Consideration of health literacy in implementation science

Abstract

This version may be subject to change during the production process.

Shifts in Diabetes Health Literacy Policy and Practice in Australia—Promoting Organisational Health Literacy

“…Subsequently, the improved accessibility of DSME information, led by Diabetes Australia and NDSS, could be a key factor in promoting a more health literate environment in Australia. The improvements in audience reach align with the Australian Commission on Safety and Quality in Health Care, which legislates health literacy for safe and quality healthcare [44], and the ten attributes of organisational health literacy [19]. Audience engagement and reach have been shown to build more enduring and mutually beneficial relationships with the public that can support building trust and strengthening ties with the targeted population [57].…”

“…Organisational health literacy is an organisational-wide effort to transform an organisation's delivery of care and services to make it easier for people to navigate, understand and use information and services to care for their health [18]. Seminal work by the Institute of Medicine's Roundtable on Health Literacy identified ten attributes of health literate organisations [19]. Among others, these include leadership that promotes health literacy integral to its mission, structure and operations; co-design; implementation and evaluation of health information and services; culture of innovation; and the distribution of print, audio-visual and social media content that is easy to understand and act on [19].…”

“…Seminal work by the Institute of Medicine's Roundtable on Health Literacy identified ten attributes of health literate organisations [19]. Among others, these include leadership that promotes health literacy integral to its mission, structure and operations; co-design; implementation and evaluation of health information and services; culture of innovation; and the distribution of print, audio-visual and social media content that is easy to understand and act on [19].…”

“…Since then, several reviews have focused on effective strategies for creating health literate organisations, providing insight into implementation barriers and enablers [18][19][20][21][22]. Based on their review, Charoghchian Khorasani and colleagues concluded that shifting to a health literate organisation requires radical, concurrent and multiple changes, because integration is complex and health literacy is rarely integrated into healthcare organisations' vision and strategic planning [20].…”

A Health Equity Implementation Approach to Child Health Literacy Interventions

“…The role and relationship between health literacy and intervention implementation is multi-faceted and under-researched. A recent review [ 25 ] revealed three key ways in which health literacy features in intervention implementation: (1) in designing and developing interventions, (2) as a contextual factor influencing implementation success, and (3) as an outcome the healthcare intervention [ 25 ]. Overall, however, there is a lack of recognition of the importance of health equity informed implementation of health literacy interventions, and the role that implementation science in facilitating health literacy is under-researched.…”