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Positive Outcomes of a Comprehensive Health Literacy Communication Training for Health Professionals in Three European Countries: A Multi-centre Pre-post Intervention Study

Author

Listed:
  • Marise S. Kaper

    (University of Groningen, University Medical Center Groningen, Department of Health Sciences, 9700 RB Groningen, The Netherlands)

  • Andrea F. de Winter

    (University of Groningen, University Medical Center Groningen, Department of Health Sciences, 9700 RB Groningen, The Netherlands)

  • Roberta Bevilacqua

    (IRCCS INRCA (the National Institute of Health and Science on Aging), 60124 Ancona, Italy)

  • Cinzia Giammarchi

    (IRCCS INRCA (the National Institute of Health and Science on Aging), 60124 Ancona, Italy
    The Regional Agency for Health (ARS of the Marche region), 60125 Ancona, Italy)

  • Anne McCusker

    (Belfast Healthy Cities, Belfast BT1 1RD, UK)

  • Jane Sixsmith

    (Health Promotion Research Centre, National University of Ireland Galway, Galway H91 TK33, Ireland)

  • Jaap A.R. Koot

    (University of Groningen, University Medical Center Groningen, Department of Health Sciences, 9700 RB Groningen, The Netherlands)

  • Sijmen A. Reijneveld

    (University of Groningen, University Medical Center Groningen, Department of Health Sciences, 9700 RB Groningen, The Netherlands)

Abstract

Many professionals have limited knowledge of how to address health literacy; they need a wider range of health literacy competencies to enhance empowerment and person-centred prevention. We evaluated whether: (1) a comprehensive health literacy training increased self-rated competencies of health professionals to address health literacy related problems and support the development of people’s autonomy and self-management abilities after training and 6–12 weeks later, (2) professionals were satisfied with the training, (3) outcomes differed for the three participating European countries. Health professionals (N = 106) participated in a multicentre pre-post intervention study in Italy, the Netherlands and Northern Ireland. The 8-hour training-intervention involved health literacy knowledge, the practice of comprehensible communication skills, shared decision-making, and enhancing self-management. Self-rated health literacy competencies and training satisfaction were assessed at baseline, immediately after training and 6-12 weeks later, and analysed by multi-level analysis. Professionals’ self-rated health literacy competencies significantly improved following training in all three countries; this increase persisted at 6-12 weeks follow-up. The strongest increase regarded professional’s skills to enhance shared-decision making and enabling self-management after training and follow-up respectively. Professionals perceived the training as relevant for practice. Competency increases seemed to be consistent across countries. In three countries, professionals’ self-rated health literacy competencies increased following this comprehensive training. These promising findings should be confirmed in a further full effect study. Implementation of this training in European education and health care may improve person-centred communication by professionals and might help to tackle health literacy related problems and to strengthen people’s abilities in achieving better health outcomes.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3923-:d:276866
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    References listed on IDEAS

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    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. Sixsmith, J. & Sixsmith, A. & Fänge, A. Malmgren & Naumann, D. & Kucsera, C. & Tomsone, S. & Haak, M. & Dahlin-Ivanoff, S. & Woolrych, R., 2014. "Healthy ageing and home: The perspectives of very old people in five European countries," Social Science & Medicine, Elsevier, vol. 106(C), pages 1-9.
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    Cited by:

    1. Roberta Bevilacqua & Stefano Strano & Mirko Di Rosa & Cinzia Giammarchi & Katerina Katka Cerna & Claudia Mueller & Elvira Maranesi, 2021. "eHealth Literacy: From Theory to Clinical Application for Digital Health Improvement. Results from the ACCESS Training Experience," IJERPH, MDPI, vol. 18(22), pages 1-11, 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. 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.
    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. Ronie Walters & Stephen J. Leslie & Jane Sixsmith & Trish Gorely, 2020. "Health Literacy for Cardiac Rehabilitation: An Examination of Associated Illness Perceptions, Self-Efficacy, Motivation and Physical Activity," IJERPH, MDPI, vol. 17(22), pages 1-15, November.
    7. 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.
    8. Henrietta Bánfai-Csonka & Bálint Bánfai & Sára Jeges & József Betlehem, 2022. "Understanding Health Literacy among University Health Science Students of Different Nationalities," IJERPH, MDPI, vol. 19(18), pages 1-13, September.
    9. Eija Kärnä & Lotta Aavikko & Rebekka Rohner & Vera Gallistl & Kaisa Pihlainen & Claudia Müller & Anja Ehlers & Roberta Bevilacqua & Stefano Strano & Elvira Maranesi & Katerina Cerna & Lisa Hengl & Fra, 2022. "A Multilevel Model of Older Adults’ Appropriation of ICT and Acquisition of Digital Literacy," IJERPH, MDPI, vol. 19(23), pages 1-14, November.
    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.
    11. Božica Lovrić & Harolt Placento & Nikolina Farčić & Metka Lipič Baligač & Štefica Mikšić & Marin Mamić & Tihomir Jovanović & Hrvoje Vidić & Sandra Karabatić & Sabina Cviljević & Lada Zibar & Ivan Vuko, 2022. "Association between Health Literacy and Prevalence of Obesity, Arterial Hypertension, and Diabetes Mellitus," IJERPH, MDPI, vol. 19(15), pages 1-14, July.
    12. Patrizio Zanobini & Marco Del Riccio & Chiara Lorini & Guglielmo Bonaccorsi, 2024. "Empowering Sustainable Healthcare: The Role of Health Literacy," Sustainability, MDPI, vol. 16(10), pages 1-12, May.

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