Did I explain it right?
Your care team gave you a new medicine today. Let’s make sure we explained it clearly. You tell it back in your own words — there are no wrong answers, only things we can say better.
Demo note: This page uses your browser’s speech features and simple keyword matching. A real deployment would use HealthLiteracyCopilot’s realtime voice agent, which understands natural speech in many languages and can hand you to a nurse at any time. Some browsers send what you say to their own service to turn it into text. If you would rather not speak, use the sample answers.
Your new medicine
- Take 1 pill, one time a day.
- Take it in the morning. Keep it by the coffee pot.
- Check your blood pressure at home each day. Write it down.
- Feel dizzy or faint? Sit down and call the clinic: (555) 010-0190.
- Keep taking it, even when you feel fine. Want to stop? Call us first.
Tell it back
The microphone uses your browser’s speech service, which may send your voice to its provider (such as Google or Apple). Typing keeps your answer on this device.
No microphone? Try a sample answer:
Key points we’re checking
Conversation transcript (captions)
The conversation will appear here, word for word.
You’ve got it. Here’s your plan.
Questions anytime? Call the clinic: (555) 010-0190. If you have chest pain, trouble breathing, or fainting, call 911.
Why this works
| Evidence basis | Teach-back is recommended by AHRQ’s Health Literacy Universal Precautions Toolkit (Tool 5) and the IHI/“Always Use Teach-back!” program: the clinician checks their own explanation by asking the patient to explain in their own words, then re-teaches and re-checks (“chunk and check”). Teach-back is associated with better understanding and recall. Speaking rather than reading helps people with low vision or limited literacy. |
|---|---|
| Technique rules built in | Open-ended prompts only (“How will you…?”, “What will you do if…?”). Never “Do you understand?”. The burden is on the explainer (“I want to make sure I explained it well”). Re-teach uses simpler words and one idea at a time. Misconceptions (e.g., “two times a day”) are corrected without blame. |
| BCTs | 4.1 Instruction on how to perform the behavior · 6.1 Demonstration (spoken model) · 8.1 Behavioral practice/rehearsal · 2.2 Feedback on behavior · 7.1 Prompts/cues (coffee-pot cue) · 1.4 Action planning (printed plan). |
| COM-B target | Capability (psychological): knowing how and when. Opportunity: routine cue. Motivation: confidence from getting it right. |
| Persona | “Harold, 71” — hard of hearing in one ear (captions always on), prefers talking to reading, lives alone, worried about falls. Simulated persona testing (not patients) raised the dizziness point to a top-level step. |
| How HealthLiteracyCopilot would make it | From clinician-approved medication instructions, HealthLiteracyCopilot would extract the key points, write plain re-teach lines and open-ended prompts, build a misconception bank, and try the companion with simulated participants (not patients) before release. A real version would use a realtime voice capability with safety escalation to a nurse; spoken re-teach lines use a disclosed synthetic voice. It never assesses symptoms. |
| What a pilot would measure | Key points restated on first try vs after re-teach, calls to the nurse line, missed-dose self-report, 30-day medication adherence (PDC), BP readings logged. Measures a pilot would track, not results or promised effects. |