PO-1975 The use of mHealth apps in interactive health literacy – perspectives from healthcare professionals.

2021 ◽  
Vol 161 ◽  
pp. S1681
Author(s):  
A. Stewart-Lord ◽  
S. Sykes ◽  
A. Admani ◽  
C. Angell-Wells ◽  
R. Williams ◽  
...  
2016 ◽  
Vol 44 (2) ◽  
pp. 178-190
Author(s):  
Ann Hallyburton

Purpose The purpose of this paper is to examine healthcare professionals’ own health literacy through the lenses of information behavior and evidence-based practice. These practitioners’ health information literacy is critical to client care. Design/methodology/approach This conceptual paper applies general and professional-specific models of information behavior and issues of bias to methods in which healthcare practitioners seek, evaluate and use research information within professional practice. Findings Case examples from library, medical and the broader healthcare literature are used to explore ways in which care professionals’ information behaviors align with or deviate from information behavior models and the role of different types of bias in their information behavior. Adaption of evidence-based practice precepts, already familiar to healthcare professionals, is proposed as a method to improve practitioners’ health information literacy. Originality/value Explorations of “health literacy” have primarily focused on healthcare consumers’ interactions with basic health information and services. The health literacy (and health information literacy) of care practitioners has received much less attention. By gaining a greater understanding of how information behaviors intersect with healthcare practitioners’ own health literacy, the librarians and educators who serve future and current care professionals can offer more informed information literacy instruction, enabling practitioners to provide improved patient care.


Author(s):  
Berit Forsman ◽  
Ann Svensson

The aim of this paper is to describe frail older persons’ experiences of hospital care of information and participation when being an inpatient at a hospital. A qualitative method was used. Data were collected at the hospital from 20 interviews with frail older patients, together with observations in the environment at the hospital ward. A content analysis was performed. Patients experienced not receiving information about their care and rehabilitation, or receiving such information in noisy surroundings. They experienced situations of misunderstanding related to their medication, which indicates the need for appropriate discharge calls for frail older patients. They expressed feelings of distress concerning the future, caused by hasty admissions or relatives’ problems to handle the situation. The results highlight the need to receive appropriate information and to participate in decision-making. The level of health literacy should be taken notice of when giving information, using peaceful and quiet environments when informing frail older persons. Person-centered care should be recognized to a greater extent in order for healthcare professionals to give information to frail older people in a health literacy-friendly way. This might make it easier for frail older persons to participate in a partnership in care.


2016 ◽  
Vol 44 (2) ◽  
pp. 191-205 ◽  
Author(s):  
Jill Barr-Walker

Purpose The purpose of this paper is to assess the involvement of libraries in health literacy programs and initiatives based on a review of the literature. Design/methodology/approach Four databases were searched for papers that described health literacy programs and initiatives within libraries. Findings Several themes of health literacy programs in libraries emerged: health literacy for older adults, underserved populations, the general public, healthcare professionals, and medical students, and patients. Collaborations between libraries and community organizations were frequently used. Practical implications Librarians may use this review to understand the history of health literacy efforts and libraries to inform future programming. This review will contextualize current research on health literacy and libraries. Originality/value Despite the currency and relevance of this topic, there are no literature reviews on health literacy and librarianship.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Leite ◽  
P Soares ◽  
J Santos ◽  
C Nunes

Abstract Background Delays in diagnosing tuberculosis lead to longer infectious periods, posing a challenge in tuberculosis control. This is particularly relevant in high incidence areas (critical). Thus, the objectives of this work were to characterize tuberculosis diagnosis delay and its components (patient delay and health delay) in incidence critical and non-critical areas in Portugal, as well as associated factors. Methods Notified cases of pulmonary tuberculosis diagnosed due to symptoms (passive screening) in the Portuguese Tuberculosis Surveillance System were analysed (2008-2017). Patient, health and overall delays were calculated. Factors associated with each delays' components were identified utilising Cox regression, while adjusting for sex, age and education level. Analyses were stratified by area type (critical and non-critical). Results Median (1st-3rd quartile - Q1-Q3) delays in patient, health and overall delay in critical areas were: 40 (Q1-Q3: 21-76), 8 (Q1-Q3:1-31), and 65 (Q1-Q3: 40-105) days, respectively; similar delays in non-critical areas were 32 (Q1-Q3:16-63); 9 (Q1-Q3: 1-34) and 58 (Q1-Q3: 35-98), respectively. More recent cases, adults younger than 65 years and alcoholic presented longer patient delays (both areas); healthcare professionals and patients with HIV infection presented shorter patient delays (only critical areas). Tuberculosis high-risk groups (males, alcohol dependency, homelessness, community residency) presented shorter health delays in both areas; drug use also presented shorter health delays but only in critical areas. Existing comorbidities was associated with longer health delays in both areas. Conclusions Patient delays increased between 2008 and 2017. Groups with longer/shorter delays differed between delay type and area type. Intervening in tuberculosis diagnosis delays requires different action for critical and non-critical areas, targeting health literacy from the general population and training of healthcare professionals. Key messages Delays in diagnosing in Portugal are mainly driven by delays in patient seeking care and are longer in areas of higher tuberculosis incidence. Intervening in tuberculosis diagnosis delays in Portugal requires different action in different areas, targeting health literacy in the general population and training of professionals.


2019 ◽  
Vol 35 (4) ◽  
pp. 804-811
Author(s):  
J Wills ◽  
S Sykes ◽  
S Hardy ◽  
M Kelly ◽  
C Moorley ◽  
...  

Abstract Gender variations in health literacy have implications for engagement in preventive behaviours and the uptake of health services, especially in areas such as the Caribbean where there are marked disparities in life expectancy and health service utilization. A self-reported questionnaire was used to examine men’s concepts of health, their help-seeking behaviours and their functional and interactive health literacy. Two hundred and forty-eight men across the life course participated at three sites in Trinidad. Data were analysed using descriptive statistics, with free-text responses analysed thematically. Men were concerned about, and accepted responsibility for their own health but social norms concerning sickness and masculinity were barriers to accessing health services. Almost one-third (31.5%) sought advice from a healthcare service when they were last sick because they were prompted to do so by their wife/partner or family. Levels of functional and interactive health literacy were not high among older men, who were reliant on healthcare professionals to communicate health messages. There was an age divide in e-health literacy. There is little published evidence on men’s health literacy, particularly from Caribbean countries such as Trinidad and Tobago. This study highlights the importance of the design and implementation of specific policies focusing on men’s health. A major challenge is to engage with men who do not access health services.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Baumeister ◽  
A Aldin ◽  
D Chakraverty ◽  
ÜS Seven ◽  
G Anapa ◽  
...  

Abstract Background Health literacy is an output of individual resources and capabilities, situational factors, environmental conditions, and the requirements of the health care system. As migration continues to increase globally, successful interaction between healthcare professionals and migrants can be important for a sustainable and resource-oriented promotion of health literacy. This study aims to explore challenges, needs and applied solutions of healthcare professionals in the interaction with migrants in Germany. Methods Five focus group discussions were conducted in Cologne, Germany. Participants were healthcare professionals (n = 30), including general practitioners, medical specialists in inpatient and outpatient care, and nurses. Discussions were audio recorded, transcribed verbatim and analysed by qualitative content analysis. Preliminary results Participants reported a lack of time and general uncertainty in dealing with the health literacy-related needs of the target population. Assumptions on discrimination through the health system and restrictive gender roles on the patients’ side were additional key challenges for a successful interaction. To bridge these barriers, some participants reported to invest time even beyond systemic conditions; most wished for professional interpreters or cultural mediators. Participants who themselves were migrants found this helpful for communicating information to patients and improving patients’ confidence in the recommended treatment. Using clinical staff as lay interpreters outside their own treatment situation was rated critical, as it can be associated with a considerable burden due to a further time restriction for their actual tasks. Conclusions Preliminary findings reveal that general problems in the health care setting (e.g. time pressure, ensuring patients’ compliance) can occur more intensively in migrant patients. Health professionals require support through the provision of state-funded professional interpreters. Key messages Health literacy related challenges become more visible in the context of migration and reveal general issues in the German health system that need to be solved for the benefit of the entire population. Research on health literacy in the context of migration is important in order to ensure the promotion and maintenance of health equally and effectively across populations.


2011 ◽  
Vol 16 (sup3) ◽  
pp. 191-204 ◽  
Author(s):  
Donald L. Rubin ◽  
John Parmer ◽  
Vicki Freimuth ◽  
Terry Kaley ◽  
Mumbi Okundaye

2020 ◽  
Vol 59 (1) ◽  
pp. 330-352
Author(s):  
Ana Cristina Ostermann ◽  
Minéia Frezza ◽  
Roberto Perobelli

ABSTRACT This paper explores the fine-grained interactional minutiae involved in promoting health literacy in medical interactions. More specifically, it explores the multimodal interactional resources (verbal and nonverbal) that health professionals and lay participants mobilize in order to make sense of fetal ultrasound images. We adopt the ethnomethodological perspective of Multimodal Conversation Analysis (SACKS; SCHEGLOFF; JEFFERSON, 1974; GOODWIN, 1981; 2010; MONDADA, 2018) to investigate 10 audio and video interactions that were recorded during fetal ultrasound exams that took place at a moderate and high-risk pregnancy ward in a public hospital in Brazil. Our aim is to ‘make visible’ the multimodal ethnomethods that interactants employ in order to render ultrasound images intelligible ‘texts’. Among the various semiotic resources mobilized to achieve intersubjectivity in this complex setting, special focus is given to the healthcare professionals’ use of similes, and the fundamental importance of the temporality in which verbal and nonverbal resources are mobilized in the process of making images intelligible. In that sense, we hope to bring to this special thematic issue the methodological advantages that a Multimodal Conversation Analytic perspective can afford to the discussion about multiliteracies and, in practical terms, to the advancement of health literacy. In medical contexts, health literacy can (and perhaps should!) be a concern ‘at all points.’ There might be no ‘borders’ to what constitutes a health literacy source or resource. Our claims, thus, are the following: (i) ultrasound images do constitute materials to be ‘read’ and understood - also by lay participants; (ii) healthcare professionals can (and perhaps should) promote health literacy among patients by employing efforts to make images ‘readable’; and, finally, (iii) social interaction is one of the constitutive loci for the promotion of multiliteracy events.


2019 ◽  
Vol 35 (5) ◽  
pp. 1210-1219
Author(s):  
Inga Ploomipuu ◽  
Jack Holbrook ◽  
Miia Rannikmäe

Abstract This paper recognizes the need to promote health literacy as the goal of health education for all, at all educational levels. It particularly explores the meaning of health literacy, based on the literature and seeks to put forward a new meaning, applicable for the general public with further considerations for healthcare professionals. The vision and scope of health literacy is promoted as the goal for health education, reflecting on a comparison with scientific literacy (SL) and science education. A model is proposed interrelating health education, health literacy, science education and science literacy and discusses areas where health literacy is seen as having attributes beyond SL. A revised definition of health literacy is proposed.


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