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Effectiveness of a Comprehensive Health Literacy Consultation Skills Training for Undergraduate Medical Students: A Randomized Controlled Trial

Author

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  • Marise S. Kaper

    (Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands)

  • Sijmen A. Reijneveld

    (Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands)

  • Frank D. van Es

    (Faculty of Medical Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands)

  • Janine de Zeeuw

    (Faculty of Medical Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands)

  • Josué Almansa

    (Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands)

  • Jaap A.R. Koot

    (Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands)

  • Andrea F. de Winter

    (Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands)

Abstract

Comprehensible communication by itself is not sufficient to overcome health literacy related problems. Future doctors need a larger scope of capacities in order to strengthen a patient’s autonomy, participation, and self-management abilities. To date, such comprehensive training-interventions are rarely embedded in curricula, nor systematically evaluated. We assessed whether comprehensive training increased these health literacy competencies, in a randomized controlled trial (RCT), with a waiting list condition. Participants were international undergraduate medical students of a Dutch medical faculty (intervention: 39; control: 40). The 11-h-training-intervention encompassed a health literacy lecture and five interactive small-group sessions to practise gathering information and providing comprehensible information, shared decision-making, and enabling of self-management using role-play and videotaped conversations. We assessed self-reported competencies (knowledge and awareness of health literacy, attitude, self-efficacy, and ability to use patient-centred communication techniques) at baseline, after a five and ten-week follow-up. We compared students’ competencies using multi-level analysis, adjusted for baseline. As validation, we evaluated demonstrated skills in videotaped consultations for a subsample. The group of students who received the training intervention reported significantly greater health literacy competencies, which persisted up to five weeks afterwards. Increase was greatest for providing comprehensible information (B: 1.50; 95% confidence interval, CI 1.15 to 1.84), shared decision-making (B: 1.08; 95% CI 0.60 to 1.55), and self-management (B: 1.21; 95% CI 0.61 to 1.80). Effects regarding demonstrated skills confirmed self-rated competency improvement. This training enhanced a larger scope of health literacy competences and was well received by medical students. Implementation and further evaluation of this training in education and clinical practice can support sustainable health literacy capacity building of future doctors and contribute to better patient empowerment and outcomes of consultations.

Suggested Citation

  • Marise S. Kaper & Sijmen A. Reijneveld & Frank D. van Es & Janine de Zeeuw & Josué Almansa & Jaap A.R. Koot & Andrea F. de Winter, 2019. "Effectiveness of a Comprehensive Health Literacy Consultation Skills Training for Undergraduate Medical Students: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(1), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:81-:d:300345
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    References listed on IDEAS

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    1. Marise S. Kaper & Andrea F. de Winter & Roberta Bevilacqua & Cinzia Giammarchi & Anne McCusker & Jane Sixsmith & Jaap A.R. Koot & Sijmen A. Reijneveld, 2019. "Positive Outcomes of a Comprehensive Health Literacy Communication Training for Health Professionals in Three European Countries: A Multi-centre Pre-post Intervention Study," IJERPH, MDPI, vol. 16(20), pages 1-14, October.
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    Cited by:

    1. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    2. Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Peter Kolarcik & Daniel Klein & Andrea F. de Winter & Jitse P. van Dijk & Sijmen A. Reijneveld, 2022. "Low Health Literacy Is Associated with Poorer Physical and Mental Health-Related Quality of Life in Dialysed Patients," IJERPH, MDPI, vol. 19(20), pages 1-9, October.
    3. Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Peter Kolarcik & Daniel Klein & Andrea F. de Winter & Jitse P. van Dijk & Sijmen A. Reijneveld, 2022. "Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients," IJERPH, MDPI, vol. 19(2), pages 1-9, January.
    4. Mona Voigt-Barbarowicz & Günter Dietz & Nicole Renken & Ruben Schmöger & Anna Levke Brütt, 2022. "Patients’ Health Literacy in Rehabilitation: Comparison between the Estimation of Patients and Health Care Professionals," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    5. Mona Voigt-Barbarowicz & Anna Levke Brütt, 2020. "The Agreement between Patients’ and Healthcare Professionals’ Assessment of Patients’ Health Literacy—A Systematic Review," IJERPH, MDPI, vol. 17(7), pages 1-17, March.
    6. Hiep T. Nguyen & Binh N. Do & Khue M. Pham & Giang B. Kim & Hoa T.B. Dam & Trung T. Nguyen & Thao T.P. Nguyen & Yen H. Nguyen & Kristine Sørensen & Andrew Pleasant & Tuyen Van Duong, 2020. "Fear of COVID-19 Scale—Associations of Its Scores with Health Literacy and Health-Related Behaviors among Medical Students," IJERPH, MDPI, vol. 17(11), pages 1-14, June.

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