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Gray C, Crawford G, Roberts M, Vujcich D. 'You are making it sound like you are talking to a child': exploring community sentiment on developing and disseminating tailored sexual health education resources for migrants. HEALTH EDUCATION RESEARCH 2024:cyae014. [PMID: 38568929 DOI: 10.1093/her/cyae014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 03/06/2024] [Accepted: 03/15/2024] [Indexed: 04/05/2024]
Abstract
Health communication is a critical component of public health, which includes health education resources. Resource effectiveness is improved where health literacy demands, including the cultural appropriateness of resources, match the intended audience. International guidelines support the tailoring of resources for migrants from culturally and linguistically diverse backgrounds (CaLD). Five focus groups (n = 18) and interviews (n = 9) with people from CaLD migrant backgrounds explored community perspectives on sexual health resources developed by a state department of health, specifically clarity, comprehensiveness, cultural appropriateness and strategies for dissemination. We identified three major thematic areas relating to simplicity, cultural norms and beliefs and dissemination. Participants recommended resource delivery in different formats as part of a broader intervention. Generally, sexual health information was deemed appropriate and easily understood. However, the resources used simplified language that participants reported was vague and inaccurate at times, potentially contributing to misinformation and reinforcing stigma relating both to the status of being a migrant and sexual health. Findings suggest the need for more nuanced health resource development beyond translation and language simplification. Resources developed in different formats, including different health literacy demands, using approaches that engage the target group in design and dissemination and contextualized within a comprehensive health promotion project, are likely to be more effective.
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Affiliation(s)
| | - Gemma Crawford
- Collaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA 6102, Australia
| | - Meagan Roberts
- Collaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA 6102, Australia
| | - Daniel Vujcich
- Collaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA 6102, Australia
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Gray C, Porter G, Lobo R, Crawford G. Development and evaluation of health education resources for culturally and linguistically diverse populations: a systematic review. HEALTH EDUCATION RESEARCH 2024; 39:102-118. [PMID: 36994771 DOI: 10.1093/her/cyad015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 01/13/2023] [Accepted: 03/14/2023] [Indexed: 06/19/2023]
Abstract
People from culturally and linguistically diverse (CaLD) backgrounds in Australia generally experience poorer health outcomes, explained in part by low levels of health literacy. We conducted a systematic review to examine the development and evaluation of health education resources designed for CaLD populations. Five electronic databases were searched for English language, peer-reviewed studies published between 1980 and 2020. Thirty-four studies met the inclusion criteria. Twenty-four different health education resources were described and broadly categorized into four types: media campaigns (n = 10), text-based materials (n = 5), films (n = 8) and radio (n = 1). Studies were assessed against domains adapted from a health literacy guideline incorporating: need, collaboration, audience, health literacy, theory, test and process and impact evaluation. All but one study met the majority of the domains. All studies reported positive evaluation outcomes; this may be due to studies involving community early in resource design and including health literacy considerations in their design. Reporting resource design and evaluation against standard practice controls is recommended to build a more robust evidence base for developing effective health education resources for use by audiences from CaLD backgrounds.
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Affiliation(s)
- Corie Gray
- Curtin School of Population Health, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia
| | - Georgia Porter
- Curtin School of Population Health, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia
| | - Roanna Lobo
- Curtin School of Population Health, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia
| | - Gemma Crawford
- Curtin School of Population Health, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia
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Wieczorek M, Meier C, Vilpert S, Reinecke R, Borrat-Besson C, Maurer J, Kliegel M. Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland. BMC Public Health 2023; 23:253. [PMID: 36747134 PMCID: PMC9901105 DOI: 10.1186/s12889-023-15136-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 01/24/2023] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Health literacy is the ability to find, understand, assess, and apply health information. Individuals suffering from multiple chronic conditions have complex healthcare needs that may challenge their health literacy skills. This study aimed to investigate the relationship between multimorbidity, the number of chronic conditions, and health literacy levels in a sample of adults aged 58+ in Switzerland. METHODS We used data from 1,615 respondents to a paper-and-pencil questionnaire administered as part of wave 8 (2019/2020) of the Survey of Health, Ageing and Retirement in Europe (SHARE) in Switzerland. Health literacy was measured using the short version of the European Health Literacy Survey questionnaire. The final score ranged from 0 to 16 and was categorised into three health literacy levels: inadequate (0-8), problematic (9-12), and sufficient (13-16). The number of chronic conditions was self-reported based on a pre-defined list. Associations were examined using multivariable ordinary least squares and ordered probit regression models, controlling for key socio-demographic characteristics. RESULTS Overall, 63.5% of respondents reported having at least one chronic condition. Respondents who reported one, two, and three or more chronic conditions were more likely to have lower health literacy scores compared to respondents who did not report any chronic condition (p<0.05, p<0.01, and p<0.001, respectively). Suffering from two and three or more chronic conditions (vs. no chronic condition) was significantly associated with a higher likelihood of having inadequate or problematic health literacy levels (both p-values <0.01). CONCLUSIONS Our findings suggest a need to improve health literacy in older adults suffering from chronic conditions. Improved health literacy could constitute a promising lever to empower individuals to better self-manage their health to ultimately reduce the double burden of chronic diseases and insufficient health literacy in this vulnerable population.
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Affiliation(s)
- Maud Wieczorek
- Swiss National Centre of Competence in Research LIVES - Overcoming vulnerability: Life course perspectives, University of Lausanne, Building Géopolis, CH-1015, Lausanne and Geneva, Switzerland.
| | - Clément Meier
- grid.9851.50000 0001 2165 4204Faculty of Biology and Medicine (FBM), University of Lausanne, Lausanne, Switzerland ,grid.9851.50000 0001 2165 4204Faculty of Business and Economics (HEC), University of Lausanne, Lausanne, Switzerland ,grid.9851.50000 0001 2165 4204Swiss Centre of Expertise in the Social Sciences (FORS), University of Lausanne, Lausanne, Switzerland
| | - Sarah Vilpert
- grid.9851.50000 0001 2165 4204Faculty of Business and Economics (HEC), University of Lausanne, Lausanne, Switzerland ,grid.9851.50000 0001 2165 4204Swiss Centre of Expertise in the Social Sciences (FORS), University of Lausanne, Lausanne, Switzerland
| | - Robert Reinecke
- grid.9851.50000 0001 2165 4204Swiss Centre of Expertise in the Social Sciences (FORS), University of Lausanne, Lausanne, Switzerland
| | - Carmen Borrat-Besson
- grid.9851.50000 0001 2165 4204Swiss Centre of Expertise in the Social Sciences (FORS), University of Lausanne, Lausanne, Switzerland
| | - Jürgen Maurer
- grid.9851.50000 0001 2165 4204Swiss National Centre of Competence in Research LIVES - Overcoming vulnerability: Life course perspectives, University of Lausanne, Building Géopolis, CH-1015, Lausanne and Geneva, Switzerland ,grid.9851.50000 0001 2165 4204Faculty of Business and Economics (HEC), University of Lausanne, Lausanne, Switzerland
| | - Matthias Kliegel
- grid.9851.50000 0001 2165 4204Swiss National Centre of Competence in Research LIVES - Overcoming vulnerability: Life course perspectives, University of Lausanne, Building Géopolis, CH-1015, Lausanne and Geneva, Switzerland ,grid.8591.50000 0001 2322 4988Centre for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland
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Walsh L, Hyett N, Howley J, Juniper N, Li C, MacLeod-Smith B, Rodier S, Hill S. Social Media as a Tool for Consumer Engagement in Hospital Quality Improvement and Service Design: Barriers and Enablers for Implementation. Int J Health Policy Manag 2022; 11:2287-2298. [PMID: 34814682 PMCID: PMC9808274 DOI: 10.34172/ijhpm.2021.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 11/02/2021] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Social media can be used to engage consumers in hospital service design and quality improvement (QI) activities, however its uptake may be limited by a lack of guidance to support implementation. This article presents the perceived barriers and enablers in using social media for consumer engagement derived from an interview study with public hospital stakeholders. METHODS Semi-structured interviews with 26 Australian hospital service providers and consumer representatives. Data were analysed using a deductive content analysis method. RESULTS Data were collected between October 2019 and April 2020. Facebook was the platform most commonly used for consumer engagement activities. Barriers and enablers to social media-based consumer engagement were identified. The barrier themes were (1) fears and concerns; (2) lack of skills and resources for social media engagement; (3) lack of organisational processes and support; and (4) problems with social media platforms and the changing social media landscape. The enabler themes were: (1) hospitals facilitating access and use; (2) making discussions safe; (3) cultivating a social media community; and (4) building on success. CONCLUSION Using social media to facilitate consumer engagement in hospital service design and QI activities is feasible and acceptable to service providers and consumers. Hospitals and their executives can create a supportive environment for social media-based engagement activities through developing clear governance systems and providing training and support to all users. Consumers need to be involved in co-designing social media-based activities and determining which forms of engagement are accessible and acceptable. For some consumers and service providers, barriers such as a lack of resources and distrust of social media companies might mean that social media-based engagement will be less acceptable for them. Because of this it is important that hospitals provide complementary methods of engagement (eg, face-to-face) alongside social media-based methods.
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Affiliation(s)
- Louisa Walsh
- Centre for Health Communication and Participation, La Trobe University, Bundoora, VIC, Australia
| | - Nerida Hyett
- La Trobe Rural Health School, La Trobe University, Bendigo, VIC, Australia
| | - Jayne Howley
- Independent Researcher, Melbourne, VIC, Australia
| | | | - Chi Li
- Albury Woonga Health, Wodonga, VIC, Australia
| | | | | | - Sophie Hill
- Centre for Health Communication and Participation, La Trobe University, Bundoora, VIC, Australia
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Hyatt A, Shelly A, Cox R, Humphries E, Lock G, Varlow M. How can we improve information for people affected by cancer? A national survey exploring gaps in current information provision, and challenges with accessing cancer information online. PATIENT EDUCATION AND COUNSELING 2022; 105:2763-2770. [PMID: 35465976 DOI: 10.1016/j.pec.2022.04.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 04/12/2022] [Accepted: 04/13/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Despite improved recognition regarding the importance and association between provision of high quality information for people affected by cancer and improved outcomes and experiences; gaps and unmet needs are still reported. As oncology health information provision increasingly moves online, understanding how service users experience and manage misinformation is important. Determining patient and carer preferences regarding cancer provision is needed to address outstanding gaps. METHODS This study utilised a purpose-built national cross-sectional survey distributed via social media to assess perspectives regarding cancer information in Australia. Quantitative and qualitative (open text) items assessed respondents' perspectives regarding current inforation preferences and gaps, and experiences with accessing information online. RESULTS A total of 491 people affected by cancer completed the survey. Respondents highlighted a preference for information that better addresses the diversity of cancer experience, and is more timely and responsive to personal situation and care context. Despite increasing attention to health literacy standards, complex medical jargon and terminology remains prevalent. Many respondents have concerns about misinformation, and seek improved mechanisms or skills to assist with determining the trustworthiness and relevance of information found online. CONCLUSIONS Survey responses identified current gaps in information provision for people affected by cancer. Personalised information in formats which are more flexible, accessible, and responsive to user needs are required. PRACTICE IMPLICATIONS Education and resources to target and improve digital health literacy and combat health misinformation are needed. Novel solutions co-designed by people affected by cancer will ensure that information is provided in a manner that is relevant, timely, and personalised.
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Affiliation(s)
- Amelia Hyatt
- Cancer Control Policy, Cancer Council Australia, Sydney, Australia; Department of Health Services Research and Implementation Science, Peter MacCallum Cancer Centre, Melbourne, Australia; Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Australia
| | - Amy Shelly
- Strategy and Support Division, Cancer Council Victoria, Melbourne, Australia
| | - Raylene Cox
- Cancer Control Policy, Cancer Council Australia, Sydney, Australia; Cancer Prevention and Support Services, Cancer Council Tasmania, Hobart, Australia
| | | | - Gemma Lock
- Cancer Support and Information, Cancer Council Queensland, Brisbane, Australia
| | - Megan Varlow
- Cancer Control Policy, Cancer Council Australia, Sydney, Australia.
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Gan W, Zhang Q, Yang D, Yin J, Wang Y, Song L, Chen T, Qi H. A behavior change wheel-based interactive pictorial health education program for hypertensive patients with low blood pressure health literacy: study protocol for a randomized controlled trial. Trials 2022; 23:369. [PMID: 35505379 PMCID: PMC9066838 DOI: 10.1186/s13063-022-06300-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 04/12/2022] [Indexed: 11/10/2022] Open
Abstract
Background The prevalence of hypertension is increasing worldwide. Hypertension self-management usually involves the application and consideration of oral, written, or quantitative information. Hypertensive patients in China have limited high blood pressure health literacy (HBP-HL), which may lead to poorer clinical outcomes. This study aims to determine the feasibility and effectiveness of an interactive pictorial health education program based on behavior change wheel (BCW) theory and its effect on HBP-HL, self-efficacy, self-management ability, and health-related quality of life (HRQOL) in hypertensive patients with low HBP-HL. Methods This study is a randomized controlled trial (RCT). One of the municipal districts in Huzhou, China, will be randomly selected, and two communities with similar conditions within this district will be screened and selected. A total of 120 hypertensive patients aged 18 years and older will be recruited from these two community settings. One of the communities will be randomly allocated to an interactive pictorial health education program conducted by a comprehensive health literacy strategy that includes (i) training participants in effective health communication skills that address issues encountered in seeking medical care and (ii) the use of self-developed interactive pictorial hypertension education to improve patient understanding and behaviors versus a control group (routine community lecture health education only). The primary outcome measure is HBP-HL. Secondary outcomes are self-efficacy, self-management ability, HRQOL, social support, and improvement in blood pressure. Outcomes will be collected at 6, 9, and 12 months from trial entry. Discussion The strengths of this study are the establishment of a new health management program for hypertensive patients that closely combines BCW theory and health literacy. This trial has the potential to improve HBP-HL in hypertensive Chinese patients with low health literacy to improve the self-management of hypertension and help control blood pressure. Trial registration Clinical Trials.gov Protocol Registration and Results System ID NCT04327102. Prospectively registered on February 29, 2020
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Affiliation(s)
- Wei Gan
- School of Medicine & Nursing Sciences, HuZhou University, Huzhou, Zhejiang, China
| | - Qinghua Zhang
- School of Medicine & Nursing Sciences, HuZhou University, Huzhou, Zhejiang, China.
| | - Dan Yang
- School of Medicine & Nursing Sciences, HuZhou University, Huzhou, Zhejiang, China
| | - Jinyu Yin
- School of Medicine & Nursing Sciences, HuZhou University, Huzhou, Zhejiang, China
| | - Yujie Wang
- School of Medicine & Nursing Sciences, HuZhou University, Huzhou, Zhejiang, China
| | - Li Song
- School of Medicine & Nursing Sciences, HuZhou University, Huzhou, Zhejiang, China
| | - Ting Chen
- Present address: Department of Nursing, Jiangxi Medical College, Shangrao, Jiangxi, China
| | - Huan Qi
- Present address: School of Nursing, Gannan Medical University, Ganzhou, Jiangxi, China
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7
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McDonald CE, Remedios LJ, Cameron KL, Said CM, Granger CL. Barriers, Enablers, and Consumer Design Ideas for Health Literacy Responsive Hospital Waiting Areas: A Framework Method Analysis. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2021; 15:207-221. [PMID: 34384257 DOI: 10.1177/19375867211032926] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
AIM The study aim was to (1) investigate the barriers and enablers experienced by consumers to accessing and engaging with health tools in hospital waiting areas and (2) evaluate consumers' ideas for designing a health literacy responsive waiting area. BACKGROUND Health information, resources, and supports ("health tools") in waiting areas should be responsive to the health literacy needs of consumers. However, consumers' experiences of using health tools and their ideas for improving them are not known. METHODS Multicenter study was set in hospital waiting areas of outpatient rehabilitation services. Semistructured in-person interviews were conducted with 33 adult consumers attending appointments for various health conditions. Seven stages of the Framework Method were used to analyze data. RESULTS Six themes were identified which explained barriers and enablers from the perspective of consumers. The barriers were accessibility issues; personal factors-physical condition, emotional state, and preferences; and poorly presented and outdated resources. The enablers were design suits consumer needs and preferences; usable in available time or portable; and compatible environment for engaging and sharing. Consumers shared design ideas which fit within four typologies. CONCLUSIONS A range of barriers and enablers exist which have an impact on consumers' ability to engage with available health information, resources, and supports in hospital outpatient waiting areas. Practical insights from the perspective of consumers can be applied to future health service design. Consumer's design ideas suggest that partnerships with consumers should be formed to design health literacy responsive waiting areas.
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Affiliation(s)
- Cassie E McDonald
- Physiotherapy, 2281The University of Melbourne, Carlton, Victoria, Australia.,Physiotherapy, The Royal Melbourne Hospital, Melbourne Health, Parkville, Victoria, Australia
| | - Louisa J Remedios
- Physiotherapy, 2281The University of Melbourne, Carlton, Victoria, Australia
| | - Kate L Cameron
- Physiotherapy, 2281The University of Melbourne, Carlton, Victoria, Australia.,Clinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Catherine M Said
- Physiotherapy, 2281The University of Melbourne, Carlton, Victoria, Australia.,2281The University of Melbourne and Western Health, St. Albans, Victoria, Australia.,Australian Institute of Musculoskeletal Sciences, St. Albans, Victoria, Australia
| | - Catherine L Granger
- Physiotherapy, 2281The University of Melbourne, Carlton, Victoria, Australia.,Physiotherapy, The Royal Melbourne Hospital, Melbourne Health, Parkville, Victoria, Australia
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Hyatt A, Drosdowsky A, Koproski T, Milne D, Rametta M, McDonald G, McKenzie T, Blaschke SM. Identification of low health and cancer literacy in oncology patients: a cross-sectional survey. Support Care Cancer 2021; 29:6605-6612. [PMID: 33939000 PMCID: PMC8464552 DOI: 10.1007/s00520-021-06164-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 03/18/2021] [Indexed: 11/25/2022]
Abstract
Objective Health literacy is a significant public health concern, particularly given the increased complexity of chronic disease health management and health system navigation, and documented associations between low health literacy and poor health outcomes. This study therefore aimed to identify the proportion and characteristics of outpatients visiting a specialist cancer hospital who report low health literacy and/or low cancer health literacy. Method This study used a cross-sectional survey administered verbally with patients attending a specialist cancer hospital located in Melbourne, Australia over a two-week period. Process data on conducting health literacy screening within a clinical setting was collected. Results Those identified with inadequate general health literacy were different to those identified with low cancer-specific health literacy, although overall both proportions were low. Cross-sectional screening of patients was difficult, despite utilising verbal surveying methods designed to increase capacity for participation. Conclusion Health literacy screening using the tools selected was not useful for identifying or describing patients with low health literacy in this setting, given the disparity in those categorised by each measure. Practice Implications Until the theoretical construct of health literacy is better defined, measurement of health literacy may not be clinically useful. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-021-06164-2.
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Affiliation(s)
- Amelia Hyatt
- Peter MacCallum Cancer Centre, 305 Grattan Street Parkville, Melbourne, VIC, Australia.
| | - Allison Drosdowsky
- Peter MacCallum Cancer Centre, 305 Grattan Street Parkville, Melbourne, VIC, Australia
| | - Trista Koproski
- Peter MacCallum Cancer Centre, 305 Grattan Street Parkville, Melbourne, VIC, Australia
| | - Donna Milne
- Peter MacCallum Cancer Centre, 305 Grattan Street Parkville, Melbourne, VIC, Australia
| | - Meri Rametta
- Peter MacCallum Cancer Centre, 305 Grattan Street Parkville, Melbourne, VIC, Australia
| | - Geri McDonald
- Peter MacCallum Cancer Centre, 305 Grattan Street Parkville, Melbourne, VIC, Australia
| | - Tanya McKenzie
- Peter MacCallum Cancer Centre, 305 Grattan Street Parkville, Melbourne, VIC, Australia
| | - Sarah-May Blaschke
- Peter MacCallum Cancer Centre, 305 Grattan Street Parkville, Melbourne, VIC, Australia
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Gray C, Crawford G, Lobo R, Maycock B. Getting the right message: a content analysis and application of the health literacy INDEX tool to online HIV resources in Australia. HEALTH EDUCATION RESEARCH 2021; 36:61-74. [PMID: 33319239 DOI: 10.1093/her/cyaa042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 11/29/2020] [Indexed: 06/12/2023]
Abstract
Health literacy is considered by some as a determinant of health. Research suggests that different levels of health literacy may be associated with human immunodeficiency virus (HIV) knowledge and behaviour, including willingness to test. This study assessed the health literacy demands of existing Australia HIV prevention resources available online using a health literacy assessment and content analysis. Two reviewers assessed 66 resources using the Health Literacy INDEX. Sixty-one (92%) scored below 50%, with an average score of 35.5%. A coding frame was developed to conduct a content analysis of the resources excluding videos, multiple webpages and booklets (n = 52). We coded for six categories of knowledge: HIV knowledge (100% of resources), transmission (96%), acquired immune deficiency syndrome (AIDS) knowledge (88%), testing (87%), consequence of infection (85%) and prevention (77%). We found that resources required a reading grade above grade 8, and very few resources considered audience appropriateness. There were missed opportunities to encourage HIV prevention or testing. Some resources used incorrect language to refer towards people living with HIV, and transmission and prevention messages were often inconsistent. Guidelines for developing HIV prevention resources are warranted to improve health literacy, accessibility and appropriateness of resources and ensure consistent messages and framing of HIV risk.
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Affiliation(s)
- Corie Gray
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Bentley, Western Australia 6102, Australia
| | - Gemma Crawford
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Bentley, Western Australia 6102, Australia
| | - Roanna Lobo
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Bentley, Western Australia 6102, Australia
| | - Bruce Maycock
- College of Medicine & Health, University of Exeter, Devon, Exeter EX4 4SB, UK
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Bennett G, Richmond J, Thompson AJ. Producing health information in consultation with health workers and the hepatitis B-affected communities is worthwhile. Aust J Prim Health 2021; 27:116-121. [PMID: 33583486 DOI: 10.1071/py20188] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 11/13/2020] [Indexed: 11/23/2022]
Abstract
Globally, approximately 257 million people are living with chronic hepatitis B. Many people are undiagnosed, have low health literacy and experience barriers to engaging in care. In Australia, there is a lack of culturally and linguistically appropriate resources to support people living with the infection to increase their understanding and build their capacity. This innovative practice paper describes the process of developing a culturally and linguistically appropriate resource using the principles of participatory action research. The hepatitis B story was designed to facilitate discussion between healthcare workers and consumers, and to increase the knowledge and understanding of both. Consultation with consumers and a broad range of health services contributed to the quality of and demand for the resource. A case study tells the story of 'Thuy'. This case study demonstrates the practical application of the resource and describes the positive affect its use had on Thuy and her family. Increasing our understandings of how people experience chronic hepatitis B is crucial to improving health information, testing and engagement in care. Producing health information with consumers is a worthwhile process to increase consumers' health literacy and improve service delivery.
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Affiliation(s)
- Gabrielle Bennett
- Department of Gastroenterology, St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, Vic. 3065, Australia; and Corresponding author. Emails: ,
| | - Jacqueline Richmond
- The Burnet Institute, Disease Elimination, Commercial Road, Melbourne, Vic. 3000, Australia; and La Trobe University, The Australian Research Centre in Sex, Health and Society, Bundoora, Vic. 3083, Australia; and Department of Nursing, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Vic. 3000, Australia
| | - Alexander J Thompson
- Department of Gastroenterology, St Vincent's Hospital and Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3000, Australia
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11
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The Role of Antenatal Education in Promoting Maternal and Family Health Literacy. INTERNATIONAL JOURNAL OF CHILDBIRTH 2020. [DOI: 10.1891/ijcbirth-d-20-00012] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUNDAntenatal education (ANE) supports expectant parents in developing their knowledge, skills, and confidence in preparing for childbirth and early parenting. This is called health literacy, and it is part of the global healthcare system agenda that empowers women to participate fully in making decisions about their health and care before, during, and after birth. The aim of this study was to examine the perspectives of educators and ANE class participants on the extent to which existing courses are meeting this goal.METHODSA qualitative study, conceptualized within the health literacy framework, was conducted in Australia with 10 antenatal educators and 8 participants from antenatal classes. Data were collected through individual interviews and were analyzed using interpretive description.RESULTSThe findings revealed five themes relating to the participants' experiences in either providing or attending antenatal classes. These included: “balancing provider influences with participant expectations,” “accommodating participant learning styles and preferences,” “influence of the environment on pedagogy and practice,” “empowering participants for decision-making,” and “reflections on what is and is not meaningful and effective.”CONCLUSIONSFindings from this study strongly suggest that to meet the needs of class participants, educators need to be mindful of their expectations. They should adopt a flexible approach to accommodate participants' knowledge, goals, and preferences as well as characteristics of the context. Conceptualizing ANE within the framework of health literacy provides a clear, targeted approach to meeting the information needs of this important population that is focused on evidence-based safe practice across the birthing continuum and beyond.
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Dreesens D, Stiggelbout A, Agoritsas T, Elwyn G, Flottorp S, Grimshaw J, Kremer L, Santesso N, Stacey D, Treweek S, Armstrong M, Gagliardi A, Hill S, Légaré F, Ryan R, Vandvik P, van der Weijden T. A conceptual framework for patient-directed knowledge tools to support patient-centred care: Results from an evidence-informed consensus meeting. PATIENT EDUCATION AND COUNSELING 2019; 102:1898-1904. [PMID: 31118137 DOI: 10.1016/j.pec.2019.05.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Revised: 05/01/2019] [Accepted: 05/04/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Patient-directed knowledge tools are designed to engage patients in dialogue or deliberation, to support patient decision-making or self-care of chronic conditions. However, an abundance of these exists. The tools themselves and their purposes are not always clearly defined; creating challenges for developers and users (professionals, patients). The study's aim was to develop a conceptual framework of patient-directed knowledge tool types. METHODS A face-to-face evidence-informed consensus meeting with 15 international experts. After the meeting, the framework went through two rounds of feedback before informal consensus was reached. RESULTS A conceptual framework containing five patient-directed knowledge tool types was developed. The first part of the framework describes the tools' purposes and the second focuses on the tools' core elements. CONCLUSION The framework provides clarity on which types of patient-directed tools exist, the purposes they serve, and which core elements they prototypically include. It is a working framework and will require further refinement as the area develops, alongside validation with a broader group of stakeholders. PRACTICE IMPLICATIONS The framework assists developers and users to know which type a tool belongs, its purpose and core elements, helping them to develop and use the right tool for the right job.
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Affiliation(s)
- Dunja Dreesens
- Knowledge Institute of Medical Specialists, Utrecht, the Netherlands; Department of Family Medicine, Maastricht University/School CAPHRI, Maastricht, the Netherlands.
| | - Anne Stiggelbout
- Department of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, the Netherlands.
| | - Thomas Agoritsas
- Division of General Internal Medicine & Division of Clinical Epidemiology, University Hospitals of Geneva, Geneva, Switzerland.
| | - Glyn Elwyn
- The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, USA.
| | - Signe Flottorp
- Division of health services, Norwegian Institute of Public Health, Oslo, Norway; Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.
| | - Jeremy Grimshaw
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
| | - Leontien Kremer
- Department Pediatrics, University of Amsterdam, Amsterdam, the Netherlands; Princess Maxima Centrum for Pediatric Oncology, Utrecht, the Netherlands.
| | - Nancy Santesso
- Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Canada.
| | - Dawn Stacey
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada; School of Nursing, University of Ottawa, Ottawa, Canada.
| | - Shaun Treweek
- Health Services Research Unit, University of Aberdeen, Aberdeen, UK.
| | - Melissa Armstrong
- Department of Neurology, College of Medicine / University of Florida, Gainesville, USA.
| | - Anna Gagliardi
- University Health Network/Toronto General Hospital Research Institute, Toronto, Canada.
| | - Sophie Hill
- Centre for Health Communication and Participation, La Trobe University, Melbourne, Australia; Cochrane Consumers and Communication Group, La Trobe University, Melbourne, Australia.
| | | | - Rebecca Ryan
- Centre for Health Communication and Participation, La Trobe University, Melbourne, Australia; Cochrane Consumers and Communication Group, La Trobe University, Melbourne, Australia.
| | - Per Vandvik
- Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.
| | - Trudy van der Weijden
- Department of Family Medicine, Maastricht University/School CAPHRI, Maastricht, the Netherlands.
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13
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Jessup RL, Putrik P, Beauchamp A. Improving health information to address low health literacy for patients with multimorbidity. AUST HEALTH REV 2018; 43:481-482. [PMID: 30248279 DOI: 10.1071/ah18116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Accepted: 06/04/2018] [Indexed: 11/23/2022]
Abstract
A letter to the editor in response to the recently published article by Hill and Sofra (AHR, vol. 42, no. 2, pp. 134-9) on improving health information.
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Affiliation(s)
- Rebecca L Jessup
- Monash Department of Clinical Epidemiology, Cabrini Institute, 4 Drysdale Street, Malvern, Vic. 3144, Australia. Email
| | - Polina Putrik
- Monash Department of Clinical Epidemiology, Cabrini Institute, 4 Drysdale Street, Malvern, Vic. 3144, Australia. Email
| | - Alison Beauchamp
- Department of Medicine - Western Health, The University of Melbourne, Melbourne, Vic. 3052, Australia. Email
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