On health literacy and health outcomes: Background, impact, and future directions

Rudd, Rima E.; Groene, Oana R.; Navarro-Rubio, María Dolores

doi:10.1016/j.cali.2013.03.003

Cited by 30 publications

(26 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous HL models have described an individual's capability to nd and act on obtained information as a main contributor to health outcomes [89]. However, investigations are beginning to report that HL is a shared responsibility between patients and care providers and as such suggest including the complexity of the healthcare system in conceptualizing a HL model [52,53,81]. A HL researcher echoed this sentiment: "Most of the HL work myopically focuses on the patient side.…”

Section: Discussionmentioning

confidence: 99%

A Conceptual Model of Functional Health Literacy to Improve Chronic Airway Disease Outcomes

Poureslami

FitzGerald

Tregobov

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Current conceptual models of health literacy (HL) illustrate the link between HL skills and health outcomes. However, these models fail to recognize and integrate certain elements of disease management, health system factors, and socio-demographic factors into a comprehensive framework. This article summarizes the process of developing a Chronic Airway Disease Management and Health Literacy (CADMaHL) conceptual model.Methods: The proposed CADMaHL model is developed within the following six stages: (1) Systematic review of HL measurement tools. (2) Patient-oriented focus group sessions. (3) HL and health professions (key-informants) interviews. (4) Attain perspectives and feedback of respirologists. (5) Develop a HL measurement tool for chronic airway disease (CAD) patients (e.g., asthma and COPD), pilot test, and tool modification. (6) Tool validation with asthma and COPD patients. Results: Throughout the study process, patient population groups, an advisory panel of HL experts, clinician scientists, and researchers reviewed the information acquired. This review process enabled us to organize the CADMaHL model into 6 primary modules, including INPUT, consists of four HL core components (access, understand, communicate, evaluate) and numeracy skill; OUTPUT, includes use/application of the obtained information; OUTCOME, covers patient empowerment in performing self-management practices by applying HL skills; ASSESSMENT, comprises HL assessment tools and strategies; IMPACT, includes mediators between HL and health outcomes; and CROSSCUTTING FACTORS, consists of diverse socio-demographics and health-system factors with applicability across the HL domains.Conclusions: We developed and validated the proposed HL tool using the CADMaHL model. We anticipate that the model may inform development of interventions aiming to improve HL and disease management outcomes of CAD patients, by properly identifying and mitigating HL gaps among these patient population groups.

show abstract

Section: Discussionmentioning

confidence: 99%

A Conceptual Model of Functional Health Literacy to Improve Chronic Airway Disease Outcomes

Poureslami

FitzGerald

Tregobov

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Another way to improve navigation is to train skilled staff to be able to respond competently to questions about directions [5]. In designing a navigation system that meets the criteria of an HLO (see e.g., Brach et al [22]), a number of studies implement the "First Impression Toolkit", using the "First Impression and Walking Interviews" [69] on site and in experiencing the telecommunications services (i.e., website, telephone) of the organization [70,71]. Members or external persons of the organization have to take a walk through the buildings and on the premises, while completing a number of tasks that enable them to perceive their organization with, as far as possible, the eyes of a "stranger".…”

Section: Implications To Strengthen Ohl In Facilities For People Withmentioning

confidence: 99%

Organizational Health Literacy in Facilities for People with Disabilities: First Results of an Explorative Qualitative and Quantitative Study

Rathmann

Vockert

Wetzel

et al. 2020

IJERPH

View full text Add to dashboard Cite

To date, studies on individual and organizational health literacy (OHL) in facilities for people with disabilities are scarce. Thus, the aims of this study are (1) to adapt an existing instrument for measuring organizational health literacy (OHL), namely, the “Health literate health care organization scale” (HLHO-10), to the context of facilities for people with disabilities, (2) to quantitatively examine characteristics of OHL, and (3) to qualitatively assess the definition and role of OHL by interviewing managers and skilled staff. An online study in Germany with N = 130 managers and skilled staff in facilities for people with disabilities was conducted, using the adapted HLHO-10 questionnaire. Univariate analyses were applied. Qualitative content analysis was used to investigate interview data from N = 8 managers and skilled staff from N = 8 facilities for people with disabilities in Hesse, Germany. Quantitative results revealed that respondents reported a below-average level in HLHO-10, with the lowest level found in the attribute of participative development of health information. The qualitative findings showed a clear need for improved navigation to and in facilities. The quantitative and qualitative findings are mainly consistent. Future research and measures should focus on facilities for people with disabilities in order to strengthen the development of and access to target-group-specific health information, as well as to establish a health-literate working and living environment.

show abstract

“…Individuals' health literacy is influenced by factors that include reading, comprehension, and writing skills, but organizational policy and regulations also affect health literacy, and it remains challenging to embed health literacy principles into routine practice (Batterham et al, ). Health care systems, where the emphasis is on the quality of delivery of health care services through effective communication between patients and their health care providers, demonstrate more success with improving their patients' health literacy and overall treatment outcomes (Macabasco‐O'Connell & Fry‐Bowers, ; Rudd, Groene, & Navarro‐Rubio, ). Health care providers' ability to appropriately and adequately assess the health literacy of their patients is the basis of successful health education, health promotion and community health campaigns (Batterham et al, ).…”

Section: Introductionmentioning

confidence: 99%

Nurses' knowledge of health literacy, communication techniques, and barriers to the implementation of health literacy programs: A cross‐sectional study

Nantsupawat

Wichaikhum

Abhicharttibutra

et al. 2020

Nursing & Health Sciences

View full text Add to dashboard Cite

Nurses' health literacy knowledge and communication skills are essential for improving patients' health literacy. Yet, research on nurses' health literacy knowledge and perception is limited. The study aimed to evaluate nurses' health literacy knowledge, communication techniques, and barriers to the implementation of health literacy interventions. A cross‐sectional study was used, and a total of 1697 nurses in 104 community hospitals in Thailand completed self‐report measures. Approximately 55% of the participants had heard about the concept of health literacy; 9% had received formal training specific to interaction with patients with low health literacy. About 50% of the nurses were aware of their patients' low health literacy; therefore, they applied the recommended communication techniques for them. Delivery of effective health literacy training was hampered by a lack of assessment tools, health literacy training and specialists, educational materials, and health provider time. Hospital administrators, nurse managers, health leaders should develop strategies to create environments and resources supporting health literacy interventions.

show abstract

On health literacy and health outcomes: Background, impact, and future directions

Cited by 30 publications

References 14 publications

A Conceptual Model of Functional Health Literacy to Improve Chronic Airway Disease Outcomes

A Conceptual Model of Functional Health Literacy to Improve Chronic Airway Disease Outcomes

Organizational Health Literacy in Facilities for People with Disabilities: First Results of an Explorative Qualitative and Quantitative Study

Nurses' knowledge of health literacy, communication techniques, and barriers to the implementation of health literacy programs: A cross‐sectional study

Contact Info

Product

Resources

About