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Journal of Religion and Health

, Volume 54, Issue 3, pp 1148–1156 | Cite as

The Lay Health Educator Program: Evaluating the Impact of this Community Health Initiative on the Medical Education of Resident Physicians

  • Panagis Galiatsatos
  • Rebeca Rios
  • W. Daniel Hale
  • Jessica L. Colburn
  • Colleen Christmas
Original Paper

Abstract

Resident physicians receive little training designed to help them develop an understanding of the health literacy and health concerns of laypersons. The purpose of this study was to assess whether residents improve their understanding of health concerns of community members after participating in the Lay Health Educator Program, a health education program provided through a medical–religious community partnership. The impact was evaluated via pre-post surveys and open-ended responses. There was a statistically significant change in the residents’ (n = 15) understanding of what the public values as important with respect to specific healthcare topics. Findings suggest participation in a brief, formal community engagement activity improved medical residents’ confidence with community health education.

Keywords

Health literacy Medical education Medical–religious partnerships 

Notes

Acknowledgments

We wish to thank Richard Bennett, MD, and Kimberly Monson for their support of the LHEP, as well as the Medicine for the Greater Good initiative, which has helped in encouraging residents to participate in such community health programs.

Conflict of interest

None.

References

  1. Accreditation Council for Graduate Medical Education. ACGME program requirements for graduate medical education in internal medicine. Effective July 2013. https://www.acgme.org/acgmeweb/Portals/0/PFAssets/2013-PR-FAQ-PIF/140_internal_medicine_07012013.pdf. Accessed 13 June 2014
  2. Baker, D. W. (2006). The meaning and the measure of health literacy. Journal of General Internal Medicine, 21, 878–883.CrossRefPubMedCentralPubMedGoogle Scholar
  3. Berkman, N. D., Sheridan, S. L., Donahu, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155, 97–107.CrossRefPubMedGoogle Scholar
  4. Cooper, L. A., Beach, M. C., Johnson, R. L., & Inui, T. S. (2006). Delving below the surface. Understanding how race and ethnicity influence relationships in health care. Journal of General Internal Medicine, 21(Suppl 1), S21–S27.CrossRefPubMedCentralPubMedGoogle Scholar
  5. Dentzer, S. (2013). Rx for the “blockbuster drug” of patient engagement. Health Affairs, 32, 2.Google Scholar
  6. Dharamsi, S., Ho, A., Spadafora, S. M., & Woollard, R. (2011). The physician as health advocate: Translating the quest for social responsibility into medical education and practice. Academic Medicine, 86(9), 1108–1113.CrossRefPubMedGoogle Scholar
  7. Ferreira, M. R., Dolan, N. C., Fitzgibbon, M. L., et al. (2005). Health care provider-directed intervention to increase colorectal cancer screening among veterans: Results of a randomized controlled trial. Journal of Clinical Oncology, 23(7), 1548–1554.CrossRefPubMedGoogle Scholar
  8. Greene, J., & Hibbard, J. H. (2012). Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. Journal of General Internal Medicine, 27(5), 520–526.CrossRefPubMedCentralPubMedGoogle Scholar
  9. Hibbard, J. H., & Greene, J. (2013). What the evidence shows about patient activation: Better health outcomes and care experiences; fewer data on costs. Health Affairs, 32(2), 207–214. doi: 10.1377/hlthaff.2012.1061.CrossRefPubMedGoogle Scholar
  10. Hibbard, J. H., Mahoney, E. R., Stockard, J., & Tusler, M. (2005). Development and testing of a short form of the Patient Activation Measure. Health Services Research, 40, 1918–1930.CrossRefPubMedCentralPubMedGoogle Scholar
  11. Hibbard, J. H., Stockard, J., Mahoney, E. R., & Tusler, M. (2004). Development of the Patient Activation Measure (PAM): Conceptualizing and measuring activation in patients and consumers. Health Services Research, 39(4 Pt 1), 1005–1026.CrossRefPubMedCentralPubMedGoogle Scholar
  12. Hufford, L., West, D. C., Paterniti, D. A., & Pan, R. J. (2009). Community-based advocacy training: Applying asset-based community development in resident education. Academic Medicine, 84(6), 765–770.CrossRefPubMedGoogle Scholar
  13. Koh, H. K., Brach, C., Harris, L. M., & Parchman, M. L. (2013). A proposed “Health Literate Care Model” would constitute a systems approach to improving patients’ engagement in care. Health Affairs, 32(2), 357–367.CrossRefPubMedGoogle Scholar
  14. Koh, H. K., Bwerwick, D. M., Clancy, C. M., et al. (2012). New federal policy initiatives to boost health literacy can help the nation move beyond the cycle of costly “crisis care”. Health Affairs, 31(2), 434–443.CrossRefPubMedGoogle Scholar
  15. Maindal, H. T., Sokolowski, I., & Vedsted, P. (2009). Translation, adaptation and validation of the American short form Patient Activation Measure (PAM13) in a Danish version. BMC Public Health, 9, 209.CrossRefPubMedCentralPubMedGoogle Scholar
  16. Meyer, D., Armstrong-Coben, A., & Batista, M. (2005). How a community-based organization and an academic health center are creating an effective partnership for training and service. Academic Medicine, 80(4), 327–333.CrossRefPubMedGoogle Scholar
  17. Mosen, D. M., Schmittdiel, J., Hibbard, J. H., Sobel, D., Remmers, C., & Bellows, J. (2007). Is patient activation associated with outcomes of care for adults with chronic conditions? The Journal of Ambulatory Care Management, 30, 21–29.CrossRefPubMedGoogle Scholar
  18. Rademakers, J., Nijman, J., van der Hoek, L., Heijmans, M., & Rijken, M. (2012). Measuring patient activation in the Netherlands: Translation and validation of the American short form Patient Activation Measure (PAM13). BMC Public Health, 12, 577.CrossRefPubMedCentralPubMedGoogle Scholar
  19. Street, R. L, Jr, & Haidet, P. (2011). How well do doctors know their patients? factors affecting physician understanding of patients’ health beliefs. Journal of General Internal Medicine, 26(1), 21–27.CrossRefPubMedCentralPubMedGoogle Scholar
  20. Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: Translating evidence into action. Health Affairs (Millwood), 20, 64–78.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Panagis Galiatsatos
    • 1
  • Rebeca Rios
    • 1
  • W. Daniel Hale
    • 2
  • Jessica L. Colburn
    • 1
  • Colleen Christmas
    • 1
  1. 1.Department of Internal MedicineJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Division of Geriatric Medicine & GerontologyJohns Hopkins University School of MedicineBaltimoreUSA

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