The Neglected Constructs of Health Literacy, Shared Decision-Making, and Patient-Centered Care in Behavioral Health: An Integrated Model

Willis, Brendan; O’Donohue, William

doi:10.1007/978-3-319-93003-9_8

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…In the DPN patients in this study, there was a positive correlation between HL and self‐management, and the higher the HL the higher their self‐management ability. Because patients with higher HL have a greater sense of subjective motivation and behaviour change (Parnell et al, 2019 ) and will actively seek and practice health‐friendly behaviours (Willis & O'Donohue, 2018 ), the level of self‐management will successively increase (Zhang, Huang, et al, 2021 ). And they are more likely to realize the importance of self‐management so that they can achieve active self‐management and adhere to it in the long term (Zhang, Huang, et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Correlation between health literacy and health‐related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self‐management

Gao

Yan

et al. 2022

Nursing Open

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Aim The aims of the study were to analyse the current situation of health literacy (HL), self‐management and health‐related quality of life (HRQOL) in patients with diabetic peripheral neuropathy (DPN), to explore the correlation between the three and to verify the mediating role of self‐management in HL and HRQOL. Design A cross‐sectional survey. Methods The convenience sampling method was used to select 401 DPN patients attending the First Hospital of Jinzhou Medical University in Liaoning Province, China, from December 2020 to December 2021 as the study population. The research instrument included socio‐demographic characteristics questionnaire, Health Literacy Management Scale (HeLMS), Summary of Diabetes Self‐Care Activities (SDSCA) and Short‐Form 12‐item Health Survey (SF‐12). SPSS 25.0 was applied to the data for descriptive analysis, Pearson correlation analysis and stratified multiple regression analysis. Mediating effects were tested using SPSS PROCESS macro 4.0 software. Results HL and self‐management of DPN patients correlated positively with HRQOL. The mediation role of self‐management was significant in the relationship between HL and physical and mental HRQOL (physical component summary: β = 0.26, P < 0.01; mental component summary: β = 0.18, P < 0.01), with mediating effects accounting for 35.62% and 34.62% of the total effect. Conclusions There was a positive correlation between HL, self‐management and HRQOL in patients with DPN. Self‐management plays a partially mediating role in the relationship between HL and HRQOL in DPN patients. It means that HRQOL in this population can be improved by increasing HL and thus self‐management in DPN patients. Patient or Public Contribution None.

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Section: Discussionmentioning

confidence: 99%

Correlation between health literacy and health‐related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self‐management

Gao

Yan

et al. 2022

Nursing Open

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“…Finally, patient knowledge and engagement include strategies to promote patient involvement in the health care system and process (e.g., engaging patients in health decision-making and establishing self-care goals) [ 56 , 58 ] and self-management ability and skills [ 59 , 60 ]. Based on this, we recommend that practices related to improving OHL, use relevant strategies in these quality improvement characteristics can decrease the patient’s offer and demands and enhance patient’ self-management [ 29 , 61 ].…”

Section: Discussionmentioning

confidence: 99%

Review of Organizational Health Literacy Practice at Health Care Centers: Outcomes, Barriers and Facilitators

Khorasani

Sany

Tehrani

et al. 2020

IJERPH

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The term organizational health literacy (OHL) is a new concept that emerged to address the challenge of predominantly in patients with limited health literacy (HL). There is no consensus on how OHL can improve HL activities and health outcomes in healthcare organizations. In this study, a systematic review of the literature was conducted to understand the evidence for the effectiveness of OHL and its health outcome, and the facilitators and barriers that influence the implementation of OHL. A literature search was done using six databases, the gray literature method and reference hand searches. Thirteen potentially articles with data on 1254 health organizations were included. Eight self-assessment tools and ten OHL attributes have been identified. Eleven quality-improvement characteristics and 15 key barriers were reviewed. Evidence on the effectiveness of HL tools provides best practices and recommendations to enhance OHL capacities. Results indicated that shifting to a comprehensive OHL would likely be a complex process because HL is not usually integrated into the healthcare organization’s vision and strategic planning. Further development of OHL requires radical, simultaneous, and multiple changes. Thus, there is a need for the healthcare system to consider HL as an organizational priority, that is, be responsive.

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“…Despite being acknowledged as a key determinant of quality improvement in healthcare systems, to date limited attention is evident in the scholarly literature regarding renal services/ organizations embedding OHL [6]. Willis and O'Donoghue [35] believed the improvement of communication practice in healthcare systems to be instrumental in promoting productive interaction/communication. In CKD, knowledge and engagement strategies should encourage patient (and carers) involvement at all points in the design/redesign of healthcare systems, functions, and processes.…”

Section: Organizational Hlmentioning

confidence: 99%

The Shift from Individual to Organizational Health Literacy: Implications for Kidney Healthcare Leaders and Clinicians

Smith,

Lui,

Kalantar-Zadeh

et al. 2023

Nephron

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As a social determinant of health, health literacy has a vital role in the management of chronic disease management, including chronic kidney disease (CKD). To be able to manage their condition, patients with CKD need to be able to assess, comprehend, appraise, and utilize complex health-related information. Those patients are much more likely to understand and use health information appropriately, if it addresses their personal needs related to language, culture, educational background and socioeconomic status. One aspect of health literacy, organizational health literacy (OHL), relates to the degree with which health organizations justifiably empower patients to locate, understand and utilize health information and facilities to inform their decision-making and health behaviours. With increasing evidence-based about OHL as a way to improve healthcare, it is a new concept for kidney clinicians. As producers of health-related information, the multidisciplinary kidney healthcare team have a responsibility to meet the needs of those in their care, as such, priority should be given to implementation of OHL initiatives. Through enhancing the clarity of information, OHL initiatives may provide a game plan for person-centred care for those with CKD.

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The Neglected Constructs of Health Literacy, Shared Decision-Making, and Patient-Centered Care in Behavioral Health: An Integrated Model

Cited by 5 publications

References 31 publications

Correlation between health literacy and health‐related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self‐management

Correlation between health literacy and health‐related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self‐management

Review of Organizational Health Literacy Practice at Health Care Centers: Outcomes, Barriers and Facilitators

The Shift from Individual to Organizational Health Literacy: Implications for Kidney Healthcare Leaders and Clinicians

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