Community-Based Health Literacy Interventions Proceedings of a Workshop (2018) / Chapter Skim
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2 Presentation and Discussion on the Commissioned Paper
2 Presentation and Discussion on the Commissioned Paper
Pages 5-14
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, librarian Nedelina Tchangalova from the University of Maryland, and Don Rubin from the University of Georgia -- as well as two other colleagues from CDC -- Tom Chapel and Dogan Erglu -- who were instrumental in choosing an evalu 1 This section is based on the presentation by Cynthia Baur, director of the Herschel S Horowitz Center for Health Literacy at the University of Maryland School of Public Health, and the statements are not endorsed or verified by the National Academies of Sciences, Engineering, and Medicine.
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From page 6... ...
The third question -- What is or could be the "value added" element of doing a health literacy intervention with a community? -- aimed to identify what health literacy brought to the many community interventions that focused on knowledge and building skills related to specific health concerns or health topics.
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From page 7... ...
that gave community four meanings: setting, the target population, a resource or asset, and an agent where the community is engaged in whatever issue it is being asked to consider. Setting and target population were the most frequent uses of the term "community." For example, publications would mention community hospitals, community clinics, or community agencies without defining the community element, or they would state that recruitment occurred in a community or that there were community participants without defining the boundaries of the community being studied.
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. BOX 2-1 Categories Used to Organize the Results of the Literature Review • Health literacy skill and capacity building • Information seeking • Culturally sensitive • Adult learners • Early childhood • Schools • Other • Chronic disease • Mental health • Medicines • Cancer • Environmental health • Policy/system SOURCE: As presented by Cynthia Baur at the Community-Based Health Literacy Interven tions workshop on July 19, 2017.
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From page 9... ...
Several studies had the specific goal of creating culturally sensitive or culturally targeted interventions, while studies in other categories included cultural sensitivity as an aspect. A handful of studies were about adult learners enrolled in formal programs offered through adult literacy organizations or at a community college, and other studies focused on Head Start programs.
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From page 10... ...
There was a strong community engagement component in all of the papers, which included formative research to identify community needs or to address health literacy issues in a community. The studies all had a health literacy intervention component, and a few papers made a link between health knowledge and health literacy.
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From page 11... ...
DISCUSSION Rima Rudd from the Harvard T.H. Chan School of Public Health opened the discussion by asking Baur to explain why her team's review identified 74 papers describing community-based health literacy interventions while another group, headed by Don Nutbeam at the University of Sydney, found only seven articles for a review his team conducted 1 year earlier.
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From page 12... ...
She explained that none of the 74 studies defined communities by socioeconomic status and none looked at whether the intervention was more or less successful in high versus medium versus low socioeconomic communities. Bernard Rosof from the Quality HealthCare Advisory Group and Northwell Health remarked that perhaps all communities could benefit from health literacy interventions, to which Baur responded, "They may need them, but who needs them more?
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From page 13... ...
Jennifer Dillaha from the Arkansas Department of Health said she agreed with Baur's decision to make a distinction between health education and health literacy because in her opinion, health literacy enables people to gain knowledge more easily from health education interventions. She then asked Baur if she considered whether interventions designed for specific chronic diseases are more about health education than health literacy.
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From page 14... ...
Elwood noted that a new rule will go into effect on January 1, 2018, that will require any human subjects study receiving National Institutes of Health funding to list all social and behavioral interventions and, eventually, all study protocols on their ClinicalTrials.gov posting. These requirements, he said, create a great route for disseminating information.
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