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Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review

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  • Marise S. Kaper

    (Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands
    Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands)

  • Jane Sixsmith

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

  • Sijmen A. Reijneveld

    (Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 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, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands)

Abstract

Organizational health literacy (OHL)-interventions can reduce inequality and demands in health care encountered by patients. However, an overview of their impact and critical factors for organization-wide implementation is lacking. The aim of this scoping review is to summarize the evidence on: (1) the outcomes of OHL-interventions at patient, professional and organizational levels; and (2) the factors and strategies that affect implementation and outcomes of OHL-interventions. We reviewed empirical studies following the five-stage framework of Arksey and O’Malley. The databases Scopus, PubMed, PsychInfo and CINAHL were searched from 1 January 2010 to 31 December 2019, focusing on OHL-interventions using terms related to “health literacy”, “health care organization” and “intervention characteristics”. After a full-text review, we selected 24 descriptive stu-dies. Of these, 23 studies reported health literacy problems in relation to OHL-assessment tools. Nine out of thirteen studies reported that the use of interventions resulted in positive changes on OHL-domains regarding comprehensible communication, professionals’ competencies and practices, and strategic organizational changes. Organization-wide OHL-interventions resulted in some improvement of patient outcomes but evidence was scarce. Critical factors for organization-wide implementation of OHL-interventions were leadership support, top-down and bottom-up approaches, a change champion, and staff commitment. Organization-wide interventions lead to more positive change on OHL-domains, but evidence regarding OHL-outcomes needs strengthening.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11906-:d:678102
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    References listed on IDEAS

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    1. Marise Kaper & Jane Sixsmith & Louise Meijering & Janine Vervoordeldonk & Priscilla Doyle & Margaret M. Barry & Andrea F. de Winter & Sijmen A. Reijneveld, 2019. "Implementation and Long-Term Outcomes of Organisational Health Literacy Interventions in Ireland and The Netherlands: A Longitudinal Mixed-Methods Study," IJERPH, MDPI, vol. 16(23), pages 1-18, November.
    2. 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.
    3. Horowitz, A.M. & Maybury, C. & Kleinman, D.V. & Radice, S.D. & Wang, M.Q. & Child, W. & Rudd, R.E., 2014. "Health literacy environmental scans of community-based dental clinics in maryland," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 85-93.
    4. 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.
    5. Anita Trezona & Sarity Dodson & Emma Fitzsimon & Anthony D. LaMontagne & Richard H. Osborne, 2020. "Field-Testing and Refinement of the Organisational Health Literacy Responsiveness Self-Assessment (Org-HLR) Tool and Process," IJERPH, MDPI, vol. 17(3), pages 1-13, February.
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    1. Natascha Stuermer & Saskia Maria De Gani & Anna-Sophia Beese & Jennifer Giovanoli Evack & Rebecca Jaks & Dunja Nicca, 2022. "Health Professionals’ Experience with the First Implementation of the Organizational Health Literacy Self-Assessment Tool for Primary Care (OHL Self-AsseT)—A Qualitative Reflexive Thematic Analysis," IJERPH, MDPI, vol. 19(23), pages 1-22, November.

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