The 2008 recession had long-lasting economic effects that made everyday experiences of precarity more prevalent in many countries. Within a broader neoliberal context, however, the prevalence of precarity and its social production tends to be obscured, leading to a need for actions aimed at enhancing social awareness and informing social change. In this article, we illustrate how the precarity associated with long-term unemployment, which persisted at historically high levels through 2018, can be made visible by analyzing the mobilities of occupational engagement. Our illustrations derive from a larger four-phase collaborative ethnography conducted in the United States and Canada between 2014 and 2018. Informed by a critical occupational science perspective, the study utilized multiple methods to generate data with participants who self-identified as being long-term unemployed. One of those methods, occupational mapping, explored how participants negotiated daily routines and occupations at the local scale during their unemployment. Analysis of four exemplar cases, as informed by the mobilities paradigm, illuminates the lived impacts and geospatial effects of precarity on everyday occupations in situations of long-term unemployment. Findings contribute to the wider examination of how precarity is spatially experienced within the situation of long-term unemployment as reflected in people's (im)mobilities and occupational engagement.
Introduction
Health literacy and its associated communication practices are critical to patient-centered care and have been endorsed by various associations as important for health professional training. Unfortunately, there is little published literature on how to teach health literacy to medical students and health professionals.
Methods
We developed a two-part curriculum during a required module for medical students including an introductory session in their first year and a skill-building workshop in their second year. In the workshop, students studied, observed, and practiced three health literacy communication techniques: teach-back, avoiding jargon, and effective questioning.
Results
The workshop was implemented with approximately 100 second-year medical students as part of a course in their required curriculum. Results of a Wilcoxon rank sum test of pre/post survey responses showed a statistically significant move towards conviction of importance and confidence in ability to use three health literacy techniques.
Discussion
A skills-based workshop on health literacy skills can improve medical students' conviction and confidence in using health literacy communication practices.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.