Framing health literacy: A comparative analysis of national action plans

Weishaar, Heide; Hurrelmann, Klaus; Okan, Orkan; Horn, Annett; Schaeffer, Doris

doi:10.1016/j.healthpol.2018.11.012

Cited by 27 publications

(21 citation statements)

References 15 publications

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“…Because of psychosocial reasons and/or low health literacy, significant numbers of families are unable to use these diabetes treatment modalities as needed for their child . This reflects the average social reality and the expertise of a MDT is needed to work out adequate solutions to achieve the best possible individual glycaemic target.…”

Section: Discussionmentioning

confidence: 99%

Determinants of glycaemic outcome in the current practice of care for young people up to 21 years old with type 1 diabetes under real‐life conditions

et al. 2019

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AimTo determine factors influencing the success of treatment for type 1 diabetes, defined as HbA 1c < 58 mmol/mol (<7.5%), in a large paediatric cohort under real-life conditions. Methods This is a monocentric observational study analysing the determinants of glycaemic outcome (sex, age, comorbidities, sociodemographic factors, diabetes technology) in an entire cohort of people with diabetes aged up to 21 years. Glycaemic outcome was defined as an individual's median HbA 1c and the prevalence of acute complications over this period. ResultsOf 700 young people with type 1 diabetes [age 13.6 years (range: 1.4-20.9 years); diabetes duration 5.8 years (range: 0.1-18.3 years)], 63% were using an insulin pump and 32% any type of continuous glucose monitoring. Mean HbA 1c was 61 mmol/mol [95% confidence interval (CI) 60-62; 7.7%, 95% CI 7.5-7.8]. Some 63% of children aged < 12 years reached HbA 1c (58 mmol/mol (<7.5%) compared with 43% of older participants. The prevalence of severe hypoglycaemia was 2.41 events and that of diabetic ketoacidosis 1.4 events per 100 person-years. Neither type of insulin therapy nor use of continuous glucose monitoring, sex or comorbidity with coeliac disease or thyroiditis was significantly associated with glycaemic outcome. However, age, diabetes duration, having a father not born in Germany, psychiatric comorbidities and family structure were associated with HbA 1c .Conclusions Current technologies and a multidisciplinary team approach allow high numbers of children and adolescents to realize tight glycaemic control with a low prevalence of acute complications. However, age-related challenges, sociodemographic factors and psychological comorbidities are barriers to achieving best possible glycaemic outcome.

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Section: Discussionmentioning

confidence: 99%

Determinants of glycaemic outcome in the current practice of care for young people up to 21 years old with type 1 diabetes under real‐life conditions

et al. 2019

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“…The same applies to the localisation of the concept in the German public health discussion. Experiences from other countries show similar results; extensive and sometimes strenuous discussions of the concept also took place in the beginning (see Weishaar et al 2019).…”

Section: Scientifically Sound Development Of the Core Elements Of The Action Planmentioning

confidence: 66%

“…The strategies and national action plans vary in content depending on the challenges faced in different countries. They also differ in their conditions of origin, background and goals, as is shown by the small number of available analyses which have compared some of these documents (Rondia et al 2019;Rowlands et al 2018;Trezona et al 2018;Weishaar et al 2019). However, their development and particularly the methodological approaches in the development and subsequent implementation of the strategies and plans are largely unclear as these topics have hardly been discussed to date (ibid.…”

Section: Introductionmentioning

confidence: 99%

National Action Plan Health Literacy in Germany origin, development and structure

Schaeffer

Gille

Vogt

et al. 2021

J Public Health (Berl.)

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Aim Health literacy has gained increasing importance worldwide. As a result of several studies indicating low health literacy levels in large parts of the population, strategies and action plans promoting health literacy were developed in many countries. The article analyses the origin, development and structure of the German Health Literacy Action Plan. Subject and methods In 2016, a civil society initiative was formed, aiming at developing a national action plan in an expert-based and collaborative manner. A group of 15 experts elaborated the core elements of the action plan, based on a literature review on existing health literacy approaches, action plans and empirical evidence. These core elements were further developed collaboratively in workshops with key stakeholders, self-help and patient organizations and individual consultation meetings. Afterwards, the National Action Plan was reviewed and previously formulated recommendations were refined before being published. Results and conclusion The National Action Plan Health Literacy in Germany presents 15 recommendations in four areas of action for promoting health literacy in Germany. This bottom-up strategy and the expert-based yet at the same time collaborative approach have proved to be successful when developing a national action plan.

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“…Dieser Begriff erzeugt bis heute begriffliche Missverständnisse und reibt sich konzeptionell mit der deutschen Diskussion über Prävention und Gesundheitsförderung, was immer wieder Klärungsbedarf hervorruft. Solche Inkompatibilitäten sind ein oft bei der Einführung von innovativen Konzepten zu beobachtendes Phänomen und stellen auch international bei dem HL Konzept keine Seltenheit dar [8]. Beobachtbar war, dass sich die begrifflichen und konzeptio nellen Passungsprobleme mit zunehmender Bekanntheit des Konzepts abschliffen und damit in Einklang das Interesse an einer Adoption des Konzepts anstieg.…”

Section: Erfahrungen Mit Der Diffusion Und Disseminationunclassified

Der Nationale Aktionsplan Gesundheitskompetenz geht in die zweite Phase der Umsetzung

Schaeffer¹,

Gille²,

Hurrelmann

2020

Gesundheitswesen

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In Deutschland existiert seit gut 2 Jahren ein Nationaler Aktionsplan (NAP) zur Förderung der Gesundheitskompetenz der Bevölkerung 1. Er ist in kurzer Zeit zu einem viel zitierten Referenzwerk für Theorie und Praxis geworden. Der Plan mit 15 detailliert ausgearbeiteten Empfehlungen wurde anders als in anderen Ländern nicht von einer von der Regierung eingesetzten Kommission erarbeitet, sondern von einer zivilgesellschaftlichen Initiative: einem Expertenkreis von Wissenschaftlern unterschiedlicher Disziplinen, einigen Vertretern der Praxis und einigen Repräsentanten der Politik.

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Framing health literacy: A comparative analysis of national action plans

Cited by 27 publications

References 15 publications

Determinants of glycaemic outcome in the current practice of care for young people up to 21 years old with type 1 diabetes under real‐life conditions

Determinants of glycaemic outcome in the current practice of care for young people up to 21 years old with type 1 diabetes under real‐life conditions

National Action Plan Health Literacy in Germany origin, development and structure

Der Nationale Aktionsplan Gesundheitskompetenz geht in die zweite Phase der Umsetzung

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