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Fostering Health Literacy Responsiveness in a Remote Primary Health Care Setting: A Pilot Study

Author

Listed:
  • Rachael Laing

    (Western Australian Centre for Rural Health, School of Population and Global Health, The University of Western Australia, Karratha, WA 6714, Australia)

  • Sandra C Thompson

    (Western Australian Centre for Rural Health, School of Population and Global Health, The University of Western Australia, Geraldton, WA 6530, Australia)

  • Shandell Elmer

    (Centre for Global Health and Equity, Swinburne University of Technology, Hawthorn, VIC 3122, Australia)

  • Rohan L Rasiah

    (Western Australian Centre for Rural Health, School of Population and Global Health, The University of Western Australia, Karratha, WA 6714, Australia)

Abstract

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.

Suggested Citation

  • Rachael Laing & Sandra C Thompson & Shandell Elmer & Rohan L Rasiah, 2020. "Fostering Health Literacy Responsiveness in a Remote Primary Health Care Setting: A Pilot Study," IJERPH, MDPI, vol. 17(8), pages 1-21, April.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2730-:d:346221
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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. Verna B. McKenna & Jane Sixsmith & Margaret M. Barry, 2018. "A Qualitative Study of the Development of Health Literacy Capacities of Participants Attending a Community-Based Cardiovascular Health Programme," IJERPH, MDPI, vol. 15(6), pages 1-19, June.
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    Cited by:

    1. Shyam Sundar Budhathoki & Melanie Hawkins & Gerald Elsworth & Michael T. Fahey & Jeevan Thapa & Sandeepa Karki & Lila Bahadur Basnet & Paras K. Pokharel & Richard H. Osborne, 2022. "Use of the English Health Literacy Questionnaire (HLQ) with Health Science University Students in Nepal: A Validity Testing Study," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    2. Andrew Ridge & Gregory M. Peterson & Bastian M. Seidel & Vinah Anderson & Rosie Nash, 2021. "Healthcare Providers’ Perceptions of Potentially Preventable Rural Hospitalisations: A Qualitative Study," IJERPH, MDPI, vol. 18(23), pages 1-14, December.

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