Building a New Future: A Health System Strategic Plan for Health Literacy

O‘Neill, Greg

doi:10.1080/15398285.2019.1681874

Cited by 2 publications

(16 citation statements)

References 6 publications

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“…Health literacy champions were most often described in terms of their professional role. For example, champions included nurses (Erlen, 2004; Kaper et al, 2019; Morrison et al, 2021; O’Neill, 2019), physicians (Brach et al, 2014; Erikson et al, 2019; Morrison et al, 2021), pharmacists (O’Neal et al, 2013; Shoemaker et al, 2013), medical residents (Shoemaker et al, 2013), and staff involved in policy, communication and quality improvement (Kaper et al, 2019; Morrison et al, 2021). Another important group were champions in positions of leadership, including at the executive level (Brach, 2017; Mabachi et al, 2016; Shoemaker et al, 2013; Sørensen, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…Sometimes emergent champions worked in services that did not initially value or engage in health literacy practices e.g. (Erikson et al, 2019; O’Neill, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…If more than one champion was present, a combination of both emergent and appointed champions was often present (Brach, 2017; C. J. Howe et al, 2020; O’Neill, 2019; Shoemaker et al, 2013; Vellar et al, 2017). Typically champions in a senior leadership position were ‘emergent’, whereas staff on the ground were either emergent or appointed (Brach, 2017; Mabachi et al, 2016; O’Neill, 2019; Shoemaker et al, 2013; Vellar et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Generating awareness about health literacy was typically focused within the organisation but occasionally extended beyond (Briglia et al, 2015; Erikson et al, 2019; Erlen, 2004; O’Neill, 2019; Sørensen, 2021). This encompassed communicating the change vision and advocating health literacy to organisational leaders.…”

Section: Resultsmentioning

confidence: 99%

“…Six articles described the champion as ensuring that the organisation's health information materials met health literacy guidelines (Brach, 2017;Briglia et al, 2015;Erlen, 2004;Morrison et al, 2021;Vellar et al, 2017). Three studies described how champions implemented health literacy training for staff (Brach et al, 2014;Briglia et al, 2015;Morrison et al, 2021); three described establishing a health literacy task force, working group, or committee (Brach, 2017;Briglia et al, 2015;O'Neill, 2019) (though with little detail about the aims of these groups); and three described advocacy and implementation of mechanisms to increase consumer engagement in the organisation's practices (Brach et al, 2014;O'Neill, 2019). Other activities included assessment of organisational health literacy practices (O'Neal et al, 2013;O'Neill, 2019;Shoemaker et al, 2013), or of individual (patient) health literacy (Erlen, 2004).…”

Section: Health Literacy Champion Activities Roles and Responsibilitiesmentioning

confidence: 99%

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Systematic review of health literacy champions: Who, what and how?

Ayre

Zhang

Muscat

et al. 2023

Preprint

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Background: Health literacy is an important aspect of equitable, safe, and high-quality care. For organisations implementing health literacy initiatives, using "change champions" appears to be a promising strategy. This systematic review aimed to identify the empirical and conceptual research that exists about health literacy champions. Methods: We conducted a systematic literature search using MEDLINE, Embase, CINAHL, Scopus, and PubMed, with additional studies identified by searching references and citations of included studies and reviews of organisational health literacy. Results: Seventeen articles were included in the final review (case studies, n=9; qualitative research, n=4; quasi-experimental, n=2; opinion articles without case studies, n=2). Most articles had a high risk of bias. Often champions were not the focus of the article. Champions included staff across frontline, management and executive levels. Only five studies described training for champions. Key champion activities related to either 1) increasing organisational awareness and commitment to health literacy, or 2) influencing organisational strategic and operational planning. The most common output was ensuring that the organisations health information materials met health literacy guidelines. Articles recommended engaging multiple champions at varying levels within the organisation, including the executive level. Limited funding and resources were key barriers. Three of five articles reported positive impacts of champions on implementation of health literacy initiatives. Discussions: Few articles described health literacy champions in adequate detail. More comprehensive reporting on this implementation strategy and further experimental and process evaluation research are needed to progress this area of research. Registration: This systematic review was registered with PROSPERO (CRD42022348816)

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Section: Resultsmentioning

confidence: 99%

“…Sometimes emergent champions worked in services that did not initially value or engage in health literacy practices e.g. (Erikson et al, 2019; O’Neill, 2019).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Health Literacy Champion Activities Roles and Responsibilitiesmentioning

confidence: 99%

See 3 more Smart Citations

Systematic review of health literacy champions: Who, what and how?

Ayre

Zhang

Muscat

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Systematic review of health literacy champions: who, what and how?

Ayre

Zhang

Mouwad

et al. 2023

Health Promotion International

View full text Add to dashboard Cite

Health literacy is an important aspect of equitable, safe, and high-quality care. For organizations implementing health literacy initiatives, using ‘change champions’ appears to be a promising strategy. This systematic review aimed to identify the empirical and conceptual research that exists about health literacy champions. We conducted the systematic literature search using MEDLINE, Embase, CINAHL, Scopus, and PubMed, with additional studies identified by searching references and citations of included studies and reviews of organizational health literacy. Seventeen articles were included in the final review (case studies, n = 9; qualitative research, n = 4; quasi-experimental, n = 2; opinion articles without case studies, n = 2). Using JBI critical appraisal tools, most articles had a high risk of bias. Often champions were not the focus of the article. Champions included staff across frontline, management, and executive levels. Only five studies described training for champions. Key champion activities related to either (i) increasing organizational awareness and commitment to health literacy, or (ii) influencing organizational strategic and operational planning. The most common output was ensuring that the organization’s health information materials met health literacy guidelines. Articles recommended engaging multiple champions at varying levels within the organization, including the executive level. Limited funding and resources were key barriers. Two of four articles reported positive impacts of champions on implementation of health literacy initiatives. Overall, few of the articles described health literacy champions in adequate detail. More comprehensive reporting on this implementation strategy and further experimental and process evaluation research are needed to progress this area of research. This systematic review was registered with PROSPERO (CRD42022348816).

show abstract

Building a New Future: A Health System Strategic Plan for Health Literacy

Cited by 2 publications

References 6 publications

Systematic review of health literacy champions: Who, what and how?

Systematic review of health literacy champions: Who, what and how?

Systematic review of health literacy champions: who, what and how?

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