Elements for successful implementation of a clinic-based health literacy intervention.
Elements for successful implementation of a clinic-based health literacy intervention.
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DOI：
10.3389/fpubh.2022.977765
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发表时间：
2022
影响因子：
5.2
通讯作者：
Friedman, Daniela B.
中科院分区：
文献类型：
--
作者：
Macauda, Mark M.;Arent, Michelle A.;Sakhuja, Mayank;Yelton, Brooks;Noblet, Samuel;Fedrick, Delores;Zona, Diana;New, Cyndi;Isenhower, William D.;Wandersman, Abraham;Friedman, Daniela B.
关键词：
提高健康素养是国家公共卫生的优先事项。鉴于 COVID-19 大流行的背景，让患者及其家人清楚易懂的健康和医疗信息变得更加重要。基于临床的提高健康素养的计划需要务实、可行，并且对实施诊所和患者有帮助。本文描述了在为无保险和贫困患者提供服务的安全网诊所中，实用的、基于临床的健康素养干预措施的开发、实施和评估。研究方法以之前的试点研究和建议的务实干预措施为指导。电子准备情况评估已分发给全州医院协会附属的门诊诊所。 AskMe3 工具用于干预，因为它有证据依据并且相对容易实施。实施包括诊所和学术研究团队之间的持续对话。在实施诊所内，使用描述性统计和卡方分析通过口头问卷从患者那里收集的数据。从诊所主任那里收集的访谈数据针对主题进行了定性分析。在参与初始准备评估的 34 家诊所中，实施诊所的平均得分最低。尽管如此，他们还是能够在全球大流行期间成功实施健康素养干预措施。八十八名参与者在该诊所完成了患者问卷调查。大多数患者 (96%) 同意 AskMe3 问题有助于他们在当前预约时与医生或护士交谈。大多数 (99%) 还认为 AskMe3 工具在临床环境中使用时非常有用。诊所主任表示，工作人员最初认为干预措施很难实施。然而，诊所志愿者的实施以及诊所主任的鼓励和优先考虑健康素养为成功做出了贡献。在考虑对临床环境进行干预时，务实的方法可以帮助选择和实施适合实际情况的计划。此外，频繁的技术援助有助于解决实施障碍。利用 AskMe3 等工具进行干预，由于其简单性，可以为需要提高健康素养的诊所提供创造性的解决方案来解决能力问题。
Improving health literacy is a national public health priority. Given the context of the COVID-19 pandemic, it is even more critical for health and medical information to be clear and understandable for patients and their families. Clinic-based programs to improve health literacy need to be pragmatic, feasible, and helpful for the implementing clinic and patients. This paper describes the development, implementation, and evaluation of a pragmatic, clinic-based health literacy intervention in a safety-net clinic that serves uninsured and indigent patients. Study methods are guided by a previous pilot study and components recommended for pragmatic interventions. An electronic readiness assessment was distributed to out-patient clinics affiliated with a statewide hospital association. The AskMe3 tool was used for the intervention as it is evidence informed and relatively easy to implement. Implementation included ongoing dialogue between the clinic and the academic research team. Within the implementing clinic, data collected from patients via verbally administered questionnaires was analyzed using descriptive statistics and chi-squares. Interview data collected from the clinic director was analyzed qualitatively for themes. The implementing clinic had some of the lowest average scores of the 34 clinics who participated in the initial readiness assessment. Despite this, they were able to successfully implement the health literacy intervention during a global pandemic. Eighty-eight participants completed patient questionnaires at this clinic. Most patients (96%) agreed the AskMe3 questions helped them talk with the doctor or nurse at their current appointment. Most (99%) also perceived the AskMe3 tool to be very helpful when used in a clinical setting. The clinic director offered that the staff initially thought the intervention would be difficult to implement. However, implementation by clinic volunteers with encouragement and prioritization of health literacy by the clinic director contributed to success. When considering interventions for clinical settings, a pragmatic approach can help with selection and implementation of a program that fits with the realities on the ground. Further, frequent technical assistance can help resolve implementation barriers. Interventions utilizing tools such as AskMe3, because of their simplicity, allow creative solutions to capacity issues for clinics who see a need for health literacy improvements.
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影响因子：
5.5
作者：
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影响因子：
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影响因子：
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