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Improving Organizational Health Literacy Responsiveness in Cardiac Rehabilitation Using A Co-Design Methodology: Results from The Heart Skills Study

Author

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  • Anna Aaby

    (Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark)

  • Camilla Bakkær Simonsen

    (Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark)

  • Knud Ryom

    (Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark)

  • Helle Terkildsen Maindal

    (Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark
    Steno Diabetes Center Copenhagen, Niels Steensens vej 2, 2820 Gentofte, Denmark)

Abstract

For health services, improving organizational health literacy responsiveness is a promising approach to enhance health and counter health inequity. A number of frameworks and tools are available to help organizations boost their health literacy responsiveness. These include the Ophelia (OPtimising HEalth LIteracy and Access) approach centered on local needs assessments, co-design methodologies, and pragmatic intervention testing. Within a municipal cardiac rehabilitation (CR) setting, the Heart Skills Study aimed to: (1) Develop and test an organizational health literacy intervention using an extended version of the Ophelia approach, and (2) evaluate the organizational impact of the application of the Ophelia approach. We found the approach successful in producing feasible organizational quality improvement interventions that responded to local health literacy needs such as enhanced social support and individualized care. Furthermore, applying the Ophelia approach had a substantial organizational impact. The co-design process in the unit helped develop and integrate a new and holistic understanding of CR user needs and vulnerabilities based on health literacy. It also generated motivation and ownership among CR users, staff, and leaders, paving the way for sustainable future implementation. The findings can be used to inform the development and evaluation of sustainable co-designed health literacy initiatives in other settings.

Suggested Citation

  • Anna Aaby & Camilla Bakkær Simonsen & Knud Ryom & Helle Terkildsen Maindal, 2020. "Improving Organizational Health Literacy Responsiveness in Cardiac Rehabilitation Using A Co-Design Methodology: Results from The Heart Skills Study," IJERPH, MDPI, vol. 17(3), pages 1-18, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:1015-:d:317021
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    References listed on IDEAS

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    1. Minmin Lu & Jianying Ma & Ying Lin & Xian Zhang & Yunzhi Shen & Haiou Xia, 2019. "Relationship between patient’s health literacy and adherence to coronary heart disease secondary prevention measures," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2833-2843, August.
    2. Anna Aaby & Karina Friis & Bo Christensen & Helle Terkildsen Maindal, 2020. "Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark," IJERPH, MDPI, vol. 17(2), pages 1-12, January.
    3. Marija Jovanić & Marija Zdravković & Dejana Stanisavljević & Aleksandra Jović Vraneš, 2018. "Exploring the Importance of Health Literacy for the Quality of Life in Patients with Heart Failure," IJERPH, MDPI, vol. 15(8), pages 1-13, August.
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    Cited by:

    1. Maiken Meldgaard & Rikke Damkjær Maimburg & Maiken Fabricius Damm & Anna Aaby & Anna Peeters & Helle Terkildsen Maindal, 2022. "The Health Literacy in Pregnancy (HeLP) Program Study Protocol: Development of an Antenatal Care Intervention Using the Ophelia Process," IJERPH, MDPI, vol. 19(8), pages 1-13, April.
    2. Wagida A. Anwar & Nayera S. Mostafa & Sally Adel Hakim & Dalia G. Sos & Christina Cheng & Richard H. Osborne, 2021. "Health Literacy Co-Design in a Low Resource Setting: Harnessing Local Wisdom to Inform Interventions across Fishing Villages in Egypt to Improve Health and Equity," IJERPH, MDPI, vol. 18(9), pages 1-14, April.
    3. 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.
    4. Lara Lindert & Lukas Kühn & Paulina Kuper & Kyung-Eun (Anna) Choi, 2022. "Organizational Health Literacy in the Context of Employee Health: An Expert-Panel-Guided Scoping Review Protocol," IJERPH, MDPI, vol. 19(7), pages 1-9, April.
    5. Jonas Lander & Marie-Luise Dierks & Melanie Hawkins, 2022. "Health Literacy Development among People with Chronic Diseases: Advancing the State of the Art and Learning from International Practices," IJERPH, MDPI, vol. 19(12), pages 1-5, June.

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