Exploring the design and introduction of the Ophelia (Optimising Health Literacy and Access) process in the Philippines: A qualitative case study

Stubbs, Thomas

doi:10.1002/hpja.546

Cited by 3 publications

(4 citation statements)

References 35 publications

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“…synthesized findings through reflexive discussion into common concepts [44,45]. The use of multiple researchers throughout this reflexive process is common in other projects adopting the Ophelia framework [46][47][48][49]. In line with the Ophelia framework [38,39] and the aims of the study, analysis of the insight is focused on the development of useful knowledge.…”

Section: Discussionmentioning

confidence: 99%

Using Co-Design to Develop a Health Literacy Intervention with Socially Disadvantaged Adolescents

Goss

Smith

Hickey

et al. 2022

IJERPH

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The aim of this study was to initiate a co-design process with adolescents to inform the development of a targeted health literacy intervention for implementation in designated socioeconomically disadvantaged post-primary schools in Ireland. Purposely developed vignettes were explored in a series of eight workshops that were conducted separately with staff (n = 26) and students (n = 33) across four schools. Data was analysed using content analysis. A number of key health topics were identified as important and influential for the participants in this context: food choices, mental health and wellbeing, physical activity and sedentary behaviour, sleep and substance misuse. Participants also suggested many health-related capacity building actions. Participants recognized that many of these health topics and capacity building actions were intertwined and also highlighted that some of these actions may be more feasible and/or impactful than others. For example, students and school staff both indicated the need to use relevant, applied and engaging approaches to improve health literacy and subsequent health behaviour. The co-design process adopted empowered stakeholders to actively engage in the design and development of future intervention strategies, which may increase the likelihood of acceptability, effectiveness and sustainability of the resulting intervention.

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Section: Discussionmentioning

confidence: 99%

Using Co-Design to Develop a Health Literacy Intervention with Socially Disadvantaged Adolescents

Goss

Smith

Hickey

et al. 2022

IJERPH

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“…The Ophelia (Optimizing Health Literacy and Access) process engages community members to help identify and respond to their health literacy strengths and needs. The Ophelia process was developed in Australia (29) and further tested and refined in different contexts and several countries (2,33,(47)(48)(49)(50)(51). It has three phases (Figure 1): Phase 1: needs assessment; Phase 2: co-design and testing of health literacy actions; Phase 3: implementation, evaluation and continuous quality improvement.…”

Section: Introductionmentioning

confidence: 99%

Application of the optimizing health literacy and access (Ophelia) process in partnership with a refugee community in Australia: Study protocol

Jawahar

Elmer²,

Hawkins³

et al. 2023

Front. Public Health

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Refugees experience health inequities resulting from multiple barriers and difficulties in accessing and engaging with services. A health literacy development approach can be used to understand health literacy strengths, needs, and preferences to build equitable access to services and information. This protocol details an adaptation of the Ophelia (Optimizing Health Literacy and Access) process to ensure authentic engagement of all stakeholders to generate culturally appropriate, needed, wanted and implementable multisectoral solutions among a former refugee community in Melbourne, Australia. The Health Literacy Questionnaire (HLQ), widely applied around the world in different population groups, including refugees, is usually the quantitative needs assessment tool of the Ophelia process. This protocol outlines an approach tailored to the context, literacy, and health literacy needs of former refugees. This project will engage a refugee settlement agency and a former refugee community (Karen people origin from Myanmar also formerly knowns as Burma) in codesign from inception. A needs assessment will identify health literacy strengths, needs, and preferences, basic demographic data and service engagement of the Karen community. This community will be engaged and interviewed using a semi-structured interview based on the Conversational Health Literacy and Assessment Tool (CHAT) will cover supportive professional and personal relationships, health behaviors, access to health information, use of health services, and health promotion barriers and support. Using the needs assessment data, vignettes portraying typical individuals from this community will be developed. Stakeholders will be invited to participate in ideas generation and prioritization workshops for in-depth discussion on what works well and not well for the community. Contextually and culturally appropriate and meaningful action ideas will be co-designed to respond to identified health literacy strengths, needs, and preferences of the community. This protocol will develop and test new and improved methods that are likely to be useful for community-based organizations and health services to systematically understand and improve communication, services and outcomes among disadvantaged groups, particularly migrants and refugees.

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“…The Ophelia process is a way to develop health literacy interventions grounded on the needs of a community, relying heavily on the collaboration of multiple stakeholders and community members to “improve health and equity by increasing the availability and accessibility of health information and services in locally‐appropriate ways.” 3 The study aims to evaluate its practicality as a Health Promotion Tool for the Philippines with emphasis on collaboration, taking into account the local context and community wisdom. In 2017, the Ophelia process was implemented for the first time in chosen communities in the Philippines through this study, enabling the different stakeholders from the Department of Health (DOH), local government units (LGUs), health practitioners, and community members to work together by cocreating and implementing evidence‐based interventions for better health outcomes 4 …”

Section: Introductionmentioning

confidence: 99%

“…In 2017, the Ophelia process was implemented for the first time in chosen communities in the Philippines through this study, enabling the different stakeholders from the Department of Health (DOH), local government units (LGUs), health practitioners, and community members to work together by cocreating and implementing evidence-based interventions for better health outcomes. 4 Needs assessment was done using the Health Literacy Questionnaire (HLQ) and the Information and Support for Health Actions Questionnaire (ISHAQ). The HLQ and the ISHAQ are multidimensional surveys that provide practitioners, organisations and governments the health literacy strengths and limitations of individuals and populations in their areas with the latter more appropriate for LMICs.…”

mentioning

confidence: 99%

Using the Ophelia (Optimising Health Literacy and Access to Health Services) process as a practical tool for health promotion program delivery in various Philippine communities

Tan¹,

Co²,

Modina³

et al. 2023

Health Prom J of Aust

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Issue AddressedThe Ophelia (Optimising Health Literacy and Access to Health Services) process can be used as a practical tool for effective health promotion program delivery because of its multi‐sector and pragmatic approach to designing health interventions. An initial case study showed how its first phase was successfully adapted in a pilot community in Leyte, Philippines. In this study, the three phases of the Ophelia process were implemented in Leyte, along with additional communities in Mindoro and Surigao.MethodsAfter conducting needs assessment and community profiling in phase 1, the results were transformed into vignettes, hypothetical personas representing the health needs of the community. These were used in phase 2, which involved focus group discussions and workshops to cocreate intervention ideas with government organisations, practitioners, and community representatives. A rapid realist review was conducted in phase 3 to check for the feasibility of interventions.ResultsThrough this, the top evidence‐based health interventions for each life stage were listed and presented for prioritisation. Program implementation and impact evaluation plans were created for the top health intervention prior to implementation.ConclusionsThe Ophelia process ensured that health promotion interventions addressed community needs and were designed using community resources and the wisdom of health practitioners that have been immersed in the local health system.So What?The study demonstrated the usefulness of vignettes in presenting data to lay people and how the rapid realist review approach is a practical tool for policy‐makers to ensure that program plans designed by the communities and health practitioners are evidence‐based without sacrificing the timeliness of implementation.

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Exploring the design and introduction of the Ophelia (Optimising Health Literacy and Access) process in the Philippines: A qualitative case study

Cited by 3 publications

References 35 publications

Using Co-Design to Develop a Health Literacy Intervention with Socially Disadvantaged Adolescents

Using Co-Design to Develop a Health Literacy Intervention with Socially Disadvantaged Adolescents

Application of the optimizing health literacy and access (Ophelia) process in partnership with a refugee community in Australia: Study protocol

Using the Ophelia (Optimising Health Literacy and Access to Health Services) process as a practical tool for health promotion program delivery in various Philippine communities

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