the community. Both presentations, however, were focused on the healthcare setting. She challenged the presenters and other researchers to envision research questions that move the discussion out of the realm of the clinician’s office and into the field of health literacy, which is community based and outside the very narrow clinical encounter. Baker agreed with the need to move beyond the clinical encounter to include research both pre- and post-encounter. Some researchers have begun this work in the area of obesity research and behavioral change research, but the focus must be on a continuum, not just one episode of care. Another point is the need for communication about health to begin early in schools. For example, people should not graduate from high school unless they know what diabetes is. Finally, the public health messages need to be the same as what people hear in the clinics, Baker said. Familiar messages in familiar language with familiar images, otherwise there is cognitive dissonance.

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