From Shame to Support: A Better Approach to Patient Behavior Change
Description
In Episode 3 of our health literacy series, Dr. Rhiannon Winsor and Dr. Catina O'Leary explore what it really takes for healthcare leadership to support clear communication and meaningful behavior change. Dr. O'Leary shares why health systems often struggle to prioritize health literacy, how external experts can help overcome internal barriers, and why written materials—not just verbal explanations—are critical for safety and understanding.
They discuss the realities of behavior change, the importance of starting with what patients want to do, and the need for small, achievable action steps instead of shame-based instruction. The conversation also dives into patient self-advocacy, power dynamics in the exam room, and why everyone deserves a provider they feel comfortable communicating with.
Dr. O'Leary closes with a practical, high-impact recommendation: leaders should walk their own hallways with fresh eyes and evaluate whether their signage and environment genuinely help patients navigate care.



