A health literacy analysis of the consumer-oriented COVID-19 information produced by ten state health departments

Objective: The COVID-19 pandemic highlights the public’s need for quality health information that is understandable. This study aimed to identify (1) the extent to which COVID-19 messaging by state public health departments is understandable, actionable, and clear; (2) whether materials produced by public health departments are easily readable; (3) relationships between material type and understandability, actionability, clarity, and reading grade level; and (4) potential strategies to improve public health messaging around COVID-19. Methods: Based on US Centers for Disease Control and Prevention statistics from June 30, 2020, we identified the ten states with the most COVID-19 cases and selected forty-two materials (i.e., webpages, infographics, and videos) related to COVID-19 prevention according to predefined eligibility criteria. We applied three validated health literacy tools (i.e., Patient Education Materials Assessment Tool, CDC Clear Communication Index, and Flesch-Kincaid Grade Level) to assess material understandability, actionability, clarity, and readability. We also analyzed correlations between scores on the three health literacy tools and material types.Results: Overall, COVID-19 materials had high understandability and actionability but could be improved in terms of clarity and readability. Material type was significantly correlated with understandability, actionability, and clarity. Infographics and videos received higher scores on all tools.Conclusions: Based on our findings, we recommend public health entities apply a combination of these tools when developing health information materials to improve their understandability, actionability, and clarity. We also recommend using infographics and videos when possible, taking a human-centered approach to information design, and providing multiple modes and platforms for information delivery.

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An analysis of state health department COVID-19 information for the public (Preprint)

10.2196/preprints.24273 ◽

2020 ◽

Author(s):

Nandita S. Mani ◽

Terri Ottosen ◽

Megan Fratta ◽

Fei Yu

Keyword(s):

Public Health ◽

Health Literacy ◽

Health Information ◽

Health Department ◽

Health Departments ◽

The Public ◽

Public Health Departments ◽

Material Type ◽

The Mean ◽

Clear Communication

BACKGROUND In response to the current COVID-19 crisis, public health departments across the U.S. have created, distributed, and shared COVID-19 health information. The extent to which information is understandable and actionable can be examined by use of validated health literacy and readability tools. Health information must be actionable, simple, and straightforward, particularly for health messages in times of urgency or during a health crisis. OBJECTIVE This study aimed (1) to use three validated health literacy tools to assess the understandability, actionability, clarity, and readability of COVID-19 health information created for the public by U.S. state public health departments; (2) to examine the correlations between understandability, actionability, clarity, readability, and material types; (3) to propose potential strategies to improve public health messaging. METHODS Based on CDC statistics on June 30, 2020, we identified the top 10 U.S. states with the highest number of COVID-19 cases. We visited the 10 state public health department websites and selected materials related to COVID-19 prevention according to a pre-defined eligibility criteria. Two raters independently assessed the materials by Patient Education and Materials Assessment Tool (PEMAT) and Clear Communication Index (Index). One rater generated the Flesch-Kincaid Grade Level (FKGL) score. Statistical analyses included (1) interrater reliability (IRR) by Cohen’s kappa; (2) the mean, median, standard deviation, range, minimum, maximum, and frequency scores associated with PEMAT, Index, and FKGL; (3) statistical significance of the correlation between PEMAT, Index, FKGL, and Material Type. RESULTS Of 42 materials in this study, (1) inter-rater reliability was 0.94. (2) The mean PEMAT (n=42) understandability was 88.67% (SD±17.69%), with a media of 94% and a range between 21% and 100%; the mean of PEMAT actionability was 88.48% (SD±14.3%), with a media of 100% and a range between 40% and 100%; the mean Index scores was 78.32 (SD±13.03), with a media of 78.35 and a range between 50 and 100. The mean of FKGL of the materials (n=34) was 7.11 (SD±2.60), with a media of 7.3 and a range between 1.7 and 12.5. (3) Correlations were significant (P<0.01) and positive between PEMAT understandability and actionability, PEMAT understandability and Index scores, PEMAT actionability and Index scores, PEMAT understandability and Material Type, PEMAT actionability and Material type. Correlations were significant (P<0.01) and negative between PEMAT understandability and FKGL scores, PEMAT actionability and FKGL scores, Index and FKGL scores, and FKGL and Material Types. No correlation was detected between Index scores and Material types (P>0.05). CONCLUSIONS COVID-19 health information provided by states for the public were easy to understand and act upon but could be improved in terms of readability and clear communication. The positive correlation identified between material types and PEMAT understandability/PEMAT actionability/Index scores respectively led to our recommendation on using more infographics and video format for public health messaging. CLINICALTRIAL N/A

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Barriers to Organizational Health Literacy at Public Health Departments in Germany

HLRP Health Literacy Research and Practice ◽

10.3928/24748307-20210809-01 ◽

2021 ◽

Vol 5 (3) ◽

Author(s):

Anika Mehlis ◽

Verena Locher ◽

Claudia Hornberg

Keyword(s):

Public Health ◽

Health Literacy ◽

Organizational Health ◽

Health Departments ◽

Public Health Departments

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Environmental scan of provincial and territorial planning for COVID-19 vaccination programs

10.1101/2020.12.22.20248685 ◽

2020 ◽

Author(s):

Shannon E. MacDonald ◽

Hannah Sell ◽

Sarah Wilson ◽

Samantha B. Meyer ◽

Arnaud Gagneur ◽

...

Keyword(s):

Public Health ◽

Public Perception ◽

Descriptive Analysis ◽

Vaccine Safety ◽

Health Departments ◽

Eligibility Criteria ◽

Term Care ◽

Vaccination Programs ◽

Public Health Departments ◽

Effectiveness Monitoring

AbstractBackgroundPublic health departments in Canada are currently facing the challenging task of planning and implementing COVID-19 vaccination programs.ObjectiveTo collect and synthesize information regarding COVID-19 vaccination programs in each of the provinces and territories (P/Ts).MethodsProvincial/territorial public health leaders were interviewed via teleconference between August-October 2020 to collect information on the following topics, drawn from scientific literature and media: unique factors for COVID-19 vaccination, adoption of National Advisory Committee on Immunization (NACI) recommendations, priority groups for early vaccination, and vaccine safety and effectiveness monitoring. Data were grouped according to common responses and descriptive analysis was performed.ResultsEighteen interviews occurred with 25 participants from 11 of 13 P/Ts. Factors unique to COVID-19 vaccination included prioritizing groups for early vaccination (n=7), public perception of vaccines (n=6), and differing eligibility criteria (n=5). Almost all P/Ts (n=10) reported reliance on NACI recommendations. Long-term care residents (n=10) and health care workers (n=10) were most frequently prioritized for early vaccination, followed by people with chronic medical conditions (n=9) and seniors (n=8). Most P/Ts (n=9) are planning routine adverse event monitoring to assess vaccine safety. Evaluation of effectiveness was anticipated to occur within public health departments (n=3), by researchers (n=3), or based on national guidance (n=4).ConclusionPlans for COVID-19 vaccination programs in the P/Ts exhibit some similarities and are largely consistent with NACI guidelines, with some discrepancies. Further research is needed to evaluate the success of COVID-19 vaccination programs once implemented.

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Aligning Community Hospitals with Local Public Health Departments

Emergency Management and Disaster Response Utilizing Public-Private Partnerships - Advances in Public Policy and Administration ◽

10.4018/978-1-4666-8159-0.ch012 ◽

2015 ◽

pp. 218-239

Author(s):

Anne M. Hewitt ◽

Stephen L. Wagner ◽

Riad Twal ◽

David Gourley

Keyword(s):

Public Health ◽

Emergency Preparedness ◽

Health Departments ◽

Community Hospitals ◽

Eligibility Criteria ◽

Public And Private ◽

Local Public Health ◽

Public Health Departments ◽

Task Forces ◽

Community Relationships

This chapter reviews the current organizational relationships between public health departments, local community hospitals, and medical centers as they relate to emergency preparedness and management. To examine their collaborative role, an analysis of legislative statutes, Joint Commission compliance mandates, professional accreditation standards, NIMS task force recommendations, and eligibility criteria for federal grants was completed. The information gleaned from this process was then synthesized to offer suggestions for developing positive collaboration outcomes. Reports from the three example stakeholder organizations suggest that positive changes in the level of community relationships have occurred. Continued maturation of emergency preparedness advisory boards, task forces, and coalitions also appear to have strengthened collaboration between the public and private agencies. To further encourage a systems model of collaboration, two strategies based on coalition capacity building are recommended. Leveraging gains made in community relationships over the past few years will continue to strengthen and improve emergency preparedness and management collaborations.

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Aligning Community Hospitals With Local Public Health Departments

Emergency and Disaster Management ◽

10.4018/978-1-5225-6195-8.ch024 ◽

2019 ◽

pp. 525-547

Author(s):

Anne M. Hewitt ◽

Stephen L. Wagner ◽

Riad Twal ◽

David Gourley

Keyword(s):

Public Health ◽

Emergency Preparedness ◽

Health Departments ◽

Community Hospitals ◽

Eligibility Criteria ◽

Public And Private ◽

Local Public Health ◽

Public Health Departments ◽

Task Forces ◽

Community Relationships

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Identifying barriers to organizational health literacy in public health departments in Germany

European Journal of Public Health ◽

10.1093/eurpub/ckz186.239 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

A Mehlis ◽

C Hornberg

Keyword(s):

Public Health ◽

Content Analysis ◽

Health Literacy ◽

Environmental Health ◽

Qualitative Content Analysis ◽

Organizational Health ◽

Health Departments ◽

Public Health Departments ◽

Wide Range ◽

Environmental Administration

Abstract Background To master challenges to their environmental health, people have to have health literacy (HL). At a national and communal level, focus is shifting from individual HL to health care organizations. They have to raise their organizational health literacy (OHL) to help their users to access information and services. In Germany, public health departments are responsible for environmental health at a population level while the environmental administration is responsible for health-related environmental protection. To date, there is no research on the OHL of public health departments in Germany. Which are the barriers that keep public health organizations from raising their OHL as well as from making better use of possible synergies with the environmental administration? Methods The study consisted of interviews with experts from public health (n = 7) and environmental departments (n = 5) at communal (n = 8) up to federal state level (n = 4). Experts were asked for their insight on barriers for OHL as well as for cross-sector collaboration. They were selected for a wide range in socioeconomic factors and administrative levels. The interviews were recorded between 10/2018-04/2019. After transcription the anonymized interviews underwent qualitative content analysis. Results In twelve interviews 10.4 h of audio were recorded. Content analysis revealed 13 barriers for OHL. Several of those had been described for hospitals before while others, like low responsiveness to the needs of the public, were unknown so far. Preliminary results also indicated several barriers for cross-sectoral cooperation as well as recommendations to overcome said barriers. Conclusions Interviews with public health and environmental administrative organizations turned up 13 barriers that keep them from raising their OHL. Implementing preliminary recommendations could result in better cooperation, in higher OHL, higher environmental health and therefore contribute to public health in the general population. Key messages Interviews with experts from public health and environmental administrative organizations in Germany turned up barriers that keep them from raising both their OHL and cross-sectoral cooperation. Implementing preliminary recommendations could result in higher OHL of public health departments and higher environmental health of the general public and thus contribute greatly to public health.

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Collaborating with Public Libraries, Public Health Departments, and Rural Hospitals to Provide Consumer Health Information Services

Journal of Consumer Health on the Internet ◽

10.1300/j381v11n04_01 ◽

2007 ◽

Vol 11 (4) ◽

pp. 1-14 ◽

Cited By ~ 5

Author(s):

Nakia J. Carter ◽

Richard L. Wallace

Keyword(s):

Public Health ◽

Health Information ◽

Public Libraries ◽

Consumer Health Information ◽

Rural Hospitals ◽

Information Services ◽

Consumer Health ◽

Health Departments ◽

Public Health Departments

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A Panel Evaluation of the Changes in the General Public’s Social-Media-Following of United States’ Public Health Departments during COVID-19 Pandemic

Journal of Primary Care & Community Health ◽

10.1177/2150132721995450 ◽

2021 ◽

Vol 12 ◽

pp. 215013272199545

Author(s):

Areej Khokhar ◽

Aaron Spaulding ◽

Zuhair Niazi ◽

Sikander Ailawadhi ◽

Rami Manochakian ◽

...

Keyword(s):

Public Health ◽

Social Media ◽

State Level ◽

The State ◽

Public Health Department ◽

Health Departments ◽

The Public ◽

Public Health Departments ◽

The Social ◽

The U.S

Importance: Social media is widely used by various segments of society. Its role as a tool of communication by the Public Health Departments in the U.S. remains unknown. Objective: To determine the impact of the COVID-19 pandemic on social media following of the Public Health Departments of the 50 States of the U.S. Design, Setting, and Participants: Data were collected by visiting the Public Health Department web page for each social media platform. State-level demographics were collected from the U.S. Census Bureau. The Center for Disease Control and Prevention was utilized to collect information regarding the Governance of each State’s Public Health Department. Health rankings were collected from “America’s Health Rankings” 2019 Annual report from the United Health Foundation. The U.S. News and World Report Education Rankings were utilized to provide information regarding the public education of each State. Exposure: Data were pulled on 3 separate dates: first on March 5th (baseline and pre-national emergency declaration (NED) for COVID-19), March 18th (week following NED), and March 25th (2 weeks after NED). In addition, a variable identifying the total change across platforms was also created. All data were collected at the State level. Main Outcome: Overall, the social media following of the state Public Health Departments was very low. There was a significant increase in the public interest in following the Public Health Departments during the early phase of the COVID-19 pandemic. Results: With the declaration of National Emergency, there was a 150% increase in overall public following of the State Public Health Departments in the U.S. The increase was most noted in the Midwest and South regions of the U.S. The overall following in the pandemic “hotspots,” such as New York, California, and Florida, was significantly lower. Interesting correlations were noted between various demographic variables, health, and education ranking of the States and the social media following of their Health Departments. Conclusion and Relevance: Social media following of Public Health Departments across all States of the U.S. was very low. Though, the social media following significantly increased during the early course of the COVID-19 pandemic, but it still remains low. Significant opportunity exists for Public Health Departments to improve social media use to engage the public better.

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31.C. Workshop: Development and implementation of action plans on health literacy

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1396 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

◽

Keyword(s):

Public Health ◽

Health Care ◽

Health Literacy ◽

Health Information ◽

Digital Health ◽

Action Plan ◽

Knowledge Society ◽

Implementation Strategies ◽

Social Consequences ◽

Action Plans

Abstract Health literacy (HL) has become an important topic in many countries. As HL - meaning the ability to access, understand, appraise and apply health information (Sørensen et al. 2012) - is important to make sound health decisions, to promote health and to take an active part in managing health and illness in everyday life and navigating the health care system. In the modern digital knowledge society, HL is also indispensable for orienting oneself in the abundance of mostly digital health information, including incorrect and false information, for locating reliable information and for assessing the trustworthiness and quality of information. However, available studies show that HL is insufficient in many countries. Low HL has - as many studies show - negative social consequences ranging from unhealthy behaviour, higher risk for diseases, less self-care and deficits in coping with illness and chronicity, to over- and misuse (extensive use) of health care. The promotion of HL is therefore an important public health task. An increasing number of population studies and policy documents currently underline this. The WHO has therefore included HL into many of its strategies, like the declarations of Shanghai (2016) and Astana (2018), and has published several publications focusing on HL, like the Solid Facts (2013), the 57th Health Evidence Network Report (2018) or the Roadmap for Implementing Health Literacy Activities (2019). In many countries, strategies and national action plans to improve HL have been developed in response to the political call for action, e.g. in Scotland, Germany and recently also in Portugal. Other countries and regions are currently working on the development of a HL action plan, e.g. Belgium and the WHO European Region action plan on HL. The development and especially the implementation strategies of action plans in different countries and the experiences gained will be discussed comparatively in the workshop. Following an introduction (10'), two countries, which already have action plans will introduce their implementation strategy in one presentation each: Germany and Portugal (30'). This will be followed by two presentations of countries/regions in which action plans are currently being developed: Belgium and WHO Europe (30'). Afterwards the participants will have the opportunity to ask questions and discuss on the different strategies (20'). The workshop will help other initiatives to successfully develop and implement policy plans and strategies in different fields of public health. Key messages Strategies and national action plans to improve HL have been developed in different countries/regions. It is important to reflect on the chosen development and implementation strategies and to discuss their effects, successes and barriers.

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