOTA DEPARTMENT OF HEALTH

HEALTH EQUITY

HEALTH LITERACY

PLAIN LANGUAGE NUMERACY AUDIENCE ACCESSIBILITY

Expanded Health Literacy Model© CHP Health Literacy Advisory Group 18

MINNESOTA DEPARTMENT OF HEALTH

Plain Language

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MINNESOTA DEPARTMENT OF HEALTH

https://www.youtube.com/watch?v=WM9Jt4VjFrA

https://www.youtube.com/watch?v=WM9Jt4VjFrA

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MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

Health Numeracy

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MINNESOTA DEPARTMENT OF HEALTH

What is health numeracy?

Theabilitytounderstandandusenumbersindailylife.

Source:Rothmanetal(2006).Perspective:Theroleofnumeracy inhealthcare.JournalofHealthCommunications,13(6):583‐595. 24

MINNESOTA DEPARTMENT OF HEALTH

Challenges

• U.S.lowinbasicnumeracy**Outofatotalscoreof500

– International(24countries):269– UnitedStates:253

• Numericaloperations,statisticsandreadinglists,graphsandmapschallenging*

Source:*CDCHealthLiteracy,CreatingEasiertoUnderstandLists,ChartsandGraphs;**ProgramforInternationalAssessmentofAdultCompetencies(PIACC),2012http://www.oecd.org/site/piaac/ 25

MINNESOTA DEPARTMENT OF HEALTH

How to decide graph type?

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MINNESOTA DEPARTMENT OF HEALTH

Depends on your message

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MINNESOTA DEPARTMENT OF HEALTH

Parts to Whole Relationship

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Piechart Stackedbarchart

Source:CDCHealthLiteracy,CreatingEasiertoUnderstandLists,ChartsandGraphs

MINNESOTA DEPARTMENT OF HEALTH

Magnitude of risk between groups

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Bargraph Linegraph

Source:CDCHealthLiteracy,CreatingEasiertoUnderstandLists,ChartsandGraphs

MINNESOTA DEPARTMENT OF HEALTH

Trends or comparison of two rates

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Linegraph Bargraph

Source:CDCHealthLiteracy,CreatingEasiertoUnderstandLists,ChartsandGraphs

MINNESOTA DEPARTMENT OF HEALTH

Data display tips

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1.Keepsimple,cleanwithwhitespace

2.Onemessagepergraph

3.Titleshouldanswerthewho,what,whereandwhenofthegraph

4.Removegridlinesandunnecessarylogosorimages

5.Limitdatacategories

MINNESOTA DEPARTMENT OF HEALTH

Data display tips (contin.)

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6.Clearxandytitleaxesandlegend

7.Keepscaleto0to100%

8.Labeldataserieswithnumberandunits

9.Consistentcategoryorder(alphabetical;low‐high)

10.Footnotesshouldcontainsourceandneed‐to‐knowonlyinformation.

MINNESOTA DEPARTMENT OF HEALTH

Stacked Bar Graph Example

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MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

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Data source: Minnesota Department of Education (MDE), Student Enrollment Data for Special Populations. Note: FRPL= school free/reduced price lunch eligibility. This chart does not include schools for which information on free/reduced price lunch is missing, schools that did not participate in the National School Lunch Program, schools with less than ten students enrolled, and within school programs such as online schools, special education, deaf and blind schools, area learning programs, juvenile detention and correction programs, and hospital programs for mental health and chemical treatment. Total number of schools equal 1,601. See About the School Free and Reduced Price Lunch data for more information.

Final

MINNESOTA DEPARTMENT OF HEALTH

Infographics

•Alsoknownasanicon‐arrayorpictograph

•Usefulforsimplecomparisons

•Displayratio,probabilities,orcomparisonofrates

•Alternative:barchartortable

37Source:UniversityofMichigan,RiskScienceCenter,www.iconarray.com

MINNESOTA DEPARTMENT OF HEALTH

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MINNESOTA DEPARTMENT OF HEALTH

What is accessibility?

The ability to access information found in a document, website, or video regardless of an individual’s disability status.

Source:ModifiedandadaptedfromtheAmericanswithDisabilityAct,TitleII39

MINNESOTA DEPARTMENT OF HEALTH

dd

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MINNESOTA DEPARTMENT OF HEALTH

Normal color vision

Blue-blind (tritanopia) Red-blind (protanopia)www.color-blindness.com/coblis-color-blindness-simulator/

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MINNESOTA DEPARTMENT OF HEALTH

http://colorbrewer2.org/43

MINNESOTA DEPARTMENT OF HEALTH

Team Work

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MINNESOTA DEPARTMENT OF HEALTH

Lessons learned

• Beawareofjargonandspecializedlanguageused• Understandcomputingplatformsforonline

applicationsmayhavelimits• DevelopWebstandardsandprocessesasateam• Displayingdataonlineinvolvesbalancingtheneeds

ofthecontentexperts,dataprogrammers,webdevelopers,andaudience

• PossibletopromotehealthliteracyinWebcontentanddatadisplaysthroughadvocacyofbest‐practicesandaudiencetesting

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MINNESOTA DEPARTMENT OF HEALTHAcknowledgmentsDeltaDentalofMinnesotaFoundation

– JoeLally,InterimExecutiveDirector– DanaL.Jensen,ProgramOfficer&SeniorGrantsManager– SharonOswald,ProgramManager

MNEnvironmentalPublicHealthTrackingNetworkChuckStroebel,ProgramManagerMatthewMontesano,DataAccessPortalCoordinator

MN.ITDaveStewart,DataProgrammerMaryRuthHarsha,ProjectManager

MDHOralHealthProgramMerryJoThoele,DentalDirectorGenelleLamont,OralHealthSurveillanceCoordinatorBilquisKhan,ProjectEvaluatorSahitiBhaskara,ResearchScientistKrisHaugen,CommunicationsCoordinatorClareLarkin,PreventionCoordinatorBarbaraHann,DataCoordinatorJonRoesler,EpidemiologistKatieVerchota,StudentVolunteerIntern 46

MINNESOTA DEPARTMENT OF HEALTH

Questions

Make em’ count!

Data displays

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MINNESOTA DEPARTMENT OF HEALTH

Genelle Lamont, MPHOral Health Surveillance Coordinator

651-201-5974genelle.lamont@state.mn.us

https://apps.health.state.mn.us/mndata

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