IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i8p1630-d161426.html
   My bibliography  Save this article

Effects of the Conceptual Model of Health Literacy as a Risk: A Randomised Controlled Trial in a Clinical Dental Context

Author

Listed:
  • Linda Stein

    (Department of Clinical Dentistry, Faculty of Health Sciences, UiT—The Arctic University of Norway, 9019 Tromsø, Norway)

  • Maud Bergdahl

    (Department of Clinical Dentistry, Faculty of Health Sciences, UiT—The Arctic University of Norway, 9019 Tromsø, Norway)

  • Kjell Sverre Pettersen

    (Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet—Oslo Metropolitan University, 0130 Oslo, Norway)

  • Jan Bergdahl

    (Department of Clinical Dentistry, Faculty of Health Sciences, UiT—The Arctic University of Norway, 9019 Tromsø, Norway
    Department of Psychology, Umeå University, 901 87 Umeå, Sweden)

Abstract

Numerous conceptual models of health literacy have been proposed in the literature, but very few have been empirically validated in clinical contexts. The aim of this study was to test the effects of the conceptual model of health literacy as a risk in a clinical dental context. A convenience sample of 133 Norwegian-speaking adults was recruited. Participants were randomly allocated to an intervention group ( n = 64, 54% women, mean age = 50 years) and a control group ( n = 69, 49% women, mean age = 46 years). Clinical measurements were conducted pre-intervention and six months post-intervention. In the intervention group, communication regarding patients’ oral health was tailored to their health literacy levels using recommended communication techniques, whereas the control group received brief information not tailored to health literacy levels. The ANCOVA showed significant between-group effects, finding reduced post-intervention mean gingival ( p < 0.000) and mean plaque ( p < 0.000) indices in the intervention group when controlling for baseline index scores. The adjusted Cohen’s d indicated large effect sizes between the intervention group and the control group for both the mean gingival index (−0.98) and the mean plaque index (−1.33). In conclusion, the conceptual model of health literacy as a risk had a large effect on important clinical outcomes, such as gingival status and oral hygiene. The model may be regarded as a suitable supplement to patient education in populations.

Suggested Citation

  • Linda Stein & Maud Bergdahl & Kjell Sverre Pettersen & Jan Bergdahl, 2018. "Effects of the Conceptual Model of Health Literacy as a Risk: A Randomised Controlled Trial in a Clinical Dental Context," IJERPH, MDPI, vol. 15(8), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1630-:d:161426
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/8/1630/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/8/1630/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. Lee, J.Y. & Divaris, K. & Baker, A.D. & Rozier, R.G. & Vann Jr., W.F., 2012. "The relationship of oral health literacy and self-efficacy with oral health status and dental neglect," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 923-929.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Zhiqiang Tian & Yanjun Wang & Yang Li & Jiao Lu & Li Song & Ling Ding & Xinyu Guo & Jianzhong Zheng, 2023. "Defining the Connotations of Oral Health Literacy Using the Conceptual Composition Method," IJERPH, MDPI, vol. 20(4), pages 1-12, February.
    2. Don Nutbeam & Diane Levin-Zamir & Gill Rowlands, 2018. "Health Literacy in Context," IJERPH, MDPI, vol. 15(12), pages 1-3, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Maricel G. Santos & Anu L. Gorukanti & Lina M. Jurkunas & Margaret A. Handley, 2018. "The Health Literacy of U.S. Immigrant Adolescents: A Neglected Research Priority in a Changing World," IJERPH, MDPI, vol. 15(10), pages 1-18, September.
    2. Apiradee Nantsupawat & Orn‐Anong Wichaikhum & Kulwadee Abhicharttibutra & Wipada Kunaviktikul & Mohd Said Bin Nurumal & Lusine Poghosyan, 2020. "Nurses' knowledge of health literacy, communication techniques, and barriers to the implementation of health literacy programs: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 577-585, September.
    3. Chiao Ling Huang & Shu-Ching Yang & Chia-Hsun Chiang, 2020. "The Associations between Individual Factors, eHealth Literacy, and Health Behaviors among College Students," IJERPH, MDPI, vol. 17(6), pages 1-13, March.
    4. Yuji Kanejima & Kazuhiro P. Izawa & Masahiro Kitamura & Kodai Ishihara & Asami Ogura & Ikko Kubo & Hitomi Nagashima & Hideto Tawa & Daisuke Matsumoto & Ikki Shimizu, 2022. "Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study," IJERPH, MDPI, vol. 19(24), pages 1-10, December.
    5. Constanze Hübner & Mariya Lorke & Annika Buchholz & Stefanie Frech & Laura Harzheim & Sabine Schulz & Saskia Jünger & Christiane Woopen, 2022. "Health Literacy in the Context of Implant Care—Perspectives of (Prospective) Implant Wearers on Individual and Organisational Factors," IJERPH, MDPI, vol. 19(12), pages 1-36, June.
    6. Setti Rais Ali & Paul Dourgnon & Lise Rochaix, 2018. "Social Capital or Education: What Matters Most to Cut Time to Diagnosis?," Working Papers halshs-01703170, HAL.
    7. Sasha A. Fleary & Carolina Gonçalves & Patrece L. Joseph & Dwayne M. Baker, 2022. "Census Tract Demographics Associated with Libraries’ Social, Economic, and Health-Related Programming," IJERPH, MDPI, vol. 19(11), pages 1-13, May.
    8. Samuel G Smith & Laura M Curtis & Jane Wardle & Christian von Wagner & Michael S Wolf, 2013. "Skill Set or Mind Set? Associations between Health Literacy, Patient Activation and Health," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    9. Davillas, Apostolos & de Oliveira, Victor Hugo & Jones, Andrew M., 2023. "Is inconsistent reporting of self-assessed health persistent and systematic? Evidence from the UKHLS," Economics & Human Biology, Elsevier, vol. 49(C).
    10. Virginia Vettori & Chiara Lorini & Chiara Milani & Guglielmo Bonaccorsi, 2019. "Towards the Implementation of a Conceptual Framework of Food and Nutrition Literacy: Providing Healthy Eating for the Population," IJERPH, MDPI, vol. 16(24), pages 1-21, December.
    11. Ying Wu & Lu Wang & Zhongyuan Cai & Luqi Bao & Pu Ai & Zisheng Ai, 2017. "Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China," IJERPH, MDPI, vol. 14(6), pages 1-10, June.
    12. Mitja Vrdelja & Sanja Vrbovšek & Vito Klopčič & Kevin Dadaczynski & Orkan Okan, 2021. "Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    13. 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.
    14. Patrizio Zanobini & Chiara Lorini & Alberto Baldasseroni & Claudia Dellisanti & Guglielmo Bonaccorsi, 2020. "A Scoping Review on How to Make Hospitals Health Literate Healthcare Organizations," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    15. Yoon K Loke & Ina Hinz & Xia Wang & Gill Rowlands & David Scott & Charlotte Salter, 2012. "Impact of Health Literacy in Patients with Chronic Musculoskeletal Disease–Systematic Review," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
    16. Padmore Adusei Amoah, 2019. "The Relationship between Functional Health Literacy, Self-Rated Health, and Social Support between Younger and Older Adults in Ghana," IJERPH, MDPI, vol. 16(17), pages 1-14, August.
    17. Veronika Anselmann & Simone Halder & Sophie Sauer, 2024. "Nursing Students’ Health Literacy and Strategies to Foster Patients’ Health Literacy," IJERPH, MDPI, vol. 21(8), pages 1-9, August.
    18. Ana Cristina Cabellos-García & Enrique Castro-Sánchez & Antonio Martínez-Sabater & Miguel Ángel Díaz-Herrera & Ana Ocaña-Ortiz & Raúl Juárez-Vela & Vicente Gea-Caballero, 2020. "Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease," IJERPH, MDPI, vol. 17(6), pages 1-13, March.
    19. Suwida Rakpaitoon & Sasithorn Thanapop & Chamnong Thanapop, 2022. "Correctional Officers’ Health Literacy and Practices for Pulmonary Tuberculosis Prevention in Prison," IJERPH, MDPI, vol. 19(18), pages 1-11, September.
    20. Rafaela Rosário & Inês Fronteira & Maria R. O. Martins & Cláudia Augusto & Maria José Silva & Melanie Messer & Silvana Martins & Ana Duarte & Neida Ramos & Katharina Rathmann & Orkan Okan & Kevin Dada, 2022. "Infodemic Preparedness and COVID-19: Searching about Public Health and Social Measures Is Associated with Digital Health Literacy in University Students," IJERPH, MDPI, vol. 19(19), pages 1-9, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1630-:d:161426. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.