EYE OF THE BEHOLDER 3 D ANIMATIONS TARGETED PATIENT EDUCATION THROUGH TECHNOLOGY THE ADITYA JYOT EXPERIENCE

Mr.N.Ravichandran, CEO Aditya Jyot eye Hospital Pvt. Ltd. Wadala, Mumbai India

OVERVIEW
HEALTH LITERACY PATIENT EDUCATION TARGETED PATIENT EDUCATION THE AJEH METHOD FEEDBACK EVALUATION CHALLENGES

CONCEPT OF HEALTH LITERACY

The ability to:
Understand Act upon health information

Health Literacy - Definition

Degree to which individuals can
Obtain

Process Understand

the basic health information and services they need to make appropriate health decisions

Goes beyond the individual Depends upon the skills, preferences, and expectations of health information and care providers: our doctors, nurses, administrators, health workers
Ref: Health Literacy: A Prescription to End Confusion

Why is Health Literacy important?

Inability to understand instructions or advice from health care providers adverse health outcomes Inappropriate literature/ source of information can adversely affect the attainment of literacy and also leads to vicious cycle among their contacts
The 1999 Institute of Medicine (IOM) report, To Err Is Human, BUILDING A SAFER HEALTH SYSTEM

 Health service providers be knowledgeable, aware, and responsive to the health literacy of patients If we do not initiate, patients go to unreliable sources of information and that is disastrous All the information out there cannot be vouched for their veracity!

The Junk and the Jargon!

Important to seek health amidst the medical jargon and info junk

But not everyone goes to AAO!

 Failure of communication Listed as one of the causes of medical errors

SOURCE: Leape, Lucian; Lawthers, Ann G.; Brennan, Troyen A., et al. Preventing Medical Injury. Qual Rev Bull. 19(5):144149, 199

Limited health literacy may lead to billions of dollars in avoidable health care costs

PATIENT EDUCATION
Patient education is any set of planned educational activities, using a combination of methods including teaching, counselling and behaviour modification that is designed to improve patients knowledge and health behaviour
Delphi Group. At last, a definition (editorial). Patient Educ Couns. 1985;7:323-324.

Patients perceived as partners in health care

TARGETED PATIENT EDUCATION

Addresses:
Patients expectations Patients fear Pre- and Post-op routine

Objectives
Encourage increased participation in their healthcare Better relationships with the healthcare providers Enough knowledge acquisition to make informed decisions To convey information that is
Pertinent to their needs Simple to understand

Why not just reading materials?

Poor reading skills Have short attention span Skip over uncommon words Lack adequate frame of reference..Interpret the given material within the framework of their limited personal experience Hide their inabilities .. I dont have time to fill out these papers or read this information.

Why videos?
Patients are visual learners A picture is worth a thousand words; A video probably, a million! Rather than simply hearing the diagnosis and suggested treatment, videos help patients understand clearly New, innovative patient education methods computer-based education More senses involved in the learning process the greater the likelihood of understanding and retention

Aptness of Videos
Designed and presented considering:
Reading and comprehension skills Levels of knowledge and experiences Cultural beliefs and practices Communication expectations of the intended audience

Appealing Relevant Persuasive

Requisites
Patient-specific information (i.e., information specific to the individuals actual clinical situation) Simplified complex medical information Structured Evolve from basic to the difficult concepts Multiple teaching strategies Culturally sensitive

Innovative Methods
Eye animations have proven effective at communicating difficult-to-understand concepts for years

Smartphone applications have become the new trend in technology. It is a faster and more convenient tool to link patients to your practice

 Touch screen technology uses text, visuals, audio, video, and interactive computer techniques to reach people with health information Touch screen technology presents health information in an organized, comprehensive, prompt and interactive manner Patients can access this information at their own pace, maximizing privacy and minimizing any sense of pressure

The process @ Aditya Jyot

Educational materials and communication strategies to facilitate patient interaction Relevant educational pamphlets distributed Diagnosis/ Pathology explained by optometrists/eye doctors using Eye model Appropriate surgery videos shown to the patients and the accompanying care-takers Videos clear and concise Any doubts/ concerns discussed with nonmedical personnel followed by eye doctors

Model Non-medical personnel

Educational pamphlets

Eye model

VIDEOS

Doubts addressed

Non-medical staff
Identifying and Motivating patient and family Bridge between patient and doctor

Health

Economic

Nonmedical staff

Social

Legal

How is it beneficial to the system?

Facilitates conversation between Dr.Natarajan and patients When patient reaches the consultation of Dr.Natarajan, patient has a basic understanding of:
Anatomy of the eye His/her eye problems Treatment options Benefit/Risks of the treatment

Dr.SN saves 10-15 minutes of explanation time Focusses on deciding effective treatment strategy Patient takes an informed decision; essential in the days of lawsuits!!!

BENEFITS

Physical Psychological

Financial Social

How to measure evaluation of the impact?

Intangible and financial rewards Financial success Patient satisfaction the best marketing tool More patient referrals Good job of educating your current and prospective patients Reduced patient backlog Utilisation of man-hours

Patients Feedback
Patients perception of the communication materials How they process the text and graphics? How to make a difference in their perception and interpretation of the your message conveyed? Appropriately act upon this feedback information - Vital to their health outcomes

% seen the video

% of patients

Seen video
Not seen video

Ease of understanding
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Seen Not seen

Not understood
Understood

Language as a concern
%
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Understood Not understood Not explained properly

Too short a time

Can't explain

Need for local language No language barrier

Helpfulness of Video
100 90 80 70 60 50 40 30 20 10 0

82.4 17.6 Helpful Not helpful

Why wasnt the video helpful?

20

10 10 60

Language barrier Inadequate explanation

Too complex to understand Want doctor to explain

Want Doctors Explanation!!

Resistant to change Cultural barrier

Did you acquire more knowledge about the eye problem and its treatment?
100 90 80 70 60 50 40 30 20 10 0 Yes

70

30

No

Were your doubts cleared after watching the video?

100 90 80 70 60 50 40 30 20 10 0 Yes 79

21

No

Did the counsellor help you in clearing the doubts?

90 80 70 60 50 40 30 20 10 0 100

80
60

40
20 0

79 12

Series 1 9

Video Video + Video + Video cleared video + Counselor + Counselor video Counselor + doubts Counsellor + Doubt doubt

Inference from feedback

Need for customised videos to suit local vernacular needs Prejudiced mindset of patients to seek explanation from doctor More training of non-medical staff required to address patients doubts

Challenges of the Existing System

Redundancy
Patient accompanied by different relatives at every visit

Language barrier
Not available in vernacular language

Difficulty in meaningful translation Non-existence of corresponding words in vernacular language

Incomplete understanding

Copyright issues / Expenses

THANK YOU