<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"> <head> <META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii"> <meta name=Generator content="Microsoft Word 12 (filtered medium)"> <style>  </style>  </head> <body lang=EN-US link=blue vlink=purple> <div class=Section1> Hi<o:p></o:p> <o:p> </o:p> We have set up an open review of our bilingual parallel text booklets<o:p></o:p> <o:p> </o:p> <a href="http://www.nyit.edu/images/uploads/diabetesbasics1spanish.pdf">English - Spanish:  Diabetes Basics</a><o:p></o:p> <a href="http://www.nyit.edu/images/uploads/whattoeat1spanish1.pdf">English - Spanish: What to Eat </a><o:p></o:p> <a href="http://www.nyit.edu/images/uploads/DiabetesBasicsChineseTraditional1.pdf">English - Chinese ( Traditional): Diabetes Basics</a><o:p></o:p> <a href="http://www.nyit.edu/images/uploads/whattoeatchinesetraditional1.pdf">English - Chinese ( Traditional): What to Eat</a><o:p></o:p> <o:p> </o:p> At  <a href="http://www.nyit.edu/nycom/centers/nycom_health_literacy_project">http://www.nyit.edu/nycom/centers/nycom_health_literacy_project</a> <o:p></o:p> <o:p> </o:p> Please visit , review the booklets and provide your feedback in the form provided at the website:    -  <a href="http://fs6.formsite.com/ckumarnyitedu/form148625491/index.html">your feedback  here</a>            .<o:p></o:p> <o:p> </o:p> These booklets have been assessed by several hundred patients in the New York Metro area with very high acceptance ratings.  <o:p></o:p> Now we are starting a broader community review on the web for a two week period. <o:p></o:p> At the end of the community review, after any revisions are made, these booklets will be made available to interested persons in an electronic format and submitted to other repositories for cost free use. <o:p></o:p> <o:p> </o:p> Please share with your friends in community outreach, patient education, literacy, adult education and other interested persons.<o:p></o:p> <o:p> </o:p> Thank you very much for your input.<o:p></o:p> <o:p> </o:p> Based on how this review goes, we will release several booklets on other topics.<o:p></o:p> <o:p> </o:p> Thanks. Regards.<o:p></o:p> C. Kumar Ph.D.<o:p></o:p> Professor<o:p></o:p> NYCOM / NYIT<o:p></o:p> <o:p> </o:p> <o:p> </o:p> <o:p> </o:p> Background:<o:p></o:p> <o:p> </o:p>  Our goal is to increase the flow of health information across the linguistic divide. <o:p></o:p> Many population groups in the US struggle with the dual barriers of low health literacy and low English proficiency. We need tools that will improve the effectiveness of communication with low English proficiency populations.  <o:p></o:p>  One such tool we have developed and tested is the bilingual parallel text booklet: The information is presented in English on the left page and the patients native language on the right page; identical in both content and format.<o:p></o:p>  Information presented is basic and directed towards the not yet engaged patient. The language used is simple. The books are designed with good production values. All content has been reviewed by panels of practicing physicians.  Physically, the booklets are printed in the tabloid size, enabling two persons to sit side by side and read together. We find such reading together is very effective in reassuring and engaging the patient.<o:p></o:p>  We use affordable laser printers to produce the booklets, enabling very short production runs. Such technology enables the easy and rapid customization, revision and adaption of these booklets.<o:p></o:p> We find it best to customize each pamphlet based on input from a group of local residents when engaging any new community to accommodate local linguistic and cultural preferences.<o:p></o:p> We have field tested our English / Spanish and English / Chinese diabetes related booklets in the New York Metropolitan area at St Barnabas Hospital, the Bronx, Nassau University Medical Center , Nassau County, and the Lutheran Medical Center,  Brooklyn. The booklets were very well received and accepted by the community.<o:p></o:p> The high production values of the booklets work to reassure the patient of the patient’s importance. The parallel text presentation enhances the trustworthiness of the content.  The simplicity of presentation facilitates learning. Overall, this approach is a relatively low cost public health intervention with many benefits.<o:p></o:p> We believe that this approach is useful in several situations:<o:p></o:p> <ul type=disc> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1'>A grandchild, not fluent in the family language, sitting with the grandfather, not fluent in English<o:p></o:p></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1'>A community outreach worker, healthcare provider or patient educator, not fluent in Spanish, (for example)  interacting with a Spanish speaking patient<o:p></o:p></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1'>Literacy, English as a Second Language  and Adult Learner programs where health literacy can be part of the literacy effort<o:p></o:p></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1'>Global health volunteers abroad, not fluent in the local language, serving on health and education projects<o:p></o:p></li> </ul> At this time, we are starting an open review of some of the numerous booklets we have prepared.<o:p></o:p> We will revise the booklets based on the collective input and then make a freely downloadable / printable file available to all interested.<o:p></o:p> Some may simply want to use the booklet in a single language and we will accommodate that as well.<o:p></o:p>  <o:p></o:p> This work is supported in part by: HRSA Award No. 1 D1ECS10486-01-00 and by the New York College of Osteopathic Medicine of New York Institute of Technology.<o:p></o:p> The constant support and enthusiasm of Congressman Peter King towards supporting vulnerable populations is gratefully acknowledged.<o:p></o:p> The support and efforts from several NYCOM of NYIT Faculty, Students, our clinical partners and NY Metro area Community Based Organizations are gratefully acknowledged.<o:p></o:p> This project is led by Chellappa Kumar Ph.D. who may be reached at <a href="mailto:ckumar@nyit.edu">ckumar@nyit.edu</a>.<o:p></o:p>  <o:p></o:p> Another project of the Center for Culture and Health.  <o:p></o:p> <o:p> </o:p> <o:p> </o:p> <o:p> </o:p> <o:p> </o:p> </div> </body> </html>

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