SRFP028: Developing In-office Cholesterol Management Education for a Vulnerable Population

Maria Rodriguez; Nora Gimpel, MD; Marcus Hurt, CPMSM

Abstract

Context: In an uninsured, mostly low-income and immigrant patient population, helping patients control their high cholesterol is complicated by barriers such as language differences. A first step to help patients self-manage their cholesterol is developing appropriate educational tools. Studies have shown that visual aids can enhance patient understanding of their chronic condition, potentially addressing literacy and language concerns.

Objective: Develop and evaluate a visual, educational tool to help patients learn about the causes and management of high cholesterol.

Human Subjects Review: UTSW IRB pending approval

Design: Pre-post design intervention study.
Instrument: 9-question cholesterol knowledge pre-survey with minimal demographic information and a 3-question health literacy portion. Post-survey repeats the 9 cholesterol questions only.

Setting: Community clinic in north Texas that serves uninsured patients who are primarily Hispanic. Most patients at the clinic speak Spanish as their preferred language.

Anticipated Results: We anticipate the visual aid will improve patient knowledge about what they can do to control their cholesterol.

Conclusion: Patients in this community have low health literacy and depend on their providers to teach them how to care for their health. We developed an educational tool that is easy to integrate into an office visit and helps patients understand what they can do to manage their cholesterol. This tool can reach every patient at the clinic since it is used during the visit with the provider. Moving forward, we will continue to recruit patients and evaluate the educational tool. A limitation of this project is the language barrier between some providers using the tool and the patients, although we try to address it by using a pictorial tool.
Leave a Comment
Jack Westfall
jwestfall@aafp.org 11/21/2021

Terrific project. Great poster and abstract. Thanks for sharing at NAPCRG

William R. Phillips
wphllps@uw.edu 11/22/2021

Very nice poster very early in the research results. It would be remarkable if you can prove anything with only six patients. I do hope you continue development of the educational tools and evaluate them in the clinical setting with these patients. Your pre-post study design should allow paired t-test analysis, which clearly increases your statistical power. I'm envious that you report this pamphlet can be used with all patients. In my clinic (seattle) we need 16 languages just to meet the needs of the patients who can read. I did a study once that require 55 different languages to meet the needs of 90% of the patient population. Thanks for sharing your work here at NAPCRG. - Bill Phillips

Diane Harper
harperdi@med.umich.edu 11/22/2021

Present your results in Phoenix next year! Thank you for sharing your work with NAPCRG!

Andy Pasternak
avpiv711@sbcglobal.net 11/28/2021

Great work and keep expanding this

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