Health literacy research and practice最新文献

{"title":"Reimagining Family Engagement in Online Literacy Clinics During the Pandemic","authors":"R. Rogers, Cheryl L. Dozier, Theresa Deeney, Martille Elias, Shelly Huggins, Liliane Jorge, S. Msengi, A. Ferris, Agnes Chileshe Chibamba","doi":"10.1177/23813377231183736","DOIUrl":"https://doi.org/10.1177/23813377231183736","url":null,"abstract":"During the dual pandemics of COVID-19 and continuing racial injustices, many literacy clinics pivoted to online instruction. Educators were now in students’ homes for virtual literacy lessons. To understand how literacy clinics responded, teacher educators analyzed a national survey of clinic directors’ perspectives. Analysis regarding family communication and participation led to six categories: parent involvement, communication, family presence, learning with families v. teaching families, diminished/enhanced experiences, and access/digital divide. Contrasting examples from these categories were chosen to create a research-based verbatim audio play. Teacher educators then used fieldnotes, artifacts, and transcripts from their clinical experiences to create vignettes of clinic instruction, which they then put into dialogue with survey findings to reconceptualize, animate, and (re)present these as navigating digital divides/access, challenging school-centric definitions of family literacy, and building community with families in online settings. Findings from this study highlight that as the technological landscape of literacy clinics changes, so must our understanding of engaging with families’ literacy practices.","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"218 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73731658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Literacy Training Critical for Medical Residency Transformation in the United Arab Emirates.","authors":"Satish Chandrasekhar Nair","doi":"10.3928/24748307-20230824-01","DOIUrl":"https://doi.org/10.3928/24748307-20230824-01","url":null,"abstract":"Health Literacy Training Critical for Medical Residency Transformation in the United Arab Emirates To the Editor: The recent publication of the article, “Improving Health Equity Through Health Literacy Education,” (Nepps et al., 2023) advances the health literacy mission in a bold and balanced manner. Inadequate health literacy is known to be a stronger predictor of poor health outcomes than all other sociodemographic variables, including ethnicity (Levic et al., 2023). Given the lack of an exact estimation of population health literacy levels in various countries, the global health care work force is oblivious to the perils of poor health literacy (Zimmerman & Woolf, 2014). Health care providers lack adequate knowledge and skills to work effectively with patients who possess limited health literacy, especially in countries with multiethnic, multicultural populations (Nair, Sreedharan, et al., 2023). Among the Gulf cooperation council countries, Saudi Arabia and the United Arab Emirates have reported adequate health literacy rates for patients ranging from 24% to 44% (Nair, Al Saraj, et al., 2023). Recently, two studies assessing health literacy have reported adequate health literacy among 14.3% of patients with cardiovascular diseases, and 11% among patients with type 2 diabetes in the United Arab Emirates (Nair, Al Saraj, et al., 2023; Nair, Sreedharan, et al., 2023). These studies also noted alarmingly low patient health literacy levels in older adult patients. It is noteworthy that less than 10% of the total population in the United Arab Emirates are citizens; most residents are immigrants from various parts of the world, many are unskilled workers from southeast Asia. Incidentally, there are no published reports of health literacy training for medical resident trainees in the United Arab Emirates. Health system reforms are essential, given the high prevalence of cardiovascular diseases and diabetes, and their association with low health literacy levels in the United Arab Emirates. Transformation of medical residency programs to routinely integrate health literacy best practices in all patient encounters, as well as restructuring of medical education to focus on disease prevention and biopsychosocial models of care, whether in the United Arab Emirates or elsewhere, are essential reforms required for sustainable health equity.","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 3","pages":"e176"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/3d/hlrp0923letter-prt.PMC10495119.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10358300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response: Health Literacy Training Critical for Medical Residency Transformation in the United Arab Emirates.","authors":"Peggy Nepps","doi":"10.3928/24748307-20230824-02","DOIUrl":"https://doi.org/10.3928/24748307-20230824-02","url":null,"abstract":"Health Literacy Training Critical for Medical Residency Transformation in the United Arab Emirates To the Editor: The recent publication of the article, “Improving Health Equity Through Health Literacy Education,” (Nepps et al., 2023) advances the health literacy mission in a bold and balanced manner. Inadequate health literacy is known to be a stronger predictor of poor health outcomes than all other sociodemographic variables, including ethnicity (Levic et al., 2023). Given the lack of an exact estimation of population health literacy levels in various countries, the global health care work force is oblivious to the perils of poor health literacy (Zimmerman & Woolf, 2014). Health care providers lack adequate knowledge and skills to work effectively with patients who possess limited health literacy, especially in countries with multiethnic, multicultural populations (Nair, Sreedharan, et al., 2023). Among the Gulf cooperation council countries, Saudi Arabia and the United Arab Emirates have reported adequate health literacy rates for patients ranging from 24% to 44% (Nair, Al Saraj, et al., 2023). Recently, two studies assessing health literacy have reported adequate health literacy among 14.3% of patients with cardiovascular diseases, and 11% among patients with type 2 diabetes in the United Arab Emirates (Nair, Al Saraj, et al., 2023; Nair, Sreedharan, et al., 2023). These studies also noted alarmingly low patient health literacy levels in older adult patients. It is noteworthy that less than 10% of the total population in the United Arab Emirates are citizens; most residents are immigrants from various parts of the world, many are unskilled workers from southeast Asia. Incidentally, there are no published reports of health literacy training for medical resident trainees in the United Arab Emirates. Health system reforms are essential, given the high prevalence of cardiovascular diseases and diabetes, and their association with low health literacy levels in the United Arab Emirates. Transformation of medical residency programs to routinely integrate health literacy best practices in all patient encounters, as well as restructuring of medical education to focus on disease prevention and biopsychosocial models of care, whether in the United Arab Emirates or elsewhere, are essential reforms required for sustainable health equity.","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 3","pages":"e176-e177"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/90/hlrp0923response-prt.PMC10495120.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10653406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Health Literacy, Empowerment, and Advocacy for Food Allergy Safety in Schools: A Cross-Sectional Study.","authors":"Laura W Koo,&nbsp;Cynthia Baur,&nbsp;Alice M Horowitz,&nbsp;Min Qi Wang","doi":"10.3928/24748307-20230823-01","DOIUrl":"https://doi.org/10.3928/24748307-20230823-01","url":null,"abstract":"<p><strong>Background: </strong>Approximately 8% of elementary school-aged children in the United States have food allergies, a complicated health management situation that requires parents to use many types of health literacy, empowerment, and advocacy skills to work with school staff to protect their children.</p><p><strong>Objective: </strong>This cross-sectional study examined (a) whether the highest versus lowest levels of functional, communicative, and critical health literacy are associated with higher perceived effectiveness of parental advocacy behaviors for safe food allergy management in schools [parental advocacy]; and (b) whether communicative and critical health literacy are more strongly associated with parental advocacy than functional health literacy.</p><p><strong>Methods: </strong>A sample of parents of elementary school-aged children was recruited through 26 food allergy organizations and a research patient registry. Participants completed an anonymous online survey. Self-reported measurements of parental health literacy, empowerment, and advocacy were adapted and refined through pre-testing and pilot-testing. General linear model analyses were conducted to predict parental advocacy.</p><p><strong>Key results: </strong>Participants (<i>N</i> = 313) were predominantly White, college-educated mothers with moderately high levels of food allergy knowledge, health literacy, empowerment, and parental advocacy skills. Parents who scored at the highest levels in the three dimensions of health literacy reported they engaged in more effective advocacy behaviors than parents who scored at the lowest levels. Parental advocacy was predicted largely by parental empowerment and the quality of the relationship with the school (<i>B</i> = .41 and <i>B</i> = .40, respectively). Functional health literacy and the child's diagnosis of asthma were smaller predictors. While accounting for covariates, functional health literacy was significantly associated with parental advocacy whereas communicative and critical health literacy were not.</p><p><strong>Conclusions: </strong>Interventions to impact parental empowerment and parent-school relationships, including a health-literate universal precautions approach of communicating food allergy school policies, may influence parental advocacy for food allergy safety in schools. Further research could use a performance-based multidimensional measure of health literacy. [<b><i>HLRP: Health Literacy Research and Practice</i>. 2023;7(3):e165-e175.</b>].</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 3","pages":"e165-e175"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/68/hlrp0923kooor-prt.PMC10495122.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10653405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Media and Black Maternal Health: The Role of Health Literacy and eHealth Literacy.","authors":"Nerissa George,&nbsp;Simone Reynolds,&nbsp;Rachel de Long,&nbsp;Marilyn Kacica,&nbsp;Rukhsana Ahmed,&nbsp;Jennifer Manganello","doi":"10.3928/24748307-20230614-01","DOIUrl":"https://doi.org/10.3928/24748307-20230614-01","url":null,"abstract":"<p><strong>Background: </strong>Black women experience greater maternal mortality and morbidity than White women. Although there are many causes of this disparity, providing more and better maternal health information to this population may be beneficial. Social media offers a way to easily and quickly disseminate information to empower and educate Black women about health during pregnancy.</p><p><strong>Objective: </strong>This study sought to identify social media use patterns to determine what sources Black women used to obtain information about pregnancy and to explore whether health literacy/eHealth literacy influence those patterns.</p><p><strong>Methods: </strong>This cross-sectional, nationally representative survey panel included 404 Black women. Health literacy was measured by the Single Item Literacy Screener, and eHEALS was used to measure eHealth literacy. We examined participants' social media activity, social media use, social media use for support, and sharing of pregnancy-related health information. Relationships between health literacy, eHealth literacy, and social media use were assessed.</p><p><strong>Key results: </strong>Overall, 67.5% of participants had high health literacy, and the average eHealth literacy score was high (34.5). Most women (71.6%) reported using more than three social media accounts as a source for pregnancy information. Women with low health literacy searched social media for general and specific pregnancy health information, reported more social media use during pregnancy in general (<i>p</i> < .001), and more use of social media for giving and getting support (<i>p</i> = .003). Women with higher eHealth literacy were more likely to report more social media use (<i>r</i> = 0.107, <i>p</i> = .039) and often used social media to give and get support (<i>r</i> = 0.197, <i>p</i> = .0001). Women with high health literacy more often reported sharing the pregnancy information they found on social media with their nurse (χ² = 7.068, <i>p</i> = .029), doula (χ² = 6.878, <i>p</i> = .032), and childbirth educator (χ² = 10.289, <i>p</i> = .006). Women who reported higher eHealth literacy also reported more often sharing the pregnancy information they found on social media with their doctor (<i>r</i> = 0.115, <i>p</i> = .030), nurse (<i>r</i> = 0.139, <i>p</i> = .001), coworkers (<i>r</i> = 0.160, <i>p</i> = .004), and family or friends (<i>r</i> = 0.201, <i>p</i> = .0001).</p><p><strong>Conclusion: </strong>Substantial numbers of Black women use social media to find pregnancy health information. Future studies should elicit more detailed information on why and how Black women use social media to obtain pregnancy information and support as well as what role health literacy and eHealth literacy may have on birth outcomes. [<b><i>HLRP: Health Literacy Research and Practice</i>. 2023;7(3):e119-e129.</b>].</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 3","pages":"e119-e129"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9860805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organizational Health Literacy and Health Among New York State Medicaid Members.","authors":"Thomas W Robertson,&nbsp;Jennifer A Manganello,&nbsp;Meng Wu,&nbsp;Lauren S Miller,&nbsp;Recai M Yucel,&nbsp;Anne M Schettine","doi":"10.3928/24748307-20230822-01","DOIUrl":"https://doi.org/10.3928/24748307-20230822-01","url":null,"abstract":"<p><strong>Background: </strong>The definition of health literacy has recently expanded beyond the idea of individual skills to include the system and environment the individual interacts with to receive care, known as organizational health literacy (OHL). However, neither the prevalence of OHL nor the impact of OHL on individuals' perceptions of their health and healthcare have been examined in New York's Medicaid managed care population.</p><p><strong>Objective: </strong>This study aimed to estimate the prevalence of organizational health literacy in the New York State (NYS) Medicaid Managed Care (MMC) program.</p><p><strong>Methods: </strong>A brief measure to assess organizational health literacy was developed from responses to two questions in the 2018 NYS Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Generalized Estimating Equation models were developed to analyze the association between organizational health literacy and three aspects of perceptions of health and health care, controlling for demographic differences and clustering effects from health insurance plans. Missing data were handled using multiple imputation.</p><p><strong>Key results: </strong>Among 3,598 members included in the study, 20% of the MMC members reported inadequate organizational health literacy. These members were more likely to be older, less educated, from racial and ethnic minority groups, and less fluent with English. They are more likely to have poorer self-reported health (odds ratio [OR] 1.49), lower perceived access to health care (OR 6.97), and lower satisfaction with their health care (OR 6.49) than members who did not report inadequate organizational health literacy.</p><p><strong>Conclusions: </strong>Our results suggest that a proportion of the NYS MMC population faces inadequate organizational health literacy, which can present a barrier to health care access and result in patients having a significantly poorer health care experience. Using an existing data source that is part of existing data collection allows for routine assessment of organizational health literacy, which can help inform health plans about areas for potential improvement. [<b><i>HLRP: Health Literacy Research and Practice</i>. 2023;7(3):e154-e164.</b>].</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 3","pages":"e154-e164"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10653402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Correlation Among COVID-19 Vaccine Acceptance, the Ability to Detect Fake News, and e-Health Literacy.","authors":"Abouzar Nazari,&nbsp;Maede Hoseinnia,&nbsp;Asiyeh Pirzadeh,&nbsp;Arash Salahshouri","doi":"10.3928/24748307-20230621-01","DOIUrl":"https://doi.org/10.3928/24748307-20230621-01","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic has seen a rise in the spread of misleading and deceptive information, leading to a negative impact on the acceptance of the COVID-19 vaccine and public opinion. To address this issue, the importance of public e-Health literacy cannot be overstated. It empowers individuals to effectively utilize information technology and combat the dissemination of inaccurate narratives.</p><p><strong>Objective: </strong>This study aimed to investigate the relationship between the ability to identify disingenuous news, electronic health literacy, and the inclination to receive the COVID-19 immunization.</p><p><strong>Methods: </strong>In this descriptive-analytical cross-sectional study conducted during summer 2021 in Isfahan, Iran, 522 individuals older than age 18 years, seeking medical attention at health centers, were surveyed. The participants were selected through a meticulous multistage cluster sampling process from the pool of individuals referred to these health centers. Along with demographic information, data collection instruments included the standard e-Health literacy questionnaire and a researcher-developed questionnaire designed to identify misinformation. The collected questionnaires were entered into SPSS 24 for statistical analysis, which included the Kruskal-Wallis test, the Chi-square test, the Spearman test, and logistic regression models.</p><p><strong>Key results: </strong>The study findings revealed a statistically significant relationship between acceptance of the COVID-19 vaccine and the ability to identify deceptive news. An increase of one unit in the score for recognizing misinformation led to a 24% and 32% reduction in vaccine hesitancy and the intention to remain unvaccinated, respectively. Furthermore, a significant correlation was found between the intention to receive the vaccine and e-Health literacy, where an increase of one unit in e-Health literacy score corresponded to a 6% decrease in the intention to remain unvaccinated. Additionally, the study found a notable association between the ability to detect false and misleading information and e-Health literacy. Each additional point in e-Health literacy was associated with a 0.33% increase in the capacity to identify fake news (Spearman's R<i>ho</i> = 0.333, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>The study outcomes demonstrate a positive correlation between the COVID-19 vaccine acceptance, the ability to identify counterfeit news, and proficiency in electronic health literacy. These findings provide a strong foundation for policymakers and health care practitioners to develop and implement strategies that counter the dissemination of spurious and deceitful information related to COVID-19 and COVID-19 immunization. [<b><i>HLRP: Health Literacy Research and Practice</i>. 2023;7(3):e130-e138.</b>].</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 3","pages":"e130-e138"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9869553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferred Information Source Correlates to COVID-19 Risk Misperception.","authors":"Emilia V Ezrina, Huamei Dong, Ray Block, Robert P Lennon","doi":"10.3928/24748307-20230523-01","DOIUrl":"10.3928/24748307-20230523-01","url":null,"abstract":"<p><p>Inaccurate perceptions of COVID-19 (coronavirus disease 2019) risk may decrease compliance with public health mitigation practices, in turn increasing disease burden. The extent to which public perceptions of COVID-19 risk are inaccurate is not well studied. This study investigates the relationship between preferred information sources and inaccurate COVID-19 risk perception. A cross-sectional online survey of adults in the United States using online snowball techniques was administered between April 9, 2020 and July 12, 2020. Raking techniques were used to generate a representative U.S. sample from 10,650 respondents. Respondents who did not provide an answer to key questions were excluded. The remaining sample included 1,785 health care workers (HCW) and 4,843 non-HCW. Subjective risk was measured as the product of perceived likelihood of COVID-19 infection and perceived harm from infection. Objective risk was measured as a function of the presence of known COVID-19 risk factors. Discrepancies between subjective and objective risk were compared between respondents with different preferred information sources. Chi Square contingency tables and pair-wise correlation were used to evaluate differences to 95% confidence. For HCW and non-HCW, the greatest overestimation of personal COVID-19 risk assessment (<i>p</i> < .05 for all differences) were found in those whose preferred source of information was social media (HCW: 62.1%; non-HCW: 64.5%), followed by internet news sources (HCW: 59.6%, non-HCW%: 59.1%), government websites (HCW: 54%, non-H<i>CW</i> = 51.8%), other sources (HCW: 50.7%, non-H<i>CW</i> = 51.4%), and television news (HCW: 46.1%, non-HCW: 47.6%). Preferred information sources correlate with inaccuracies in personal COVID-19 risk assessment. Public health information campaigns should consider targeting groups whose preferred information sources correlate to higher inaccuracies in COVID-19 risk perceptions. [<b><i>HLRP: Health Literacy Research and Practice</i>. 2023;7(2):e105-e110.</b>].</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 2","pages":"e105-e110"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/88/hlrp0623ezrinalennonbr-prt.PMC10256272.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9667661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Vaccine Videos: Health Literacy Considerations.","authors":"Iris Feinberg,&nbsp;Michelle Ogrodnick,&nbsp;Jamie Bernhardt","doi":"10.3928/24748307-20230523-02","DOIUrl":"https://doi.org/10.3928/24748307-20230523-02","url":null,"abstract":"<p><strong>Background: </strong>Multimedia videos are important tools to inform uptake of the COVID-19 vaccine. Video design using health literacy guidelines may help optimize video usefulness. Many health organizations (HO) (provides information) and health care (HCO) (provides direct health care) organizations have used YouTube to deliver videos about COVID-19 vaccines.</p><p><strong>Objective: </strong>We examined HO and HCO COVID-19 vaccine videos shown on YouTube for health literacy guidelines (quality, understandability and actionability).</p><p><strong>Methods: </strong>The top 30 most viewed COVID-19 vaccine videos posted by HO and HCO were analyzed using the Global Quality Score (GQS) and the Patient Education Assessment Tool for evaluating audiovisual formats (PEMAT-AV).</p><p><strong>Key results: </strong>GQS scores averaged 3.12 (standard deviation [<i>SD</i>] .789), which is equivalent to 80%. Using PEMATAV, there was a relationship between actionability and quality (<i>r</i>(28) = .453, <i>p</i> < .05) for HO; for HCO, there was a relationship between usability and quality (<i>r</i>(28) = .455, <i>p</i> < .05). Odds ratio analysis showed quality in HO leading to higher odds of actionability (3.573, 95% confidence interval [CI] [1.480-14.569]) and quality in HCO videos leading to higher understandability (4.093, CI [1.203-17.865]).</p><p><strong>Conclusion: </strong>Few organizations applied all health literacy principles to video design. Video creation for mass media health campaigns by HO and HCO should include consideration of evidence-based health literacy measures (quality, understandability, actionability) to ensure intended results across viewers with different health literacy levels including communities who have been disproportionately affected by COVID-19. [<b><i>HLRP: Health Literacy Research and Practice</i>. 2023;7(2):e111-e118.</b>].</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 2","pages":"e111-e118"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/29/hlrp0623feinbergor-prt.PMC10256273.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9659835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Health Equity Through Health Literacy Education.","authors":"Peggy Nepps,&nbsp;Adam Lake,&nbsp;Jenna Fox,&nbsp;Cindy Martinez,&nbsp;Phebe Matsen,&nbsp;Kristina Zimmerman","doi":"10.3928/24748307-20230522-01","DOIUrl":"https://doi.org/10.3928/24748307-20230522-01","url":null,"abstract":"<p><p>Health literacy is the ability to understand and use health information. More than one-third of adults living in the United States have limited health literacy, which is associated with adverse health outcomes. Physicians need education about how to communicate effectively across the range of health literacy levels, but residency programs often fail to provide it. We aimed to develop and evaluate a curriculum to establish evidence-based recommendations for training family medicine resident physicians to communicate effectively across the range of health literacy levels. We developed and implemented a 6-month curriculum about health literacy and best practices for communication and collected three pre-/post-measures: patient surveys, videos of residents' patient encounters, and resident self-surveys of knowledge, attitudes, and use of communication techniques. Training of 39 residents included conferences, videotape reviews, written feedback, targeted supervision, and environmental cues. All knowledge/attitude questions on the resident survey improved significantly, as did the use of 4 of 6 communication techniques. Video observation also showed significant improvement in the residents' use of three techniques and a decrease in jargon use and an increase in \"plain language\" explanations of terms. Multimodal interventions improved residents' knowledge and attitudes about health literacy and use of health literacy precautions. [<b><i>HLRP: Health Literacy Research and Practice</i>. 2023;7(2):e99-e104.</b>].</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"7 2","pages":"e99-e104"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/db/hlrp0623neppsbr-prt.PMC10256271.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10663638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}