Pleasant Andrew
Canyon Ranch Institute and Global Health Literacy Research.
Stud Health Technol Inform. 2017;240:127-143.
Canyon Ranch Institute and Health Literacy Media are a 501(c)3 non-profit public charity working to improve health based on the best evidence-based practices of health literacy and integrative health. As an organization, we offer a spectrum of health literacy work extending from plain language services to intensive community-based interventions. (See www.canyoranchinstitute.org & www.healthliteracy.media) In this chapter, we discuss the methodologies and outcomes of two of those community-based interventions - the Canyon Ranch Institute Life Enhancement Program and our Theater for Health program. Perhaps uniquely, an underpinning approach to both efforts is based on the increasing body of evidence of health literacy as a social determinant of health. Therefore, our research and evaluation of these programs captures not only changes in knowledge, attitudes, and beliefs but explicitly includes changes in informed behavior change and objective health outcomes as well. Our work makes it clear - that if you engage people in a health literate approach to informed behavior change (and respect their knowledge of their own lives and context) you can help people help themselves to better health. Further, from the perspective of health as a right and a resource for living, we find people who advance their health use this resource to continually better their own and their family's lives as well as the communities where they live. Hopefully, the examples provided in this chapter provide a sense of direction and motivation to others to fully explore the potential of health literacy to improve health and well-being, increase satisfaction with life, and produce health outcomes at a lower cost.
峡谷牧场研究所和健康素养媒体是一家501(c)3非营利性公益组织,致力于依据健康素养和综合健康的最佳循证实践来改善健康状况。作为一个组织,我们提供一系列健康素养工作,范围从通俗易懂的语言服务到深入的社区干预措施。(见www.canyoranchinstitute.org和www.healthliteracy.media)在本章中,我们将讨论其中两项基于社区的干预措施的方法和成果——峡谷牧场研究所生活提升项目和我们的健康戏剧项目。或许独特的是,这两项工作的一个基本方法是基于越来越多将健康素养作为健康的社会决定因素的证据。因此,我们对这些项目的研究和评估不仅涵盖知识、态度和信念的变化,还明确包括明智的行为改变和客观健康结果的变化。我们的工作清楚地表明——如果你让人们以具有健康素养的方式进行明智的行为改变(并尊重他们对自己生活和背景的了解),你就能帮助人们自助以实现更健康的状态。此外,从健康作为一种权利和生活资源的角度来看,我们发现那些改善自身健康的人会利用这一资源不断改善自己和家人的生活以及他们所居住的社区。希望本章提供的示例能为其他人提供方向感和动力,促使他们充分探索健康素养在改善健康和幸福、提高生活满意度以及以更低成本产生健康结果方面的潜力。