Identifying the Preferred Method to Educate Low Income Caregivers About Common Childhood Illnesses: A Step Toward Health Literacy Through a Focus Group Study

Ohns, Mary Jean

doi:10.1016/j.pedn.2019.05.003

Cited by 4 publications

(8 citation statements)

References 6 publications

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“…[108][109][110][111][112] Many such interventions reported the corollary rationale of reducing unnecessary primary or emergency care use as a result of improved knowledge. 53,75,76,103,113,114 Unlike the primary and emergency care interventions, the majority of community and workplace-based interventions had the specific aim of improving self-care and participants' knowledge, both of illnesses (including some specific minor problems such as childhood fever or cough) [79][80][81][82][115][116][117][118][119][120][121] and when to access what service. 122,123 A smaller number of such studies explicitly reported that the aim of an intervention was to reduce use of primary care, 124 emergency care 125,126 or health services generally.…”

Section: Rationale For the Interventionmentioning

confidence: 99%

“…This might consist of written materials or information resources (e.g. websites) for specific patient groups, 81,82,98,115,116,118,123,126,132,133 for all patients in a particular primary care practice 96,104,105,138 or for all patients in a particular area or region. 53,79,80,117,122,124,125,129,139,140 Tailoring/personalisation Many interventions do not appear to have involved any element of personalisation for the intended audience, carer or patient.…”

Section: Rationale For the Interventionmentioning

confidence: 99%

“…Only 9 out of 67 articles measured health literacy among participants either at baseline or as an outcome. 88,90,108,111,118,119,121,126,136 Seven of the nine articles were conducted in the USA, and two were conducted in the UK. 108,121 The most commonly used tool was the Newest Vital Sign, 142 which was used in five studies.…”

Section: Health Literacymentioning

confidence: 99%

“…108,121 The most commonly used tool was the Newest Vital Sign, 142 which was used in five studies. 90,111,118,126,136 One of these studies also used the Short Test of Functional Health Literacy in Adults. 126,143 The remaining four studies developed their own health literacy questionnaires based on a variety of illness scenarios, 88,108 a single scenario (e.g.…”

Section: Health Literacymentioning

confidence: 99%

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Health literacy interventions for reducing the use of primary and emergency services for minor health problems: a systematic review

O’Cathain

Foster

Preston

et al. 2022

Health Soc Care Deliv Res

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Background Health literacy is the ability to find information, understand information, know how to act on information and know which services to use. Having higher levels of health literacy may help patients to look after minor problems themselves (self-care). It may also help to reduce patients’ perceived need for contacting health services for minor health problems, to reduce the perceived urgency of problems or to improve patients’ ability to identify and choose from the range of available services. Interventions to improve health literacy for minor health problems have been evaluated, but their effectiveness at reducing use of primary care and emergency services has not been synthesised. Objectives The key objectives were as follows: (1) to construct a typology of interventions that aim to reduce primary or emergency care use, (2) to synthesise evidence of the effectiveness of different types of health literacy interventions and (3) to consider how stakeholders in the UK could operationalise the evidence. Interventions The interventions being reviewed were initiatives that help members of the population to self-care or make decisions about whether or not and where to seek health care for minor health problems. Design This study was a systematic review with stakeholder involvement. Data sources and review methods A meeting was held with 14 stakeholders (including patients, carers and the public) to guide the systematic review. This was followed by a multicomponent review of quantitative and qualitative research. Database literature searches were undertaken in Ovid MEDLINE, The Cochrane Library (via Wiley Interscience), EMBASE (via OVID), the Cumulative Index to Nursing and Allied Health Literature (via EBSCO), PsycINFO (via OVID), Web of Science and Sociological Abstracts. The search was limited to English-language publications from 1990–2020. To assess study quality, the Cochrane Risk of Bias tool was used for randomised controlled trials and the Newcastle–Ottawa Scale was used for non-randomised studies. A narrative synthesis was undertaken. The review was followed by a meeting with 16 stakeholders to interpret the results. Results A total of 67 articles (64 studies) were included: 37 from the USA, 16 from the UK, 12 from the rest of Europe and two from the rest of the world. There were seven intervention types: navigation tools directing people to the range of services available (n = 7); written education about managing minor health problems in booklet or website format (n = 17); person-delivered education (n = 5); written education with person-delivered education (n = 17); multicomponent of written education, person-delivered education and mass media campaign (n = 5); self-triage (n = 9); and other (n = 7). Our team assessed the readability and user-friendliness of interventions, and found that these varied widely. When assessed, most studies measuring satisfaction with the intervention, enablement and perceived changes to behaviour showed positive results. Of 30 articles reporting impact on emergency department attendances, 19 (63%) showed a reduction, and 16/27 (59%) articles measuring impact on general practice consultations showed a reduction. Variation in the evidence base was not explained by any research, context or intervention characteristics. Only eight articles measured safety: these identified no problems. Limitations There was inconsistency in how the outcomes were measured, so a meta-analysis was not possible. Conclusions Health literacy interventions have potential to affect emergency and primary care use, but the evidence base is inconsistent. Future research It is important to continue to evaluate these types of initiatives. Study registration This study is registered as PROSPERO CRD42020214206. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme and will be published in full in Health and Social Care Delivery Research; Vol. 10, No. 38. See the NIHR Journals Library website for further project information.

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Section: Rationale For the Interventionmentioning

confidence: 99%

Section: Rationale For the Interventionmentioning

confidence: 99%

Section: Health Literacymentioning

confidence: 99%

Section: Health Literacymentioning

confidence: 99%

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Health literacy interventions for reducing the use of primary and emergency services for minor health problems: a systematic review

O’Cathain

Foster

Preston

et al. 2022

Health Soc Care Deliv Res

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“…In addition, to measure general HL among parents, several studies examined oral- [ 22 , 23 ], fever- [ 24 , 25 ], and pharmacotherapy literacy [ 26 , 27 ]. Disadvantaged parents with lower social status are emphasized in the design of studies on parental health literacy [ 28 , 29 ]. Conclusions of these studies draw attention to the positive changes in the health status and health behaviours of children through the formation of parental health literacy.…”

Section: Introductionmentioning

confidence: 99%

Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

et al. 2022

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Early childhood plays a key role in the formation of healthy habits and the establishment of health literacy. Nonetheless, there are only a few research studies focusing on the health literacy level of children under the age of eight. The aim of our systematic review is to explore empirical research on health literacy related to early childhood. The research was conducted in accordance with the PRISMA protocol. This systematic review examines 12 studies published between 2013–2022. Results show that research focuses on different domains of health literacy for children. In relation to children’s food literacy, children understand the relationship between health and nutrition and they realize the health impact of obesity. The habits connected to oral health are strongly associated with parents’ knowledge of and behaviours around oral health. Results related to health care situations show that children are able to be actively involved in decision-making processes in connection with their health. Exploring young children’s health literacy is essential in order to be able to plan health promotion interventions, embedded into early childhood education. Picture-based messages or story-based messages supported by illustrations can help measure health literacy in early childhood and can support the formation of health literacy.

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Translational Research – Adolescents and Young Adults with Chronic Conditions and Disabilities Striving for Independence in Self-Management and Navigating Healthcare Transitions

Christian

2019

Journal of Pediatric Nursing

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Identifying the Preferred Method to Educate Low Income Caregivers About Common Childhood Illnesses: A Step Toward Health Literacy Through a Focus Group Study

Cited by 4 publications

References 6 publications

Health literacy interventions for reducing the use of primary and emergency services for minor health problems: a systematic review

Health literacy interventions for reducing the use of primary and emergency services for minor health problems: a systematic review

Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

Translational Research – Adolescents and Young Adults with Chronic Conditions and Disabilities Striving for Independence in Self-Management and Navigating Healthcare Transitions

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