Health literacy in children– towards a child-centered conceptual understanding

Broeder, J; Okan, Orkan; Bauer, Ullrich; Pinheiro, Paulo

doi:10.1093/eurpub/ckx187.138

Cited by 6 publications

(3 citation statements)

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“…Health literacy of both parents (Nielsen-Bohlman et al, 2004;Vaillancourt and Cameron, 2021) and children (Broeder et al, 2017;Velardo and Drummond, 2017) is key to understanding, meaning-making and making informed decisions; parents do want more information (Gorodzinsky et al, 2015). It appears that being able to see their child's ear was normal or see the pathological changes that had occurred was important in both allaying fears, deepening understanding, and clarifying understanding.…”

Section: Discussionmentioning

confidence: 99%

Grounding perceptions: the value of otoendoscopy images in strengthening parents and children's understanding and decision making in a pediatric ENT clinic

Carter,

Hampton,

Sharma

et al. 2023

Front. Commun.

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IntroductionIn recent years, there has been an increasing use of otoendoscopy in middle ear surgery. There is also increasing evidence of its usefulness as a diagnostic tool for clinicians. However, there is limited evidence on whether understanding their ear condition is of benefit to patients. This novel study sought to explore the perceptions, perspectives, and satisfaction of parents, children, and young people regarding the use of otoendoscope images in outpatient ENT consultations in relation to their understanding of ear symptoms, disease, and subsequent treatment. The framework for the study is child (and parent) health literacy and how visual images can play in scaffolding understanding, communication, and decision-making.MethodsThis qualitative descriptive exploratory study used semi-structured observation, a survey, short conversational interviews, and child activities.ResultsPurposive sampling of 16 children (aged 4–15 yrs, various diagnoses) and parents/carers attending an outpatient ENT clinic at a tertiary pediatric hospital. One overarching theme, “Grounding perceptions and deepening engagement,” and two sub-themes, “Strengthening understanding” and “Supporting decision-making,” were identified. The children and parents valued the opportunity to see the images and gain insight and knowledge of their child's pathology.DiscussionThe images appeared to promote child (and parent) health literacy and interaction between the child-parent-clinician and informed shared decision-making. This study suggests that the use of otoendoscopy in an out-patient setting and sharing of the images with parents, children, and young people have a largely positive impact on understanding, relationship building, and decision making in pediatric ENT consultations.

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Section: Discussionmentioning

confidence: 99%

Grounding perceptions: the value of otoendoscopy images in strengthening parents and children's understanding and decision making in a pediatric ENT clinic

Carter,

Hampton,

Sharma

et al. 2023

Front. Commun.

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“…Michael Wolf has worked on the Rapid Estimate of Adult Literacy in Medicine (REALM) [59,60]. Orkan focused on the adaptation of the European Health Literacy Survey (HLS-EU) to children [61][62][63]. Anthony Jorm has focused on different tools to evaluate mental health literacy and dementia [55,64,65].…”

Section: Authorsmentioning

confidence: 99%

The Intersection of Health Literacy and Public Health: A Machine Learning-Enhanced Bibliometric Investigation

Tabak,

Froner,

Corrêa

et al. 2023

IJERPH

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In recent decades, health literacy has garnered increasing attention alongside a variety of public health topics. This study aims to explore trends in this area through a bibliometric analysis. A Random Forest Model was utilized to identify keywords and other metadata that predict average citations in the field. To supplement this machine learning analysis, we have also implemented a bibliometric review of the corpus. Our findings reveal significant positive coefficients for the keywords “COVID-19” and “Male”, underscoring the influence of the pandemic and potential gender-related factors in the literature. On the other hand, the keyword “Female” showed a negative coefficient, hinting at possible disparities that warrant further investigation. Additionally, evolving themes such as COVID-19, mental health, and social media were discovered. A significant change was observed in the main publishing journals, while the major contributing authors remained the same. The results hint at the influence of the COVID-19 pandemic and a significant association between gender-related keywords on citation likelihood, as well as changing publication strategies, despite the fact that the main researchers remain those who have been studying health literacy since its creation.

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“…To address the challenges discussed above, child-centred HIV care approaches have been proposed. 13 , 29 , 30 These approaches stem from patient-centred care, which the Institute of Medicine (IOM) defines as ‘Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decision.’ 29 , 31 , 32 , 33 In the context of HIV, child-centred care approaches address the barriers to achieve UNAIDS’ 90–90–90 target by introducing innovative approaches that encourage child participation, age-appropriate information sharing, feedback from children and the modification of the healthcare environment to create a child-friendly ambience that dispels fear and stigmatisation of children living with HIV, 13 , 24 , 29 , 33 , 34 which the KidzAlive model (KidzAlive) seeks to achieve. KidzAlive is a multi-component child-centred capacity building package for front-line HCWs delivering HIV care, psychosocial and wellness support to children aged 0–12 years living with HIV and AIDS.…”

Section: Introductionmentioning

confidence: 99%

Post-training and mentorship experiences of KidzAlive-trained healthcare workers at primary healthcare facilities in KwaZulu-Natal, South Africa

Mutambo

Shumba

Hlongwana

2020

African Journal of Primary Health Care & Family Medicine

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Background: KidzAlive, a multicomponent, child-centred capacity building model was adopted by South Africa’s National Department of Health to address the challenges of quality of care among HIV+ children. This model involves training and mentoring healthcare workers (HCWs) on a child-centred care approach of communicating with children and their primary caregivers (PCGs). This study explored HCWs’ post-training experiences after a 6-months implementation period.Aim: To evaluate the KidzAlive model as a healthcare approach that seeks to improve the quality of HIV care among children.Setting: The study was conducted in 20 PHC rural and urban facilities across four districts in KwaZulu-Natal.Methods: Interviews were conducted by trained interviewers who followed a structured interview guide. These were audio-recorded, transcribed, and imported into NVivo 10 software for thematic analysis. Thematic analysis was used to develop a coding framework from the participant’s responses.Results: Five themes, namely: (1) increased healthcare worker knowledge, skills and confidence to provide child-friendly HIV services to children; (2) increased involvement of HIV + children in own healthcare journey; (3) the involvement of primary caregivers in children’s healthcare journey; (4) improved health outcomes for HIV + children; and e) transformation of the PHC environment towards being more child-friendly.Conclusion: The findings present preliminary evidence of successful KidzAlive trained HCWs’ buy-in of KidzAlive intervention. KidzAlive has been well integrated into current service delivery processes in PHC facilities. However, more rigorous research is warranted to fully understand the impact of this intervention on children and their primary caregivers.

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Health literacy in children– towards a child-centered conceptual understanding

Abstract: The German monitoring system for childhood obesity and its determinants includes over 100 indicators. The indicators will be freely accessible on a website (www.rki.de/adimon) at the end of 2017.

Cited by 6 publications

References 0 publications

Grounding perceptions: the value of otoendoscopy images in strengthening parents and children's understanding and decision making in a pediatric ENT clinic

Grounding perceptions: the value of otoendoscopy images in strengthening parents and children's understanding and decision making in a pediatric ENT clinic

The Intersection of Health Literacy and Public Health: A Machine Learning-Enhanced Bibliometric Investigation

Post-training and mentorship experiences of KidzAlive-trained healthcare workers at primary healthcare facilities in KwaZulu-Natal, South Africa

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