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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)


Overview

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

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Background

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Minnesota Oral Health Statistics System (pronounced “minnows”)

SoyouDon’tHavetoGoFishing!

One‐StopSourceforOralHealthData

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Web Considerations

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Web Considerations

• Anengagedaudiencestays

• F‐shapepattern

• UsersleaveWebpagein10‐20seconds

• Averagewebvisit,usersread20‐28%ofthewords

NielsenNormanGroup,www.nngroup.com/articles7


Web Tips

• Keepitshort,simple

• Useplentyofwhitespace

• Useacenter‐focuseddesign

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

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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


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


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Mobile Responsive Technology

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Oral Health Literacy

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What is health literacy?

Theabilitytofind,understand,interpret,useandactonhealthinformation.

‐MinnesotaDept.ofHealthCenterforHealthPromotionAdoptedDefinition(January16,2014)

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HEALTH EQUITY

HEALTH LITERACY

PLAIN LANGUAGE NUMERACY AUDIENCE ACCESSIBILITY

Expanded Health Literacy Model© CHP Health Literacy Advisory Group 18


Plain Language

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

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

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Health Numeracy

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What is health numeracy?

Theabilitytounderstandandusenumbersindailylife.

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


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


How to decide graph type?

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Depends on your message

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Parts to Whole Relationship

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Piechart Stackedbarchart

Source:CDCHealthLiteracy,CreatingEasiertoUnderstandLists,ChartsandGraphs


Magnitude of risk between groups

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Bargraph Linegraph



Trends or comparison of two rates

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Linegraph Bargraph



Data display tips

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1.Keepsimple,cleanwithwhitespace

2.Onemessagepergraph

3.Titleshouldanswerthewho,what,whereandwhenofthegraph

4.Removegridlinesandunnecessarylogosorimages

5.Limitdatacategories


Data display tips (contin.)

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6.Clearxandytitleaxesandlegend

7.Keepscaleto0to100%

8.Labeldataserieswithnumberandunits

9.Consistentcategoryorder(alphabetical;low‐high)

10.Footnotesshouldcontainsourceandneed‐to‐knowonlyinformation.


Stacked Bar Graph Example

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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


Infographics

•Alsoknownasanicon‐arrayorpictograph

•Usefulforsimplecomparisons

•Displayratio,probabilities,orcomparisonofrates

•Alternative:barchartortable

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


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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


dd

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Normal color vision

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

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http://colorbrewer2.org/43


Team Work

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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


Questions

Make em’ count!

Data displays

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Genelle Lamont, MPHOral Health Surveillance Coordinator

[email protected]

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

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