Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review

Schapira, Marilyn M.; Swartz, Sheila; Ganschow, Pamela; Jacobs, Elizabeth A.; Neuner, Joan; Walker, Cindy M.; Fletcher, Kathlyn E.

doi:10.1177/2381468317714474

Cited by 38 publications

(34 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although disease knowledge alone does not ensure required behavior modifications, the assessment of patients’ disease knowledge is a cornerstone is designing tailored health educational intervention 11,12. Diabetes education, with consequent improvements in patients’ knowledge about disease and self-care activities, results in achieving optimal glycemic control and reduction in disease-related complications 8,13…”

Section: Introductionmentioning

confidence: 99%

<p>Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus</p>

Bukhsh¹,

Khan²,

Nawaz³

et al. 2019

DMSO

View full text Add to dashboard Cite

Objective This study explored the relationship of disease knowledge with glycemic control and self-care practices in adult Pakistani people diabetes (PWD). Methods People diagnosed with type 2 diabetes (n=218) were selected from three health care centers, located in different cities of Pakistan. Disease knowledge and self-care practices were assessed by Urdu versions of Diabetes Knowledge Questionnaire (DKQ) and Diabetes Self-Management Questionnaire (DSMQ), using a cross-sectional design. Chi-square and correlation analysis were applied to explore the relationship of disease knowledge with glycemic control and self-care practices. Linear regression was used to explore the predictors for disease knowledge. Results Majority of the sample was >45–60 years old (48.8%), suffering from type 2 diabetes mellitus for <5 years (49.5%) and had poor glycemic control (HbA1C≥7%; n=181 participants). Disease knowledge was significantly associated ( p <0.05) with patient’s gender, level of education, family history of diabetes, nature of euglycemic therapy, and glycemic control. Correlation matrix showed strongly inverse correlations of DKQ with glycated hemoglobin levels (r=−0.62; p <0.001) and strongly positive with DSMQ sum scale (r=0.63; p <0.001). PWD having university-level education (β=0.22; 95% Confidence Interval (CI) 0.189, 0.872; p <0.01), doing job (β=0.22; 95% CI 0.009, 0.908]; p =0.046), and use of oral hypoglycemic agents in combination with insulin (β=−0.16; 95% CI [−1.224, −0.071]; p =0.028) were the significant predictors for disease knowledge. Conclusion Disease knowledge significantly correlated with glycated hemoglobin levels and self-care activities of PWD. These findings will help in designing patient-tailored diabetes educational interventions for yielding a higher probability of achieving target glycemic control.

show abstract

Section: Introductionmentioning

confidence: 99%

<p>Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus</p>

Bukhsh¹,

Khan²,

Nawaz³

et al. 2019

DMSO

View full text Add to dashboard Cite

show abstract

“…This may improve participation in the training and expected outcomes. Previous studies have also indicated positive effects of tailoring education programmes according to the needs and contexts of learners [25][26][27].…”

Section: Discussionmentioning

confidence: 98%

Implementing a layperson post-crash first aid training programme in Tanzania: a qualitative study of stakeholder perspectives

et al. 2020

View full text Add to dashboard Cite

Background: In low and middle-income countries (LMICs), laypersons play a significant role in providing initial care to injured victims of traffic accidents. Post-crash first aid (PFA) training programmes for laypersons have become an important response to addressing knowledge and skills gaps in pre-hospital care. However, little is known about factors influencing effective implementation of such programmes from stakeholders' point of view. Therefore, this study aimed to explore views of stakeholders on potential factors that may facilitate or hinder successful implementation of a PFA training programme for lay persons. Methods: Twelve semi-structured qualitative interviews with leaders at a traffic police department and leaders of an association of city bus drivers, taxi drivers and motorcycle taxis in Tanzania were conducted. Interviews were audio-recorded and transcribed verbatim. A thematic analysis approach was used to identify themes and subthemes. Results: Three themes pertaining to implementation of a PFA training programme were identified: Motivation for engaging in training, Constrains for engaging in training and Training processes. They consisted of a total of six sub-themes: "perceived benefits of first aid training" and "availability of incentives" were considered as facilitators to PFA training. "Availability of time to attend training" and "accessibility of training" were reported as a potential barriers to successful training. Finally, they felt that "methods of training delivery" and "availability of first aid training materials and equipment" could either facilitate or impede delivery of PFA training. Conclusion: This study highlights potential facilitators and barriers to implementing a PFA training programme for lay persons from the perspectives of leaders from police department and associations of city bus drivers, taxi drivers, and motorcycle taxis. This may be useful information for other stakeholders, and may enable governmentlevel leaders and persons higher up in the health service hierarchy to take action to meet WHO recommendations for emergency pre-hospital care.

show abstract

“…Individualized and tailored patient education may be an effective strategy to improve knowledge and disease control indicators. [ 35 ] In a study of renal transplant recipients' experiences of participating in a new, tailored, evidence-based education program, it was found that they feel more satisfied with receiving individualized education. [ 36 ] On the other hand, participants stated that facilitating the processes using new technologies, teamwork education, and patient and family accessibility is necessary to achieve PFCE.…”

Section: Discussionmentioning

confidence: 99%

The need for renovating patient education in kidney transplantation: A qualitative study

Mahdizadeh

Oskouie

Khanjari

et al. 2020

J Edu Health Promot

View full text Add to dashboard Cite

BACKGROUND: Many kidney transplant recipients lack the knowledge, abilities, and support they need for self-care. On the other hand, most kidney transplant centers do not have a well-planned and specific training program for them, and educational interventions for kidney transplant recipients have not been adequately effective. This study aimed to describe strategies for improving patient education in kidney transplantation. MATERIALS AND METHODS: Data were collected through semi-structured individual and group interviews with 24 patients, family members, and health-care staff in one of the main kidney transplant centers in Tehran. Participants were selected purposefully, and qualitative content analysis was used to analyze the data. RESULTS: The main finding emerged from the data was the shift from current patient education program to patient- and family-centered education (PFCE). The strategies to achieve this goal were categorized into four main categories including “continuous patient and family education” (pre- and posttransplant patient education), “facilitating the process” (using new technologies, teamwork education, and patient and family accessibility), “strengthening human resources” (empowerment health-care team, allocation of human resources, promoting staffs' motivation, and updating educational content and materials), and “monitoring and evaluation” (correcting patient education recording, supervising the patient education, and appropriate educational evaluation). CONCLUSIONS: Transforming from the current patient education program to PFCE seems to be essential to increase the effectiveness of patient education in kidney transplant process. To this end, providing continuous patient and family education, facilitating the processes, strengthening human resources, and monitoring and evaluation in health-care organizations conducting the kidney transplantation is necessary.

show abstract

Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review

Cited by 38 publications

References 32 publications

<p>Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus</p>

<p>Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus</p>

Implementing a layperson post-crash first aid training programme in Tanzania: a qualitative study of stakeholder perspectives

The need for renovating patient education in kidney transplantation: A qualitative study

Contact Info

Product

Resources

About