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.

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Title Using co-design to develop interventions to address health literacy needs in a hospitalised population
Author(s) Jessup, Rebecca L
Osborne, Richard HORCID iD for Osborne, Richard H
Buchbinder, Rachelle
Beauchamp, AlisonORCID iD for Beauchamp, Alison
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
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)
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