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Moving towards a Comprehensive Approach for Health Literacy Interventions: The Development of a Health Literacy Intervention Model

Author

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  • Bas Geboers

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

Abstract

Low health literacy (HL) is associated with many negative health outcomes, and is a major challenge in public health and healthcare. Interventions to improve outcomes associated with HL are needed. In this paper, we aim to develop a comprehensive HL intervention model. We used a multimethod approach, consisting of (1) a literature review of articles listed in MEDLINE, presenting HL intervention models, (2) online consultation of international HL experts, and (3) two consensus meetings with members ( n = 36 and 27) of a consortium studying HL among older adults (50+) in Europe. In our literature review, we identified twenty-two HL models, only a few of which focused explicitly on interventions. Sixty-eight health literacy experts took part in the online survey. The results from all three methods came together in a comprehensive HL intervention model. This model conceptualized interventions as potentially targeting five factors affecting HL outcomes: (1) individuals’ personal characteristics, (2) individuals’ social context, (3) communication between individuals and health professionals, (4) health professionals’ HL capacities, and (5) health systems. Our model is the first comprehensive HL model focused specifically on interventions. The model can support the further development of HL interventions to improve the health outcomes of people with low HL.

Suggested Citation

  • Bas Geboers & Sijmen A. Reijneveld & Jaap A. R. Koot & Andrea F. De Winter, 2018. "Moving towards a Comprehensive Approach for Health Literacy Interventions: The Development of a Health Literacy Intervention Model," IJERPH, MDPI, vol. 15(6), pages 1-11, June.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1268-:d:152670
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    References listed on IDEAS

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    1. Roter, Debra L. & Erby, Lori H. & Larson, Susan & Ellington, Lee, 2007. "Assessing oral literacy demand in genetic counseling dialogue: Preliminary test of a conceptual framework," Social Science & Medicine, Elsevier, vol. 65(7), pages 1442-1457, October.
    2. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    3. Lee, Shoou-Yih D. & Arozullah, Ahsan M. & Cho, Young Ik, 2004. "Health literacy, social support, and health: a research agenda," Social Science & Medicine, Elsevier, vol. 58(7), pages 1309-1321, April.
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    Cited by:

    1. Margot Jager & Janine de Zeeuw & Janne Tullius & Roberta Papa & Cinzia Giammarchi & Amanda Whittal & Andrea F. de Winter, 2019. "Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies," IJERPH, MDPI, vol. 16(21), pages 1-23, November.
    2. Marco D. Boonstra & Sijmen A. Reijneveld & Gerjan Navis & Ralf Westerhuis & Andrea F. de Winter, 2021. "Co-Creation of a Multi-Component Health Literacy Intervention Targeting Both Patients with Mild to Severe Chronic Kidney Disease and Health Care Professionals," IJERPH, MDPI, vol. 18(24), pages 1-19, December.
    3. Liesbeth de Wit & Pania Karnaki & Archontoula Dalma & Peter Csizmadia & Charlotte Salter & Andrea de Winter & Louise Meijering, 2020. "Health Literacy in the Everyday Lives of Older Adults in Greece, Hungary, and the Netherlands," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    4. Marise S. Kaper & Jane Sixsmith & Sijmen A. Reijneveld & Andrea F. de Winter, 2021. "Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review," IJERPH, MDPI, vol. 18(22), pages 1-21, November.
    5. Elena Guggiari & Rebecca Jaks & Fabian Marc Pascal Berger & Dunja Nicca & Saskia Maria De Gani, 2021. "Health Literacy in the Canton of Zurich: First Results of a Representative Study," IJERPH, MDPI, vol. 18(23), pages 1-12, December.
    6. Carel J. M. Jansen & Ruth Koops van ’t Jagt & Sijmen A. Reijneveld & Ellen van Leeuwen & Andrea F. de Winter & John C. J. Hoeks, 2021. "Improving Health Literacy Responsiveness: A Randomized Study on the Uptake of Brochures on Doctor-Patient Communication in Primary Health Care Waiting Rooms," IJERPH, MDPI, vol. 18(9), pages 1-17, May.
    7. Don Nutbeam & Diane Levin-Zamir & Gill Rowlands, 2018. "Health Literacy in Context," IJERPH, MDPI, vol. 15(12), pages 1-3, November.
    8. Ruth Koops van ‘t Jagt & Shu Ling Tan & John Hoeks & Sophie Spoorenberg & Sijmen A. Reijneveld & Andrea F. de Winter & Sonia Lippke & Carel Jansen, 2019. "Using Photo Stories to Support Doctor-Patient Communication: Evaluating a Communicative Health Literacy Intervention for Older Adults," IJERPH, MDPI, vol. 16(19), pages 1-18, October.
    9. Anthony Faiola & Maged N. Kamel Boulos & Salman Bin Naeem & Aziz ur-Rehman, 2022. "Integrating Social and Family Support as a Measure of Health Outcomes: Validity Implications from the Integrated Model of Health Literacy," IJERPH, MDPI, vol. 20(1), pages 1-19, December.
    10. 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.

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