Writing result-oriented ad copy is difficult, as it must appeal to, entice, and convince consumers to take action.
n April 3rd, Norfolk State University hosted a gathering of students, faculty, healthcare professionals, and community leaders to delve into the crucial topic of enhancing health literacy — the ability to understand and act on basic health information — within college campuses and communities. The event was supported by NSU's Office of Health & Wellness and the Center for African American Public Policy in collaboration with EdLogics, a Virginia Beach-based company dedicated to improving health literacy. The symposium guests were welcomed by Student Affairs Vice President Leonard Brown, Ph.D.
Dr. Brown embraced the university’s efforts to reduce health disparities on the campus of NSU in communities of color. Greetings were provided by Mr. Gilbert Bland, President/CEO of the Urban League of Hampton Roads, and member of the NSU Board of Visitors who commended NSU for launching the Healthier757 initiative to improve the health of students, faculty, and administrators on the campus of NSU and throughout the Hampton Roads region.
The program featured a panel discussion moderated by Craig Loper, Sports Director at WAVY TV 10/WVBT Fox 43, and included:
Together, they addressed the significant health disparities prevalent in communities, particularly among people of color. The panel shed light on how the 757 region trails behind in health metrics related to diabetes, heart disease, cancer, infant mortality, and life expectancy, compared to the rest of Virginia and the US. They emphasized how low health literacy leads to unhealthy choices and poorer healthcare decisions — so the disparities continue.
Dr. Olusoji Akomolafe, Executive Director of the NSU Center for African American Public Policy introduced NSU President Javaune Adams-Gaston, Ph.D., and applauded her commitment to improving the health of NSU students and acknowledged her accomplishment of receiving NSU’s largest philanthropic gift of $40 million dollars from the Mckenzie Scott Foundation. During the event, President Javaune Adams-Gaston, Ph.D., read a health literacy proclamation underscoring the university's dedication to combating health disparities through research and innovative programs on the campus of NSU.
One such initiative is Healthier757, a regional effort focused on boosting the health literacy of Hampton Roads residents. The partnership between NSU and Healthier757 signifies a significant step toward addressing chronic health conditions and disparities in vulnerable communities.
NSU's collaboration with Healthier757 has enabled the university to pioneer the launch of Rewards for Healthy Living, making NSU the first Historically Black College and University (HBCU) in the nation and the first university in Virginia to do so. The digital platform offers engaging games, videos, quizzes, and articles on hundreds of health topics — along with cash rewards — and is available free of charge to all NSU students, faculty, staff, and administrators.
A student raffle, facilitated by Alexus Ross, an EdLogics Community Coordinator and recent NSU graduate and Healthier757 intern, awarded four $25 gift cards to participating students.
Vanessa Jenkins, Ed.D., Executive Director, NSU Health & Wellness, closed the program by underscoring the importance of improving health literacy among NSU students, which in turn will empower them to make better informed healthcare decisions all their lives
In 2012, Tom Chamberlain, PharmD, founded EdLogics, our gamified health education platform. Recently he shared how he first got the idea from working with patients, and the results so far.
Right. As a PharmD and an entrepreneur, I’ve been involved in starting and growing a number of companies, all of them focused on healthcare education and improving the utilization of healthcare services. My primary objective has always been to improve clinical outcomes and reduce healthcare costs for consumers and payors of healthcare services.
I was fortunate to have had the opportunity to manage my own patients during my doctor of pharmacy program and residency training. Having firsthand experience treating patients with chronic conditions like diabetes, high blood pressure, and COPD, I knew the challenges of educating and engaging patients in the self-management of their conditions. Traditional educational strategies such as pamphlets and printouts weren’t effective in teaching patients what they needed to know to improve their conditions.
For people with diabetes, testing blood sugar is a routine part of managing their condition. If you’re injecting insulin or using a pump, you may have to test several times a day. Without accurate blood sugar tests, you might not get the right amount of insulin at the right times.
If you can’t measure your blood sugar, you can’t control it. And if you can’t control your blood sugar, you raise your risk of amputations, heart attacks, blindness, erectile dysfunction, and many other problems. One immediate risk is diabetic ketoacidosis, which comes on quickly and can be fatal. Even if you survive, your ER trip will cost thousands of dollars. And it all can be avoided with appropriate education.
Many patients seem to understand how to check their blood sugar once someone shows them. But it was clear to me that most of my patients had forgotten what they’d learned by their next visit. They still weren’t retaining the information needed to manage their diabetes.
This happened over and over again – and similar scenarios occurred with a number of patients with various chronic conditions. I realized we’d never be able to help our patients if we couldn’t find a better way to teach them what to do.
Yes, but a lot of people aren’t familiar with the term. Here’s one definition:
“Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.”
Or to put it more simply:
“Health literacy means you can find and understand the information you need to make good decisions about your health.”
Low health literacy is now recognized as a critical barrier to effective and efficient healthcare. It’s an enormous problem, and the consequences are far-reaching. For instance, did you know that compared to patients with adequate health literacy, patients with low health literacy have:
In fact, the cost of low health literacy in the US is somewhere between $106 billion and $238 billion per year. It’s unreal!
If we want to improve health outcomes and lower healthcare costs, we need a way to reach consumers – a way that works for them long term.
Since I started working in the healthcare industry, the concept of health literacy has matured into an academic discipline. Institutions like Vanderbilt University have devoted teams of talented experts and researchers—like Russell Rothman, MD, MPP, arguably one of the top health literacy experts in the world—to help healthcare providers, employers, payors, and the public understand the implications of low health literacy—and develop effective solutions to address this major healthcare issue.
At EdLogics, we’ve teamed up with many leading academic medical centers and Centers of Excellence (CoE), as well as industry thought leaders like Dr. Rothman and former US Secretary of Health and Human Services Governor Tommy Thompson, to identify specific ways to improve health literacy.
The first step is to make learning fun and engaging. To do this, we employ and work with experienced clinicians, developers, designers, and gamification experts to create stimulating, engaging games that educate users on important health topics, from diabetes to the Zika virus, all developed with the low health literate user in mind.
To keep users coming back, we’ve developed innovative gamification and unique incentive strategies where users earn rewards by playing games and completing educational activities.
Employers can purchase a customized version of the platform, enabling employees and their families to play, learn, and win. And the cost is minimal: roughly $20 a year per family.
I’m very proud of our platform. It’s a product that educates consumers about chronic diseases, common medical conditions, general health, well-being, medications, and how to navigate the healthcare system. We’ve heard inspiring testimonials from employers and employees, and we have impressive statistics on knowledge improvement and consumer engagement. In fact, 100% of users improve their knowledge of a given condition after completing our learning activities, and 79% of users say they will change their behavior based on what they learned.
We’re continuously making enhancements, all with a focus on improving consumer engagement. That’s the key to being able to influence positive behavior change and deliver the most important, lifesaving knowledge. Not to mention the opportunity to reduce pain and suffering – both physical and financial.
A version of this article was originally published on 2/22/2017.
ou can’t control many of the factors that contribute to high healthcare costs: expensive drugs, the cost of providers, rising insurance premiums. So, what can you do?
Improve health literacy, the ability to understand and act on health information.
Watch health literacy expert Russell Rothman, MD, MPP of Vanderbilt University and gamification guru Brian Primack, MD, PhD, then of the University of Pittsburgh (now at University of Oregon), outline problems with existing health education programs and describe real-life solutions.
Watch the entire webinar recording below.
Here's the skinny:
EdLogics wants to improve low health literacy through education.
It’s not about avoiding medical care. It’s about getting the right care at the right time.
We want to empower people to make real changes in their day-to-day habits, so they can stay healthy and keep their families healthy, too.
We want to educate people to prevent sickness before it starts, to show them what to do and where to get care when they do get sick, and help them become well-informed, proactive healthcare consumers.
Ultimately, EdLogics wants to improve health outcomes, reduce the number of claims, and lower costs. For everyone.
Dr. Primack:
“In the US, 1 in 3 Americans can’t follow directions on a drug label. And I have to say, even with a medical degree, I sometimes get a prescription for one of my kids or something and I have to look at it pretty carefully with that small print and the code that it’s in. So it’s not surprising that it’s a challenge for many different people.”
Dr. Primack:
“When someone, for example, just has an ankle sprain — if they can access and follow good information that they have — then they very well might be the kind of person who will say, ‘You know, I don’t need to go the emergency room. I can wait.’
A couple days later, they’ve already improved with ice, elevation and rest — all things that are free.
Whereas another person who is having more difficulty understanding or accessing information might decide to go to the ER for the same condition, and the second they get through the ER door, already they’ve racked up very high costs. They’ve put themselves at risk for getting some kind of a hospital-acquired infection or some additional problem.
Even though this is one small example, when we start quoting issues like ‘90 million Americans have poor health literacy, and this costs an extra $150-200 a year,’ you can see how these numbers add up.”
Knowing what to do to prevent chronic disease, how to take medications, and where to go when you’re sick — and acting on that knowledge — can have a huge impact on both personal health and the number of costly healthcare claims.
✅ Improved knowledge of health issues
✅ Improved behaviors
✅ Improved outcomes for:
Dr. Rothman:
“Even after you take into account a patient’s education level, their income, their insurance, and a host of other factors, we find that their literacy level is an independent predictor of how they do with their health.”
Of course, health education programs trying to raise people’s health literacy already exist.
But are they actually making a difference?
Pamphlets: Often don’t make it from the doctor’s office to the car.
Health websites: Too high-literacy, not personalized, and not always trustworthy.
Doctor visits: Patients may misunderstand, forget instructions, or feel too embarrassed to ask questions.
Dr. Rothman:
“And, unfortunately — and I say this as a primary care physician [laughing] — but there’s also a lot of variation in how well doctors communicate with their patients and their families. If you ask most clinicians we would, of course, tell you that we’re excellent communicators, and our patients all nod their heads and seem to understand everything that we say to them. … Some studies suggest patients only recall about 20% of what’s said to them by the time they get home.
So we like to think we’re all good communicators as clinicians, but a lot of us struggle — using a lot of jargon that might be hard for patients to understand, maybe speaking at too high of a literacy level without enough plain language, and giving people too much information to try to take in during one single visit. We often don’t assess patient understanding before they leave.”
Poorly designed games: Many focus on the wrong goal.
Dr. Primack:
“So there would be hamburgers and pieces of pizza, and you are supposed to shoot those, but the salad you are supposed to let live. You can probably imagine the next step, which was that they studied this and they found that being exposed to this game and playing this game a lot didn’t actually make people change their diet in any way.
It’s just a caution that even though sometimes gamification is really valuable, if the game is poorly designed, that’s just not a magic quick fix.”
It’s one thing to learn more health facts. It’s another thing to change your daily habits — the one thing that has more of an effect on health than any other single factor.
Dr. Primack:
“The question is: Can we take principles of gamification and game based learning — the interactivity, the unique incentives — and can we use that to leverage for positive change? And what we have found is that, especially in the area of health literacy, there is a lot that we can do.”
Dr. Rothman:
“What we really need to think about more is how to link people to other social support mechanisms to help them with their health. We have lots of studies now that really demonstrate that patients who have strong social support do much better with their health. There’s actually an epidemic of loneliness going on in a lot of countries.
And even when people are with their family, they may not have social support for disease that they’re dealing with.
So it can be really helpful to help a patient or employee and their family link to community resources — maybe to disease-specific organizations if they have a certain disease, or to a community organization that provides peer support. Or we can help them gain access to exercise or healthy food. Even to help them with getting additional support from their own family.”
Dr. Rothman:
“Health literacy is a major problem in the United States. We have at least 90 million Americans with only basic or below basic literacy skills. Even patients with good literacy skills can struggle to navigate what’s become a very complex healthcare system when trying to take care of their health or the health of their family.
We have found that by addressing health literacy issues, we can improve care for patients with low literacy. Studies have suggested that using good forms of health communication and addressing health literacy can even improve knowledge and behavior for people with high health literacy. So improving how we educate and communicate can be of great value to everyone.”
Dr. Primack:
“There are so many challenges here. If it were easy, we wouldn’t have 90 million Americans with low health literacy. But I think that it’s important to end on a positive note and say that we really are moving the needle. There have been studies that show that using the kind of principles that we talked about today really do help and change people’s lives. I think that that is what we need to hold up as we move forward.”
A version of this article was first published 10/12/2018.
ooner or later, we all get sick, and we all need healthcare.
Of course, not all Americans have equal access to healthcare. Some of us can’t afford it. Some live far from quality providers. Some experience bias based on race, sex, age, or gender identity.
The result?
People suffer and die from health problems they could have avoided — if they’d gotten the care they needed.
Untreated conditions require more expensive treatments down the line. And — whether it’s the person, the hospital, health insurance, or the government — someone has to pay for it.
Low health literacy and less access to healthcare for some people means higher healthcare costs for everyone.
February is Black History Month. Research shows that historically, people of color often receive poorer healthcare than white people, for many reasons. This is known as healthcare inequality, and it’s a problem that affects us all.
We asked Dr. Seth Serxner, PhD, MPH, EdLogics Chief Health Officer, to answer some key questions about healthcare inequality — and why we all should care.
Basically, it means that not everyone has equal access to healthcare or health education. Those disparities have been documented among African Americans, women, the elderly, the LGBTQ+ community, and many ethnic groups.
Disparities in healthcare can occur because of provider bias. The providers themselves may or may not be aware they have certain biases.
This is also an issue: Currently available medical science tends to be based on clinical findings of white male study participants. Those results may or may not generalize to people of color, women — anyone who is not a white male.
Disparities in health literacy put those populations who are already experiencing disparities in service at an even greater disadvantage. Because of a lower ability to understand health information and navigate the system, they are not as well equipped to advocate for themselves or others in their care.
Health disparities put people’s lives and health at risk. For example, women are often not treated for heart attacks with the same urgency as men, which puts women at greater risk of death.
Delayed treatment or lack of treatment for people of color can lead to later stage disease diagnosis or disease mismanagement, which in turn may lead to more serious health consequences.
In addition to the unnecessary pain and suffering, there are increased cost consequences of treating people at later disease stages. These greater costs affect the healthcare system as a whole and result in greater costs for everyone.
👉 Overall, the goal of health equity is to provide everyone the opportunity to live healthy and active lives by addressing disparities in healthcare and health literacy. 👈
Equally important are social health essentials and personal determinants of health — such as housing and access to nutritious food, having social connections, a sense of purpose, and a positive outlook.
Our healthcare system needs to do a better job of training medical professionals about health disparities and help them be aware of their biases.
Those that pay for healthcare, such as insurance companies and employers, need to hold providers accountable for disparities with key performance metrics.
And individuals — regardless of ethnic background or gender identity — can strive to be prepared to advocate for themselves and others by increasing their health literacy.
At the community and employer level, providing opportunities for people to increase their health literacy is key to addressing this issue.
It’s important to note that our health system is complicated and health information is complex. Translating public health and clinical information to the personal level is challenging for most people from all walks of life. Low health literacy does not necessarily mean low literacy — some very intelligent and well-read people find it difficult to navigate our health system no matter their education level. It is NOT an issue of intelligence.
No matter who you are or what you know, you can and should improve your health literacy. It could save you some pain, some money, and even your life.
Log in now. Learn more about healthcare inequality, how it affects all of us, and what we can do about it.
(This is an example of the weekly newsletters that go out to all users of The EdLogics Platform, a gamified space that improves employee engagement and health literacy. Contact us to learn how to get access for your organization.)
EdLogics and Global Action Platform recently hosted a conference focused on the economic benefits of improving health literacy in communities.
The event, held November 5 in Norfolk, Virginia, highlighted the specific needs and benefits to the Hampton Roads and Nashville areas.
EdLogics Founder and CEO Thomas M. Chamberlain, PharmD, opened the event by sharing the economic impact of low health literacy.
“Low health literacy is a multibillion-dollar problem,” he said. “Patients with low health literacy are more likely to visit an emergency room, less likely to follow a doctor’s instructions, and have higher mortality rates.”
Patients with low health literacy are more likely to visit an emergency room, less likely to follow a doctor’s instructions, and have higher mortality rates.
To address this crisis, Global Action Platform and EdLogics are creating Empower Community Health, an initiative utilizing technology to improve health literacy. This platform, through which communities can connect health and prosperity, will in turn create a competitive economic advantage for their regions in the ongoing competition for investments, talent and markets.
The EdLogics Platform will serve as the technological backbone of Empower Community Health. The Platform features:
“The Platform is proven, easy-to-use, and can be accessed on desktop and mobile devices, making it readily accessible to anyone with access to the internet,” added presenter James Spore, President and CEO of Reinvent Hampton Roads.
Through Empower Community Health, the EdLogics Platform will be available to the citizens of Hampton Roads and Nashville, including underserved populations, the public school system, and university students. EdLogics and Global Action Platform will work with schools, libraries, community health clinics, churches, YMCAs and other civic organizations to provide access.
The comprehensive community implementation has many innovative and important features, including:
At the community level, Global Action Platform will provide regional program managers to work with sponsors, community organizations, and other stakeholders to leverage local resources, networks, and existing programs to drive awareness. Local universities will serve as strategic outreach partners and provide academic research expertise.
A version of this article was originally published 11/29/2018.
There’s no end in sight.
Total costs of providing medical and pharmacy benefits are expected to rise 5%, according to an annual survey by the National Business Group on Health.
That means employers at big companies can expect to pay around $15,000 per worker in the coming year. Blame it on costly claims, specialty medications, and certain diseases, say many employers.
Health literacy — the ability to understand and act on health information — plays a role, too. According to a University of Connecticut study, low health literacy costs the US healthcare system about $238 billion a year.
Simply put, when people don’t have the knowledge they need to make good decisions about their health, they make poorer decisions — choices that lead to poorer health and higher costs.
Consider these scenarios:
In each scenario, improving health literacy could mean better health for less money. Studies show that people with low health literacy tend to have more health claims, more hospital stays, more trips to the ER, less compliance with treatment plans, and higher death rates.
In contrast, people with high health literacy tend to have fewer health claims, fewer needs for special services, more compliance with medication and treatment plans, and better health overall.
People with high health literacy tend to have fewer health claims, fewer needs for special services, more compliance with medication and treatment plans, and better health overall.
Improving health literacy isn’t easy. “There’s no quick fix,” said EdLogics advisor Brian Primack, MD, PhD, director of the Center for Research, Media, Technology, and Health at the University of Pittsburgh, in a recent EdLogics webinar. Still, Dr. Primack added, “We are moving the needle.”
If you’re an employer, a human resources manager, or other business leader who’s committed to finding ways to improve health literacy in your organization, these resources can help:
Use the CDC’s workbook, sample action plan, and links to government sites to create your organization’s health literacy plan. Includes state and county estimates of low literacy.
You know your company needs a health literacy program, but you’re not sure where to start? This guide will walk you through the basics, including best practices and simple, concrete tips for writing and designing good content.
The first rule in developing health content for low-literacy users: Avoid doctor-speak. This simple tool shows you how, with an index of commonly used medical terms and their plain-language alternatives.
Health literacy expert Russell Rothman, MD, MPP, of Vanderbilt University and gamification expert Brian Primack, MD, PhD, of the University of Pittsburgh share an overview of what makes health literacy programs effective.
EdLogics’ gamified learning platform combines engaging, personalized content and activities with unique incentives to help users improve their health literacy. Want a demo? Contact us!
A version of this article was originally published 10/25/2018.
ecently, Sean Parker, the first president of Facebook, issued some harsh criticism of social networks in an interview on Axios.
He claims they work to exploit “a vulnerability in human psychology” and that those networks will eventually “consume as much of your time and conscious attention as possible.” He claims the networks do this by creating a system to generate addictive loops that “sort of give you a little dopamine hit every once in a while, because someone liked or commented on a photo or a post or whatever.”
It's very powerful and used by all of the major social media sites which continue to grow and consume our time and attention.
But what if we could take those same techniques Facebook used to grow to over 2 billion active users a month and applied them to something positive, like health education?
Recently, Tom Chamberlain, PharmD, CEO and Founder of EdLogics, gave a presentation to the Global Action Summit on the gamification of health. In his presentation, Dr. Chamberlain described various types of gaming technologies, such as video games, mobile apps, virtual reality, augmented reality, and interactive learning, and how they are being used in the medical field.
Chamberlain went on to discuss the key principles of gamification, including instant rewards, milestones, status, and competition. He described how a “little dopamine hit” is generated through playing these games and through the use of gamification technologies.
Driving engagement and facilitating behavior changes are the “holy grails” of health improvement programs. If we can get individuals, employees, plan members, and/or communities more engaged in understanding and acting on their own health, we can see vast improvements in a population’s health and lowered costs. This is why applying gamification principles to health education is so exciting.
Low health literacy is associated with poor health outcomes and higher costs. It’s pretty clear that if a person does not understand their health, their health issues, the healthcare system, or their health insurance, they won’t be able to maintain or improve their health, select the right provider, adhere to treatment, and more.
These approaches are not just fun and games when it comes to health — they are using real science in an effort to drive behavior change and improve one’s life.
If you’d like more information on the EdLogics platform for your employees, health plan or as a broker/consultant, please contact us.
A version of this article was originally published 11/11/2017.
igh blood pressure, or hypertension, is also called the Silent Killer. It has very few symptoms that you can see or feel. But the health problems that can result from untreated high blood pressure — like a stroke, heart attack, memory loss, or heart failure — are very real.
You might think that if high blood pressure runs in your family, there’s nothing you can do about it.
You might not want to give up your favorite foods or not-so-healthy habits.
You could choose not to do anything at all about it.
You can’t control everything that raises high blood pressure risk, but there is a lot you can control.
Choose to act. It’s never too late to get your blood pressure checked and start treatment if you need it.
This is an example of the engaging healthcare infographics available to users of The EdLogics Platform, a gamified space that improves employee engagement and health literacy.
View, share, download, and print our huge collection of free infographics on a variety of topics, from preventing and managing common health problems tonavigating the healthcare system.
Contact us to learn how to get access for your organization.
