#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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physiotalk @physiotalk
Good evening and welcome to tonights #Physiotalk
physiotalk @physiotalk
We are chatting tonight about #healthliteracy - a subject important to us all #Physiotalk
physiotalk @physiotalk
Say hello and say where you are from before we get down to the chat #Physiotalk
physiotalk @physiotalk
The chat tonight is being assisted by @EastonPhyllis - Thank you! #Physiotalk
Dr Phyllis Easton @EastonPhyllis
Hello #physiotalk from Phyllis Easton. NHS Tayside lead for #healthliteracy
Naomi McVey 🐝 @NaomiMcVey
@physiotalk good evening from #Manchester 🐝#physiotalk
Lynsey MacD-Ferguson @lynseyferguson6
@physiotalk Hello from rainy Scotland. Keeping an eye tonight. First time in a while #Physiotalk
Stuart Elwell @stuartelwell
@NaomiMcVey @physiotalk Good Evening from Birmingham #physiotalk
Jude @Jude_Mansfield
@physiotalk Good evening from Solihull #Physiotalk
Janet Thomas @JanetThomas47
Hello - i'll be manning @physiotalk in the main tonight from still rainy Edinburgh... #Physiotalk
physiotalk @physiotalk
@EastonPhyllis Thank you for helping us tonight #physiotalk
physiotalk @physiotalk
So - our first question coming up... #physiotalk
physiotalk @physiotalk
RT @EastonPhyllis: Hello #physiotalk from Phyllis Easton. NHS Tayside lead for #healthliteracy
physiotalk @physiotalk
Q: What is your understanding of health literacy? #physiotalk
Martin Leslie Bell @MartinBell1966
RT @physiotalk: We are chatting tonight about #healthliteracy - a subject important to us all #Physiotalk
Dr Phyllis Easton @EastonPhyllis
@physiotalk Important to note #health literacy is not skill that people have or don't have. Healthcare staff have responsibility to enable #physiotalk
physiotalk @physiotalk
Think it might be a little quiet tonight due to holiday (not that I've been off!) Any thoughts... #physiotalk ^JT
physiotalk @physiotalk
RT @EastonPhyllis: @physiotalk Important to note #health literacy is not skill that people have or don't have. Healthcare staff have r…
Stuart Elwell @stuartelwell
@physiotalk Being verse with the necessities of health and wellness #physiotalk
physiotalk @physiotalk
Definition of #healthliteracy is... #physiotalk
physiotalk @physiotalk
Health literacy is about people having enough knowledge, understanding, skills and confidence to use health information #physiotalk
physiotalk @physiotalk
So we'd love to know how you consider this in day to day work #physiotalk
Dr Phyllis Easton @EastonPhyllis
@physiotalk #healthliteracy is knowledge, understanding, skills and confidence to use health information, be active partners in care #physiotalk
Alice Thompson @alicethompson14
@physiotalk Always have an idea of what your patient does & doesn't already know so you can then educate in an interesting & informative way #physiotalk
Alice Thompson @alicethompson14
RT @physiotalk: Health literacy is about people having enough knowledge, understanding, skills and confidence to use health information #ph
Janet Thomas @JanetThomas47
@EastonPhyllis @physiotalk Think active partners is key - need to use information to empower - how often do we do this? #physiotalk
physiotalk @physiotalk
@alicethompson14 and how would you do this - as simple as asking (or not!) #physiotalk
physiotalk @physiotalk
#physiotalk https://t.co/yLD6ry9jCp
KB @KBNeuroinfo
Guess people are aware of the information, but putting into practice is harder in reality #physiotalk
Stuart Elwell @stuartelwell
@physiotalk Gaining a baseline of patient understanding of health literacy allows an AHP 2engage in a level discussion of concordant goals #physiotalk
physiotalk @physiotalk
@stuartelwell Any thoughts about how we do this? #physiotalk
Dr Phyllis Easton @EastonPhyllis
#healthliteracy also involves navigating the health and social care system #physiotalk
physiotalk @physiotalk
RT @EastonPhyllis: #healthliteracy also involves navigating the health and social care system #physiotalk
physiotalk @physiotalk
Perhaps if we move onto Q2.. #physiotalk
Stuart Elwell @stuartelwell
@physiotalk Start with what they know and their beliefs #physiotalk
Alice Thompson @alicethompson14
@physiotalk Asking is important but listening more so... you can test the patient by perhaps getting them to feedback what they understand #physiotalk
physiotalk @physiotalk
Q2: How do you ensure the information you give is understandable to each or a specific patient? #physiotalk
Dr Phyllis Easton @EastonPhyllis
Unless you check for understanding you can never be sure that the person will be able to follow your advice #physiotalk
physiotalk @physiotalk
@alicethompson14 So using a teach back technique or similar? #physiotalk
Stuart Elwell @stuartelwell
@physiotalk Ask they to tell their relatives / family what they are doing and why #accountability #physiotalk
Alice Thompson @alicethompson14
@physiotalk Consistently check they understand and mirror the language the patient uses. Try and paint a picture that they can relate to #physiotalk
Luto @LutoResearch
@physiotalk Evening #Physiotalk. #HealthLiteracy is about making sure that health professionals are speaking in a language that can be understood.
Luto @LutoResearch
RT @physiotalk: Health literacy – a public health concern? #physiotalk 29th May 2017 https://t.co/FijJjSMhJb
Dr Phyllis Easton @EastonPhyllis
Teachback is a good way of checking for understanding. It allows the person to explain what they are going to do #physiotalk
Ieuan Ellis 🎓🏃🏴󠁧󠁢󠁷󠁬󠁳󠁿 🌍 @Prof_IeuanEllis
#physiotalk https://t.co/mpsMgQlJVa
Janet Thomas @JanetThomas47
@alicethompson14 @physiotalk Can that be a challenge to some? I know can struggle when people are broad Fife and I'm English! #physiotalk
Alice Thompson @alicethompson14
RT @EastonPhyllis: Unless you check for understanding you can never be sure that the person will be able to follow your advice #physiotalk
Dr Phyllis Easton @EastonPhyllis
Teachback recommended because it puts the burden of explanation on you and avoids making the person feel they are being tested #physiotalk
physiotalk @physiotalk
RT @EastonPhyllis: Teachback recommended because it puts the burden of explanation on you and avoids making the person feel they are being…
KB @KBNeuroinfo
#physiotalk does it take a change in health status for personal recognition?
physiotalk @physiotalk
@LutoResearch Can that be a challenge when some peoples #healthliteracy is at different levels #physiotalk
Luto @LutoResearch
@physiotalk That's where we come in 😉. Communicating health information to the lay person can be tricky: striking the balance between... #physiotalk 1/2
physiotalk @physiotalk
Ok - lets move from the abstract concepts of #healthliteracy to a specific for next q #physiotalk
Luto @LutoResearch
@physiotalk ...using language which fully conveys the meaning behnd the words, without 'dumbing things down'. #physiotalk 2/2
Dr Phyllis Easton @EastonPhyllis
@physiotalk @LutoResearch In our demonstrator programme healthcare staff found it a little challenging until they got used to Teachback #physiotalk
Naomi McVey 🐝 @NaomiMcVey
@hamrowannie @physiotalk Memory aside I'll often think 💭 I've understood then get home and think of questions I should have asked #physiotalk
physiotalk @physiotalk
@EastonPhyllis @LutoResearch Do many of you use teach back? #physiotalk
physiotalk @physiotalk
Q: Exercise sheets - your thoughts! Love them / hate them Useful or not understood... #physiotalk
physiotalk @physiotalk
@hamrowannie @NaomiMcVey So being able to confirm things useful? Access to do this needed? #physiotalk
Aideen Larmer @AideenPhysio
Q2 Safest to assume basic understanding but have to be careful not to sound patronising with explanation #physiotalk
Luto @LutoResearch
@physiotalk Absolutely. We run a lot of user-testing for our clients and their products to make sure we are getting it right. #physiotalk
physiotalk @physiotalk
So what would you suggest instead! #physiotalk https://t.co/I2FAPl9GZR
Karen Thomas @Karen_ThPCU
@physiotalk They are a useful aid but exercises should be explained, demod and tried then questions asked then sheet given when leaving #physiotalk
Dr Phyllis Easton @EastonPhyllis
@AideenPhysio Questions like 'How will you fit this into your day?' help to get into Teachback #physiotalk
physiotalk @physiotalk
So how do we make sure they are a fantastic resource? Is this due to #healthliteracy? #physiotalk https://t.co/8L3VQ8FfVo
Aideen Larmer @AideenPhysio
I know medical student who don't like to admit it when seeing physios as it is assumed they know what is going on #physiotalk
Aideen Larmer @AideenPhysio
@physiotalk Useful as a prompt/reminder but not to replace a full explanation and demonstration #physiotalk
physiotalk @physiotalk
@AideenPhysio Wonder how often this happens with health professional as patient? #physiotalk
Dr Phyllis Easton @EastonPhyllis
Lots of written instructions can seem daunting and people may have low functional literacy and will hide it #physiotalk
physiotalk @physiotalk
Hal way through and just a quick reminder of hashtagging with #physiotalk with all tweets
Karen Thomas @Karen_ThPCU
@physiotalk Also depends on the patient. Some pts like to have a HEP sheet to refer to in the home, others happy to just try & get feedback #physiotalk
physiotalk @physiotalk
@LISAMACNCHEESE Sent electronically? #physiotalk
Alice Thompson @alicethompson14
@JanetThomas47 @physiotalk Haha! Oh yes definitely. Another challenge can be that some patients don't like to admit when they don't understand. #physiotalk
Stuart Elwell @stuartelwell
@physiotalk If they are their to support a process they are a timely reminder of other health attitudes and behaviours #physiotalk
Lynsey MacD-Ferguson @lynseyferguson6
@physiotalk @AideenPhysio Not gonna lie, have left a PT appointment with limited understanding - not my area. Assumed I understood more than I did #physiotalk
physiotalk @physiotalk
@lynseyferguson6 @AideenPhysio Did this change your practice when you reflected on it I wonder? #physiotalk
physiotalk @physiotalk
#physiotalk https://t.co/ttvZQcDvbh
Aideen Larmer @AideenPhysio
RT @lynseyferguson6: @physiotalk @AideenPhysio Not gonna lie, have left a PT appointment with limited understanding - not my area. Assum…
Karen Thomas @Karen_ThPCU
@physiotalk Good to get feedback on follow-up, can adjust if needed. Some paeds pts prefer sticker charts with drawings.. Individualise! #physiotalk
Dr Phyllis Easton @EastonPhyllis
@alicethompson14 @JanetThomas47 @physiotalk Also important to remember that when you are unwell, in pain, or worried #healthliteracy may be reduced so important for all #physiotalk
physiotalk @physiotalk
So - linked with our current conversation - next q coming up... #physiotalk
physiotalk @physiotalk
RT @EastonPhyllis: @alicethompson14 @JanetThomas47 @physiotalk Also important to remember that when you are unwell, in pain, or worrie…
physiotalk @physiotalk
Q What are the consequences of not providing clear information? #physiotalk
JG @johngreennhs
@physiotalk #physiotalk diff mediums for diff folk. Some like pics but find many now prefer video option on their smart phones with audio instructions💪🏼
Aideen Larmer @AideenPhysio
@physiotalk I think way it is delivered can make a big difference tone/speed etc #physiotalk
Fraser Ferguson @FraserAHP
RT @physiotalk: Q What are the consequences of not providing clear information? #physiotalk
Lynsey MacD-Ferguson @lynseyferguson6
@physiotalk @AideenPhysio much more conscious that I check the understanding of message I'm delivering. Ask is this enough detail or do u want/ need more #physiotalk
Fraser Ferguson @FraserAHP
No information? Disinformation? #physiotalk @Ahpscot https://t.co/Y0gFRQ02MZ
physiotalk @physiotalk
@johngreennhs So how do we manage expectations for different mediums? How can we prepare for this? #physiotalk
Aideen Larmer @AideenPhysio
RT @physiotalk: Health literacy is about people having enough knowledge, understanding, skills and confidence to use health information #ph
Stuart Elwell @stuartelwell
@physiotalk Ineffective treatment - skewed impressions - larger barriers to wellness - further comorbidity - long term compliance issues #Physiotalk
Karen Thomas @Karen_ThPCU
@physiotalk Decreased likelihood of compliance & longer recovery or poor technique leading to more problems! Also reduced faith in us #physiotalk
Dr Phyllis Easton @EastonPhyllis
@physiotalk Not providing clear information can mean slower recovery, poorer outcomes, poor patient experience, patient safety compromised #physiotalk
Luto @LutoResearch
@physiotalk Obviously there can be serious consequences in some instances, but predominantly you're looking at a breakdown in communication #physiotalk
Lynsey MacD-Ferguson @lynseyferguson6
@physiotalk Reduced confidence in service. Treatments less efficient. Can make pts more anxious. Generally a poorer experience of physio #physiotalk
Alice Thompson @alicethompson14
@physiotalk Patient can feel confused and perhaps frustrated if they don't understand. If not addressed could lead to anxiety in appt. #physiotalk
Aideen Larmer @AideenPhysio
RT @lynseyferguson6: @physiotalk @AideenPhysio much more conscious that I check the understanding of message I'm delivering. Ask is this…
Alice Thompson @alicethompson14
RT @EastonPhyllis: @physiotalk Not providing clear information can mean slower recovery, poorer outcomes, poor patient experience, pat…
Luto @LutoResearch
@physiotalk ...which in terms of physio must be vital in building a rapport between yourselves and your patients. #physiotalk
physiotalk @physiotalk
In case you think consequences are inconsequential... This from Jonathan Berry blog #physiotalk https://t.co/MxWeaOxer8
physiotalk @physiotalk
#physiotalk https://t.co/PQ2JFXItij
Aideen Larmer @AideenPhysio
@physiotalk can mean healthcare professionals have locus of control rather than patients #physiotalk
Salaso @Salaso_
RT @johngreennhs: @physiotalk #physiotalk diff mediums for diff folk. Some like pics but find many now prefer video option on their s…
physiotalk @physiotalk
Are there the same #healthliteracy issues no matter what medium we present information in? #physiotalk
Stuart Elwell @stuartelwell
Powerful https://t.co/cjSdKHI2gw
Karen Thomas @Karen_ThPCU
RT @physiotalk: In case you think consequences are inconsequential... This from Jonathan Berry blog #physiotalk https://t.co/MxWeaOxer8
Stuart Elwell @stuartelwell
@physiotalk Understanding is key #Physiotalk
Aideen Larmer @AideenPhysio
pts make bad/misinformed choices bc they dont understand or continued dependance on professionals to make choices for them #physiotalk
JG @johngreennhs
@physiotalk Ask and then deliver. Diff ages, diff preferences, diff languages.Be prepared or be responsive. #physiotalk
Dr Phyllis Easton @EastonPhyllis
Lots of people prefer videos for #healthliteracy but like other internet info they need to be quality assured #physiotalk
physiotalk @physiotalk
RT @EastonPhyllis: Lots of people prefer videos for #healthliteracy but like other internet info they need to be quality assured #physiotalk
Aideen Larmer @AideenPhysio
RT @physiotalk: In case you think consequences are inconsequential... This from Jonathan Berry blog #physiotalk https://t.co/MxWeaOxer8
physiotalk @physiotalk
@EastonPhyllis Can you suggest how we might quality assure this type of information? #physiotalk
Aideen Larmer @AideenPhysio
RT @EastonPhyllis: Unless you check for understanding you can never be sure that the person will be able to follow your advice #physiotalk
Aideen Larmer @AideenPhysio
@physiotalk easier to cover all levels of understanding with written documents but can't check theyve understood/read it #physiotalk
JG @johngreennhs
@AideenPhysio Patient education key to helping them make informed choices. Their health, their lives, their decisions #physiotalk
Dr Phyllis Easton @EastonPhyllis
@physiotalk Recommend websites and resources that are useful. Need to build staff knowledge. We are testing respiratory videos with patients #physiotalk
physiotalk @physiotalk
Into the last 10 minutes of tonight's chat - next question coming up... #physiotalk
Aideen Larmer @AideenPhysio
RT @johngreennhs: @AideenPhysio Patient education key to helping them make informed choices. Their health, their lives, their decisions #ph
Luto @LutoResearch
RT @johngreennhs: @AideenPhysio Patient education key to helping them make informed choices. Their health, their lives, their decisions #ph
Janet Thomas @JanetThomas47
@EastonPhyllis @physiotalk Sounds interesting - well received? #physiotalk
Luto @LutoResearch
@johngreennhs @AideenPhysio Well said! #Physiotalk
physiotalk @physiotalk
Q How can issues with health literacy affect self management? #physiotalk
Dr Phyllis Easton @EastonPhyllis
@JanetThomas47 @physiotalk Videos well received and can be played over and over until understood - mainly how to use inhalers #physiotalk
Janet Thomas @JanetThomas47
@EastonPhyllis @physiotalk Sounds a great idea - knowing how badly inhalers can be used at times :) #physiotalk
Freya Sledding @SleddingFreya
RT @physiotalk: #physiotalk https://t.co/PQ2JFXItij
Aideen Larmer @AideenPhysio
@physiotalk You cant manage a problem you don't understand! #physiotalk
physiotalk @physiotalk
RT @AideenPhysio: @physiotalk You cant manage a problem you don't understand! #physiotalk
JG @johngreennhs
@AideenPhysio @physiotalk But some patients may not be able to read #physiotalk. Individual preference impt. Ask to understand what that may be. Let us not assume.
Rupam Sarkar #StayHomeStaySafe 🇮🇳 @rupamsarkar72
#physiotalk hye physio Student from India
Dr Phyllis Easton @EastonPhyllis
@AideenPhysio @physiotalk Agreed. Self management crucial area for #healthliteracy Safety issues important #physiotalk
physiotalk @physiotalk
@AideenPhysio So do we decide what level of understanding they need? #physiotalk
Aideen Larmer @AideenPhysio
@physiotalk Role change in PT in recent years from givers of treatment to facilitators of treatment/self-Mx - key difference being education #physiotalk
Dr Phyllis Easton @EastonPhyllis
@physiotalk @AideenPhysio AskMe3 helpful with this i.e. Main problem, what do they need to do and why is it important that they do it #physiotalk
physiotalk @physiotalk
@AideenPhysio Which really brings us back to why an understanding of #healthliteracy vital for us :) #physiotalk
physiotalk @physiotalk
RT @EastonPhyllis: @physiotalk @AideenPhysio AskMe3 helpful with this i.e. Main problem, what do they need to do and why is it importa…
physiotalk @physiotalk
@EastonPhyllis @AideenPhysio This program? https://t.co/zqNqPVKOHj #physiotalk
Naomi McVey 🐝 @NaomiMcVey
@johngreennhs @AideenPhysio @physiotalk and so many health documents not written in plain English #physiotalk
Aideen Larmer @AideenPhysio
@physiotalk Ideally full understanding but enough to understand rational for Rx and self-Mx as min, inc how to stop worsening/reoccuring #physiotalk
Dr Phyllis Easton @EastonPhyllis
@physiotalk @AideenPhysio Yes that is the AskMe3 programme recommended for #healthliteracy #physiotalk
JG @johngreennhs
@physiotalk @AideenPhysio No. Many may be happy with @ArthritisRUK leaflets for eg while some may want the full SR. Patient decides not the HCP #physiotalk
physiotalk @physiotalk
That's an hour up already - thank you for taking part tonight (esp if you had a bank holiday!) #physiotalk
physiotalk @physiotalk
Thank you to @EastonPhyllis for helping out with some specific information. #physiotalk
physiotalk @physiotalk
Lots of resources on our blog post - and I'll add any extras and the transcript from tonight #physiotalk
Aideen Larmer @AideenPhysio
@physiotalk I guess sometimes we have to judge their engagement, but catch 22 as they won't engage if they don't understand #physiotalk
Dr Phyllis Easton @EastonPhyllis
@physiotalk My pleasure. Really interesting discussion and happy to continue conversations with you as you develop your practice #physiotalk
physiotalk @physiotalk
RT @EastonPhyllis: @physiotalk My pleasure. Really interesting discussion and happy to continue conversations with you as you develop your…
JG @johngreennhs
@NaomiMcVey @AideenPhysio @physiotalk patient collaboration in producing such material vital. The language HCP's use can often mean little/nothing to our patients. #physiotalk
physiotalk @physiotalk
Our next #physiotalk chat is a WCPT congress special with @tracyjbury & @ekstokes on 12th June https://t.co/XBxFyYcny8
physiotalk @physiotalk
RT @johngreennhs: @NaomiMcVey @AideenPhysio @physiotalk patient collaboration in producing such material vital. The language HCP's u…
Janet Thomas @JanetThomas47
@johngreennhs @NaomiMcVey @AideenPhysio @physiotalk We used to have a 'readability' check from a patient panel but don't think is still available #physiotalk
Luto @LutoResearch
@physiotalk Thank you. It's important to spread the word about the value of #HealthLiteracy! #physiotalk
physiotalk @physiotalk
RT @LutoResearch: @physiotalk Thank you. It's important to spread the word about the value of #HealthLiteracy! #physiotalk
physiotalk @physiotalk
I'll collate the transcript shortly #physiotalk
#PhysioTalk content from Twitter.