Health Literacy Needs Among Unemployed Persons: Collating Evidence Through Triangulation of Interview and Scoping Review Data

Samkange‐Zeeb, Florence; Singh, Hunny; Lakeberg, Meret; Kolschen, Jonathan; Schüz, Benjamin; Christianson, Lara; Santis, Karina Karolina De; Brand, Tilman; Zeeb, Hajo

doi:10.3389/fpubh.2022.798797

Cited by 10 publications

(8 citation statements)

References 33 publications

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“…Furthermore, sociodemographic factors, including age, gender, education, income, and digital health literacy, affect the use of and interest in digital health technologies [ 1 ] and could also facilitate or hinder the efficacy of digital interventions. Further research is needed to identify health needs or barriers associated with digital health technology use in low socioeconomic settings [ 65 ] to improve the efficacy of digital interventions for physical activity promotion in such populations [ 66 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Digital Interventions for Physical Activity Promotion: Scoping Review

Santis¹,

Jahnel²,

Matthias³

et al. 2022

JMIR Public Health Surveill

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Background Digital interventions are interventions supported by digital tools or technologies, such as mobile apps, wearables, or web-based software. Digital interventions in the context of public health are specifically designed to promote and improve health. Recent reviews have shown that many digital interventions target physical activity promotion; however, it is unclear how such digital interventions are evaluated. Objective We aimed to investigate evaluation strategies in the context of digital interventions for physical activity promotion using a scoping review of published reviews. We focused on the target (ie, user outcomes or tool performance), methods (ie, tool data or self-reported data), and theoretical frameworks of the evaluation strategies. Methods A protocol for this study was preregistered and published. From among 300 reviews published up to March 19, 2021 in Medline, PsycINFO, and CINAHL databases, 40 reviews (1 rapid, 9 scoping, and 30 systematic) were included in this scoping review. Two authors independently performed study selection and data coding. Consensus was reached by discussion. If applicable, data were coded quantitatively into predefined categories or qualitatively using definitions or author statements from the included reviews. Data were analyzed using either descriptive statistics, for quantitative data (relative frequencies out of all studies), or narrative synthesis focusing on common themes, for qualitative data. Results Most reviews that were included in our scoping review were published in the period from 2019 to 2021 and originated from Europe or Australia. Most primary studies cited in the reviews included adult populations in clinical or nonclinical settings, and focused on mobile apps or wearables for physical activity promotion. The evaluation target was a user outcome (efficacy, acceptability, usability, feasibility, or engagement) in 38 of the 40 reviews or tool performance in 24 of the 40 reviews. Evaluation methods relied upon objective tool data (in 35/40 reviews) or other data from self-reports or assessments (in 28/40 reviews). Evaluation frameworks based on behavior change theory, including goal setting, self-monitoring, feedback on behavior, and educational or motivational content, were mentioned in 22 out of 40 reviews. Behavior change theory was included in the development phases of digital interventions according to the findings of 20 out of 22 reviews. Conclusions The evaluation of digital interventions is a high priority according to the reviews included in this scoping review. Evaluations of digital interventions, including mobile apps or wearables for physical activity promotion, typically target user outcomes and rely upon objective tool data. Behavior change theory may provide useful guidance not only for development of digital interventions but also for the evaluation of user outcomes in the context of physical activity promotion. Future research should investigate factors that could improve the efficacy of digital interventions and the standardization of terminology and reporting in this field. International Registered Report Identifier (IRRID) RR2-10.2196/35332

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Section: Discussionmentioning

confidence: 99%

Evaluation of Digital Interventions for Physical Activity Promotion: Scoping Review

Santis¹,

Jahnel²,

Matthias³

et al. 2022

JMIR Public Health Surveill

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“…Die Beschreibungen zum "Finden von Gesundheitsinformationen" sind vergleichbar zu einer Studie von Samkange-Zeeb et al (2022), in welcher in Interviews langzeitarbeitslose Teilnehmer*innen eines Wiedereingliederungsprogramms von einem allgemeinen Interesse an Gesundheitsthemen berichten und vielfältige Informationsquellen angeben [28]. Dies passt zum beschrieben gesundheitsbezogenen Umfeld, welches neben dem Freundes-und Bekanntenkreis eben auch Kontakte zu Gesundheitsprofessionen umfasst (sowohl generell als auch speziell im Rahmen von Förderungsmaßnahmen).…”

Section: Diskussionunclassified

“…Dies passt zum beschrieben gesundheitsbezogenen Umfeld, welches neben dem Freundes-und Bekanntenkreis eben auch Kontakte zu Gesundheitsprofessionen umfasst (sowohl generell als auch speziell im Rahmen von Förderungsmaßnahmen). Bei Samkange-Zeeb et al (2022) werden dahingehend (Haus)ärzte und Fachkräfte in zielgruppenspezifischen Maßnahmen als wichtige Quellen benannt, um die Gesundheitskompetenz zu adressieren und um beratend gesundheitsförderliches Handeln zu unterstützen [28]. Hanewinkel et al (2006) bspw.…”

Section: Diskussionunclassified

Subjektive Gesundheitskompetenz von Langzeitarbeitslosen – eine qualitative Studie

2023

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Zusammenfassung Hintergrund Arbeitslosigkeit hat vielfältige negative Auswirkungen auf die Gesundheit, weswegen besonders langzeitarbeitslose Menschen als gesundheitlich vulnerable und sozial benachteiligte Gruppe gelten. Allgemein wird als ein zentrales Ziel der Prävention und Gesundheitsförderung inzwischen die Förderung der Gesundheitskompetenz benannt. Neben quantitativen Daten sind mit Blick vulnerable, benachteiligte Gruppen und z. B. für die Entwicklung zielgruppenspezifischer Maßnahmen weitergehende qualitative Untersuchungen von Interesse. Die vorliegende qualitative Arbeit erhebt dahingehend Beschreibungen der subjektiven Gesundheitskompetenz von Langzeitarbeitslosen. Methodik Angelehnt an das integrierte Modell der Gesundheitskompetenz wurden 9 halbstrukturierte, leitfadengestützte Interviews in einer Einrichtung zur Gesundheits- und Beschäftigungsförderung durchgeführt (4 Frauen, 5 Männer; Alter: 55 ± 9 Jahre). Die Auswertung erfolgte nach der Methode der inhaltlich strukturierten Inhaltsanalyse. Ergebnisse Während die Interviewten von vielfältigen Quellen zum „Finden von Gesundheitsinformationen“ berichten (medizinisch-gesundheitsbezogener Bereich, soziales Umfeld, Medien), deuten sich in den Stufen „Verstehen“ und „Beurteilen“ Schwierigkeiten an. Mit Blick auf das „Anwenden von Gesundheitsinformationen“ wurden Umsetzungsprobleme bzw. fehlende Umsetzungsstrategien benannt. Schlussfolgerungen Während von der Zielgruppe vielfältige gesundheitsbezogene Quellen genutzt, sollte Schwerpunkte in Maßnahmen zur Gesundheitskompetenzförderung weitergehend bei den Themen Verstehen und Beurteilen von Gesundheitsinformationen liegen. Besonders relevant ist die Vermittlung von Strategien zur Umsetzung gesundheitsförderlicher Verhaltensweisen. Eine Stärkung sozialer Netzwerke sollte zudem zur Verknüpfung von Beschäftigungs- und Gesundheitsförderung fokussiert werden.

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“…This review was conducted as part of the FORESIGHT project, in which we develop a framework for evidence-based interventions to promote HL in an occupational rehabilitation setting [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis

et al. 2022

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Background Health literacy comprises the ability to identify, obtain, interpret and act upon health information. Low health literacy is a major risk factor for hospitalizations, use of emergency care and premature mortality among others. Known risk factors for low health literacy such as lower educational attainment, migration history and chronic illnesses overlap with those for long-term unemployment – in itself a risk factor for low health literacy. These factors are difficult to address in interventions to support health literacy. Therefore, the objective of this review is to identify potentially modifiable predictors of HL in populations potentially affected by long-term unemployment. Methods A rapid review (PROSPERO registration number: 290873) was carried out in Pubmed and SCOPUS including quantitative studies on potentially modifiable predictors of health literacy in working-age populations following PRISMA guidelines for systematic reviews. Where possible, reported effect sizes were transformed into r, and random-effects meta-analyses were conducted where appropriate to pool effect sizes for the association between modifiable predictors and health literacy. Results In total, 4765 titles and abstracts were screened, 114 articles were assessed in full-text screening, and 54 were included in the review. Forty-one effect sizes were considered for 9 different meta-analyses. Higher language proficiency, higher frequency of internet use, using the internet as a source of health information more often, being more physically active, more oral health behaviours, watching more health-related TV and a good health status were significantly associated with higher health literacy. Significant heterogeneity suggests between-study differences. Conclusions Improving language proficiency and/or providing information in multiple and simplified languages, together with reliable and accessible health information on the internet and in linear media are potentially promising targets to improve health literacy levels in working-age populations.

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Health Literacy Needs Among Unemployed Persons: Collating Evidence Through Triangulation of Interview and Scoping Review Data

Cited by 10 publications

References 33 publications

Evaluation of Digital Interventions for Physical Activity Promotion: Scoping Review

Evaluation of Digital Interventions for Physical Activity Promotion: Scoping Review

Subjektive Gesundheitskompetenz von Langzeitarbeitslosen – eine qualitative Studie

Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis

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