Using co-design to develop interventions to address health literacy needs in a hospitalised population Jessup, Rebecca L, Osborne, Richard H, Buchbinder, Rachelle and Beauchamp, Alison 2018, Using co-design to develop interventions to address health literacy needs in a hospitalised population, BMC health services research, vol. 18, pp. 1-13, doi: 10.1186/s12913-018-3801-7. Attached Files Name Description MIMEType Size Downloads Title Using co-design to develop interventions to address health literacy needs in a hospitalised population Author(s) Jessup, Rebecca L Osborne, Richard H orcid.org/0000-0002-9081-2699 Buchbinder, Rachelle Beauchamp, Alison orcid.org/0000-0001-6555-6200 Journal name BMC health services research Volume number 18 Article ID 989 Start page 1 End page 13 Total pages 13 Publisher BioMed Central Place of publication London, Eng. Publication date 2018-12-20 ISSN 1472-6963 Keyword(s) health literacy interventions co-design solutions science & technology life sciences & biomedicine health care sciences & services Summary BACKGROUND: Health literacy describes the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health. Suboptimal health literacy is common and is believed to impact up to 60% of Australians. Co-design is a participatory approach to the development of interventions that brings together to staff and patients to design local solutions to local problems. The aim of this study is to describe a staff and patient co-design process that will lead to the development of health literacy interventions in response to identified health literacy needs of hospital patients. METHODS: A mixed methods, two-step sequential explanatory design. Step 1: hospitalised patients surveyed and data analysed using hierarchical cluster analysis to establish health literacy profiles. Step 2: clusters presented as vignettes to patients and clinicians to co-design interventions to address needs. RESULTS: Eight health literacy clusters were identified from surveys. Seven patients attended two patient workshops and 23 staff attended two staff workshops. Three key themes were identified: organisational, provider-patient, and patient self-care. Within these, five sub-themes emerged: "Good quality communication during hospital stay", "Social support for health", "A good discharge", "Care across the continuum" and "Accessing quality information when home". Fifteen potential interventions were produced, including changes to message design and delivery, staff training in assessing for understanding, social support to improve understanding, improving communication consistency across the care continuum, and strategic dissemination of web-based resources. CONCLUSION: This study identified fifteen strategies to address health literacy needs of a hospital population. Implementation and evaluation will identify sets of strategies that have the maximum patient, clinician and organisational benefit. This approach allows for the development of locally-driven, contextually-appropriate interventions to address health literacy needs. Language eng DOI 10.1186/s12913-018-3801-7 Field of Research 1117 Public Health And Health Services 0807 Library And Information Studies HERDC Research category C1 Refereed article in a scholarly journal Copyright notice ©2018, The Author(s) Persistent URL http://hdl.handle.net/10536/DRO/DU:30117244 Document type: Journal Article Collections: Faculty of Health School of Health and Social Development Open Access Checking Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Wed, 30 Jan 2019, 14:52:36 EST Wed, 30 Jan 2019, 14:53:10 EST Thu, 31 Jan 2019, 04:02:06 EST Thu, 31 Jan 2019, 07:32:47 EST Sat, 09 Feb 2019, 05:03:07 EST Fri, 01 Mar 2019, 13:48:25 EST Fri, 01 Mar 2019, 13:49:54 EST Fri, 01 Mar 2019, 13:52:01 EST Filtered Full Citation counts:   Cited 1 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 74 Abstract Views, 2 File Downloads  -  Detailed Statistics Created: Wed, 30 Jan 2019, 14:53:10 EST

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