scholarly journals Field-Testing and Refinement of the Organisational Health Literacy Responsiveness Self-Assessment (Org-HLR) Tool and Process

Author(s):  
Anita Trezona ◽  
Sarity Dodson ◽  
Emma Fitzsimon ◽  
Anthony D. LaMontagne ◽  
Richard H. Osborne

Health literacy refers to the skills and knowledge that influence a person’s ability to access, understand and use information to make health-related decisions, which are influenced by the complexity of their health needs and the demands health services place on them. The aim of this study was to field-test the Organisational Health Literacy Responsiveness (Org-HLR) tool and process to determine their utility in assessing health literacy responsiveness and for supporting organisations to plan health literacy-related improvement activities. Four organisations in Victoria, Australia, field-tested the Org-HLR tool. Data were collected through direct observation, participant feedback, and focus groups. Forty-three individuals participated in field-testing activities, and 20 took part in focus group meetings. Themes relating to the applicability and utility of the Org-HLR self-assessment tool and process were identified. Field-testing resulted in a number of refinements to the tool and process. Twenty-eight indicators were removed, 29 were rephrased to improve their clarity, and four new indicators were added. The revised Org-HLR self-assessment tool contains six dimensions, 22 sub-dimensions and 110 performance indicators. The Org-HLR tool and process were perceived as useful for assessing health literacy responsiveness, prioritising improvement activities, and establishing a benchmark for monitoring and evaluation of improvements over time. Testing generated an improved Org-HLR tool and assessment process that are likely to have utility across a broad range of health and social service sector organisations.

2020 ◽  
Author(s):  
Young Ho Yun ◽  
Sinae Oh ◽  
Jin Ah Sim ◽  
Sujee Lee ◽  
Eun-Jung Sohn

Abstract Objectives We developed the Health-Friendly Activity Index (HFAI) to measure the health-friendly activity of corporations or organizations comprehensively. We validated the developed tool and reported on its use as an assessment tool to improve consumers’ health-related outcomes.Study Design This is a cross-sectional studyPUBH-D-20-02610 Development of the HFAI questionnaire followed a three-phase process: item generation, item construction, and validation with field testing. Using relevance and feasibility criteria, we developed a 105-item questionnaire with six domains (Governance and Infrastructure, Needs Assessment, Planning, Implementation, Monitoring and Feedback, and Outcomes). To assess the sensitivity and validity of the questionnaire, we recruited two different groups. We assessed Group One (31 companies) based on their recent sustainability reports and compared their HFAI scores with the Contribution Assessment Tool for Consumer’s Health (CATCH) scores from 400 people from the general Korean population. For Group Two, we recruited 19 worksites and asked them to complete the HFAI and CATCH.Results Each domain of HFAI exhibited a Cronbach’s α coefficient between 0.382 and 1.000 for Group One and a Cronbach’s α coefficient between 0.676 and 0.938 for Group Two.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J Txarramendieta

Abstract Issue/Problem The need for sustainable resourcing drives professionals, end-users and the wider public and private sectors to draw on their experience and expertise to meet those needs. Tools and methodologies that help understand these complex transformational processes and orchestrate discussions of all stakeholders involved are core to this process. As a result, Basque Country was keen to apply SCIROCCO tool to assess their readiness for integrated care. Results The application of SCIROCCO self-assessment tool showed a range of strengths and weaknesses of Basque Country to adopt and implement integrated care. More than 15 stakeholders were involved in this process which proved the importance and added value to the assessment process. In addition, the outcomes of this process help to identify the potential focus of the capacity-building support. Lessons SCIROCCO tool is a very useful participatory tool which can help to drive the transformational change towards integrated care.


2015 ◽  
Vol 770 ◽  
pp. 729-734
Author(s):  
Christina N. Zavalishina

The paper discusses advantages and disadvantages of self-assessment of an organization conducted by filling out a reporting form. A questionnaire is suggested as a self-assessment tool together with a self-assessment structural model. It is proved that the process of obtaining more objective data can be regulated by reducing or increasing the number of performance indicators. Consideration is given to the process of self-assessment indicators development as an integral package and its subsequent optimization by means of Rasch model. Advantages of the measuring model are demonstrated and are supported by the results of self-assessments conducted in 7 organizations.


Author(s):  
Rachael Laing ◽  
Sandra C Thompson ◽  
Shandell Elmer ◽  
Rohan L Rasiah

Primary healthcare organisations have an important role in addressing health literacy as this is a barrier to accessing and utilising health care. Until recently, no organisational development tool operationalising health literacy in an Australian context existed. This research evaluated the efficacy of the Organisational Health Literacy Responsiveness (Org-HLR) tool and associated assessment process in a primary healthcare organisation in the Pilbara region of Western Australia. This study utilised a sequential explanatory mixed methods research design incorporating the collection and analysis of data in two phases: (1) Pre- and post-survey data and; (2) seven semi-structured interviews. Survey results showed that participants’ confidence in core health literacy concepts improved from baseline following the intervention. Analysis of the interview data revealed participants’ initial understanding of health literacy was limited, and this impeded organisational responsiveness to health literacy needs. Participants reported the workshop and tool content were relevant to their organisation; they valued involving members from all parts of the organisation and having an external facilitator to ensure the impartiality of the process. External barriers to improving their internal organisational health literacy responsiveness were identified, with participants acknowledging the management style and culture of open communication within the organisation as enablers of change. Participants identified actionable changes to improve their organisational health literacy responsiveness using the process of organisational assessment and change.


Author(s):  
Saskia Maria De Gani ◽  
Daniela Nowak-Flück ◽  
Dunja Nicca ◽  
Dominique Vogt

Dealing with health information and taking care of one’s own health are key aspects of health literacy and a difficulty for nearly half of the population in Europe. Limited health literacy often results in poorer health outcomes. Health literacy is a fundamental health determinant, and its improvement provides great potential for addressing public health challenges. Health care organizations play an important role in improving population’s health literacy. Health literate health care organizations facilitate access, understanding and use of health information and decrease the demands and complexities of the health care system. Few efforts have been taken so far to promote organizational health literacy, especially in German-speaking countries. This project aimed at developing a self-assessment tool, which enables primary care organizations to assess and improve their level of health literacy. The self-assessment tool was developed and evaluated with general practitioners and community care organizations in Switzerland. Here the participative development process, outcomes and the three modules of the self-assessment tool are presented: (1) manual with detailed introduction and instruction, (2) checklist for self-assessment of organizational health literacy and (3) handbook with measures for improvement. The aim of this tool is that organizations are able to identify the need for action, plan and implement improvement measures.


2021 ◽  
pp. 225-238
Author(s):  
Maria Assunção Gato ◽  
Elisabete Tomaz ◽  
Pedro Costa ◽  
Ana Rita Cruz ◽  
Margarida Perestrelo

Abstract Considering the small scale of creative tourism, the limited resources in any specific case, and the high engagement level of stakeholders, a self-assessment exercise (i.e. carried out by the organizers/promoters of creative tourism activities) is most appropriate in order to monitor activities and results. Thus, within the CREATOUR ® project, a self-assessment process for creative tourism initiatives was developed, beginning with an initial diagnosis and proceeding to an assessment of outcomes and impacts. The process and tools were co-developed between researchers and practitioners to help various types of creative tourism organizers to measure, monitor, and evaluate the course of their activities in order to improve management and decisionmaking processes. The main objective was to assist practitioners and stakeholder organizations to become more aware of the intentional and unintentional effects generated by creative tourism activities, highlighting the potential benefits of artistic, cultural, and creative experiences for territorial development. This article is divided into three parts: part I outlines the development of the self-assessment process and tools; part II presents a synthesis of overall findings from the CREATOUR ® project resulting from this self-assessment process; and part III lists take-aways for practitioners.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048768
Author(s):  
Young Ho Yun ◽  
Si Nae Oh ◽  
Jin-Ah Sim ◽  
Sujee Lee ◽  
Eun-Jung Sohn

ObjectivesWe developed the Health-Friendly Activity Index (HFAI) to comprehensively measure the health-friendly activities of corporations or organisations. We validated the developed tool and reported on its use as an assessment tool to improve consumers’ health-related outcomes.DesignThis was a cross-sectional study.SettingDevelopment of the HFAI questionnaire followed a three-phase process: item generation, item construction and validation with field testing. Using relevance and feasibility criteria, we developed a 105-item questionnaire with six domains (Governance and Infrastructure, Needs Assessment, Planning, Implementation, Monitoring and Feedback, and Outcomes).ParticipantsTo assess the sensitivity and validity of the questionnaire, the HFAI and Contribution Assessment Tool for Consumer’s Health (CATCH) were administered to 302 participants (151 employers and 151 employees) from 151 Korean companies.Primary outcome measuresThe CATCH measured the contribution of each company to the physical, mental, social and spiritual health of its consumers. To estimate the reliability and validity of all six HFAI domains and their respective scales, Cronbach’s α coefficients and correlation coefficients were used.ResultsEach domain and scale of the HFAI exhibited a Cronbach’s α coefficient between 0.80 and 0.98 for the employers and employees. The overall HFAI and its six domains correlated significantly and positively with all health outcomes such as physical, mental, social and spiritual status scores evaluated using the CATCH (Spearman’s correlation range: 0.37–0.68).ConclusionThe HFAI, a unique assessment tool with acceptable psychometric properties, can help corporate managers assess their health-friendly activities.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Wiktorzak

Abstract Issue/Problem The need for sustainable resourcing drives professionals, end-users and the wider public and private sectors to draw on their experience and expertise to meet those needs. Tools and methodologies that help understand these complex transformational processes and orchestrate discussions of all stakeholders involved are core to this process. As a result, Poland was keen to apply SCIROCCO tool to assess their readiness for integrated care. Results The application of SCIROCCO self-assessment tool showed a range of strengths and weaknesses of Poland to adopt and implement integrated care. More than 15 stakeholders were involved in this process which proved the importance and added value to the assessment process. In addition, the outcomes of this process help to identify the potential focus of the capacity-building support. Lessons SCIROCCO tool is a very useful participatory tool which can help to drive the transformational change towards integrated care.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sam Ng ◽  
Guillaume Herbet ◽  
Anne-Laure Lemaitre ◽  
Sylvie Moritz-Gasser ◽  
Hugues Duffau

AbstractBrain awake surgery with cognitive monitoring for tumor removal has become a standard of treatment for functional purpose. Yet, little attention has been given to patients’ interpretation and awareness of their own responses to selected cognitive tasks during direct electrostimulation (DES). We aim to report disruptions of self-evaluative processing evoked by DES during awake surgery. We further investigate cortico-subcortical structures involved in self-assessment process and report the use of an intraoperative self-assessment tool, the self-confidence index (SCI). Seventy-two patients who had undergone awake brain tumor resections were selected. Inclusion criteria were the occurrence of a DES-induced disruption of an ongoing task followed by patient’s failure to remember or criticize these impairments, or a dissociation between patient’s responses to an ongoing task and patient’s SCI. Disruptions of self-evaluation were frequently associated with semantic disorders and critical sites were mostly found along the left/right ventral semantic streams. Disconnectome analyses generated from a tractography-based atlas confirmed the high probability of the inferior fronto-occipital fasciculus to be transitory ‘disconnected’. These findings suggest that white matters pathways belonging to the ventral semantic stream may be critically involved in human self-evaluative processing. Finally, the authors discuss the implementation of the SCI task during multimodal intraoperative monitoring.


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