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Abstract
Title Development and evaluation of a health literacy training program for allied health professionals: A pre-post study assessing impact and implementation outcomes |
Type Oral Presentation Only |
Theme Global Health Literacy Summit 2021 |
Topic Health literacy in professional training and performance (incl Medical / Health Professions Schools, Occupational therapy etc.) |
Authors
Main Author Danielle Muscat1 |
Presenting Author Danielle Muscat1 |
Co-Author Dragana Ceprnja2 Kim Hobbs2 Jodi-Anne Gibson2 Caron Blumenthal2 Rula Milad2 Timothea Lau3 Chris Burns 2 Victoria Flood3 |
Authors' Institution
Department / Institution / Country Faculty of Medicine and Health, School of Public Health, Sydney Health Literacy Lab / University of Sydney / Australia1 Allied Health / Western Sydney Local Health District / Australia2 Faculty of Medicine and Health / University of Sydney / Australia3 |
Abstract Content (abstracts should be written in Size 11 font, Arial font style) Issue addressed; We developed and evaluated a health literacy training program for allied health professionals, and explored the feasibility of a train-the-trainer model to support dissemination. Methods; The program combined didactic and experiential teaching methods and behavior change techniques, with a focus on teachback and developing easy-to-understand written materials. Outcomes included participant reactions, confidence (range:6-30), behavioural intentions (range:6-42), and dissemination of training content. Implementation outcomes were evaluated using the Normalization MeAsure Development (NoMAD) tool, assessing the constructs of coherence (range:4-20), cognitive participation (range:4-20), collective action (range:7-35) and reflexive monitoring (range:5-25). Results; Of the 29 allied health professionals who participated, 90% rated the program as ‘excellent’/‘very good’, and 97% said the information was ‘extremely’/‘very’ helpful for their everyday practice. We observed increases in confidence (mean difference [MD]=6.3, standard deviation [SD]=2.7, t25 = 11.87, p<0.001) and intentions (MD=3.6, SD=8.1, t23 = 2.2, p=0.04) related to health literacy practices after 6 weeks. Improved confidence was retained over 6 months (MD=7.1, SD=5.2, t18 = 5.96, p<0.001). After 6 months, 95% of participants (n=19) reported using teachback and 50% (n=10) reported having used a readability formula. Eight-five percent of participants (17/20) had trained others in health literacy, reaching n=201 allied health professionals and students. NoMAD scores were highest in relation to cognitive participation (/20) (M=18.2, SD=2.1) and lowest in relation to collective action (/35) (M=25.4, SD=3.0). Conclusions; A train-the-trainer model appears to be a feasible method to disseminate health literacy training, but additional work may be needed to improve the collective work done to enable health literacy practices in real-world clinical contexts. Staff training is particularly important in highly-diverse areas where patients are disproportionately affected by low health literacy. |
Other Topics Preferences(Maximum of two topics only and please note that the Program Committee reserves the right to decide on the final presentation format.) Organizational health literacy Health literacy and clinical healthcare settings (incl primary care) |
Requires Audio or Video system for Presentation?: No