Interventions en littératie en santé et éducation thérapeutique : une revue de la littérature

Margat, Aurore; Gagnayre, Rémi; Lombrail, Pierre; Andrade, Vincent De; Azogui-Lévy, Sylvie

doi:10.3917/spub.176.0811

Cited by 52 publications

(23 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is a strategy that addresses not only the shortfalls of the individuals in terms of skills and knowledge but also the deficits health services may display in answering the needs of the population (for instance by increasing the readability of consent forms and improving communication skills of health care providers) [8][9][10]. This dual purpose lead to numerous investigations to better capture the scope of HL and also to devise better strategies to improve people's HL, particularly in the clinical context [11][12][13][14][15][16][17]. Adolescent programs to improve food literacy [18], patient education programs [12], vaccination [19], and mobile applications to improve alcohol HL [20] are only some of them.…”

Section: Resultsmentioning

confidence: 99%

“…This dual purpose lead to numerous investigations to better capture the scope of HL and also to devise better strategies to improve people's HL, particularly in the clinical context [11][12][13][14][15][16][17]. Adolescent programs to improve food literacy [18], patient education programs [12], vaccination [19], and mobile applications to improve alcohol HL [20] are only some of them.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Health Literacy: From a Property of Individuals to One of Communities

Kendir

Breton

2020

IJERPH

View full text Add to dashboard Cite

Health literacy (HL) is increasingly hailed as a strategy to improve the control individuals have over their health. A central critic of HL intervention is its overemphasis on individual level factors, something recognised in the 2008 report of the Commission of Social Determinants of Health (SDoH) that recommended expanding the scope of HL to cover the SDoH. The objective of our study was to assess the extent to which recent progress on HL captures the need for collective action on the SDoH. We conducted a scoping review on PubMed looking for review papers published between 2013–2018 in English and French. Definitions of HL were analysed against two main dimensions (i.e., locus of change of HL strategies and foreseen outcome of HL improvements). Despite a number of authors calling for more research on HL interventions at the community level and an expansion of the definition to cover the SDoH, we found that the recommendation of the Commission has yet to be implemented. Even when the definitions include the capacities of individuals on distal determinants, both the locus of change and outcomes of HL improvement do not go beyond intra individual factors (knowledge, skills, etc.). It is noteworthy that communities were either framed as a setting outside of health care services or as an aggregate of individuals. We found no instance of HL intervention regarding communities as complex systems of actors sharing a common space and dynamic. We conclude by suggesting a new definition of HL and by drawing attention to the research gap in addressing the upstream SDoH through HL actions.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Health Literacy: From a Property of Individuals to One of Communities

Kendir

Breton

2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Pas plus « qu'il y a un retour à l'innocence physiologique, car il y a irréversibilité de la normativité biologique » (Canguilhem, 2007), il y aurait un retour à une « innocence » psychique. Ces parcours chaotiques constituent une éducation thérapeutique par l'échec en particulier chez des populations ayant un faible niveau de littéracie en santé (Margat et al, 2017). Néanmoins, tous les groupes sociaux font preuve de résistance, à des degrés divers, face à l'idée que la guérison soit une vie avec « la maladie stabilisée » offrant la possibilité d'une réinsertion sociale.…”

Section: Les Conditions De Production Des Données Discursivesunclassified

Circulations et quêtes thérapeutiques en santé mentale au Sénégal

Petit

2019

rfst

View full text Add to dashboard Cite

show abstract

“…[ 13 ] The WHO defines health literacy (HL) as “the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health”. [ 14 ] Actually, people with LHL skills are less likely to follow preoperative medical instructions because they are not able to fully understand them, [ 13 ] which can lead them to be less adherent to the proposed care pathway. [ 12 ] Moreover, patients with LHL skills can be more passive during SDM process.…”

Section: Introductionmentioning

confidence: 99%

Outpatients’ perception of their preoperative information regarding their health literacy skills and their preoperative anxiety level

et al. 2021

View full text Add to dashboard Cite

Despite the benefits related to ambulatory surgery such as cost reduction due to lack of accommodation and patient satisfaction due to early home return, it may not lead to these expected benefits. Indeed, this kind of practice can increase responsibility for the person being treated and his or her relatives. It is therefore essential to inform them as well as possible to obtain their adherence to the proposed care protocol. Nevertheless, patients’ failures to comply with preoperative instructions or the non-attendance of the patient may result in late cancellation of the scheduled surgery. In order to reduce this kind of dysfunction, the Assistance Publique-Hôpitaux de Paris (APHP) uses a reminder system by Short Message Service (SMS). This study is a descriptive cross-sectional multicenter study that focuses on outpatients’ lived experiences of their preoperative preparation and information. It aims to collect patients’ perceptions of their ability to follow preoperative instructions received by SMS the day before an operation performed for ambulatory surgery, according to their level of health literacy (HL) and preoperative anxiety. Indeed, poor communication between patients and doctors can contribute to preoperative anxiety, while low health literacy (LHL) can lead to poor understanding of preoperative preparation instructions. Therefore, it seems important to take these 2 criteria into account in this study. This research is designed to interview outpatients undergoing ambulatory surgery in the establishments of APHP. A self-questionnaire will be used for this purpose. The choice of this institution is justified by its decision to use in all care units the reminder of preoperative instructions by SMS. The main outcome is the perception of outpatients with LHL skills regarding preoperative information provided by doctors. French ethics review committee (Comité d’Ethique de la Recherche) of the University of Paris has approved the study protocol (IRB 00012020-14). Results from this study will be disseminated through oral communications and a scientific article in an international peer-reviewed journal. This protocol is registered on researchregistry.com (researchregistry5834). This version number is 1.1 Protocol dated July 22, 2020.

show abstract

Interventions en littératie en santé et éducation thérapeutique : une revue de la littérature

Abstract: Interrelationships between HL and TPE are possible. Research should question the pedagogical modalities to be used to adapt TPE programs to the HL.

Cited by 52 publications

References 41 publications

Health Literacy: From a Property of Individuals to One of Communities

Health Literacy: From a Property of Individuals to One of Communities

Circulations et quêtes thérapeutiques en santé mentale au Sénégal

Outpatients’ perception of their preoperative information regarding their health literacy skills and their preoperative anxiety level

Contact Info

Product

Resources

About