Health literacy and public health : a systematic review and integration of definitions and models
Kristine Sørensen,Stephan Van den Broucke,James Fullam,Gerardine Doyle,J Pelikan,Zofia Slonska,Helmut Brand +6 more
TLDR
An integrative conceptual model was developed containing 12 dimensions referring to the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information within the healthcare, disease prevention and health promotion setting, respectively.Abstract:
Health literacy concerns the knowledge and competences of persons to meet the complex demands of health in modern society. Although its importance is increasingly recognised, there is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The aim of the study is to review definitions and models on health literacy to develop an integrated definition and conceptual model capturing the most comprehensive evidence-based dimensions of health literacy. A systematic literature review was performed to identify definitions and conceptual frameworks of health literacy. A content analysis of the definitions and conceptual frameworks was carried out to identify the central dimensions of health literacy and develop an integrated model. The review resulted in 17 definitions of health literacy and 12 conceptual models. Based on the content analysis, an integrative conceptual model was developed containing 12 dimensions referring to the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information within the healthcare, disease prevention and health promotion setting, respectively. Based upon this review, a model is proposed integrating medical and public health views of health literacy. The model can serve as a basis for developing health literacy enhancing interventions and provide a conceptual basis for the development and validation of measurement tools, capturing the different dimensions of health literacy within the healthcare, disease prevention and health promotion settings.read more
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Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU)
Kristine Sørensen,Jürgen M. Pelikan,Florian Röthlin,Kristin Ganahl,Zofia Slonska,Gerardine Doyle,James Fullam,Barbara Kondilis,Demosthenes Agrafiotis,Ellen Uiters,María Falcón,M Mensing,Kancho Tchamov,Stephan Van den Broucke,Helmut Brand +14 more
TL;DR: Findings from the first European comparative survey on health literacy in populations suggest the social gradient in health literacy must be taken into account when developing public health strategies to improve health equity in Europe.
Journal ArticleDOI
The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ)
TL;DR: The HLQ covers 9 conceptually distinct areas of health literacy to assess the needs and challenges of a wide range of people and organisations and is likely to be useful in surveys, intervention evaluation, and studies of theneeds and capabilities of individuals.
Journal ArticleDOI
Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)
Kristine Sørensen,Stephan Van den Broucke,J Pelikan,James Fullam,Gerardine Doyle,Zofia Slonska,Barbara Kondilis,Vivian Stoffels,Richard H. Osborne,Helmut Brand +9 more
TL;DR: The design and development of the European Health Literacy Survey Questionnaire (HLS-EU-Q), an innovative, comprehensive tool to measure health literacy in populations, is described to provide a deeper understanding of its purpose, its capability and its limitations for others using the tool.
Journal ArticleDOI
COVID-19 and digital inequalities: Reciprocal impacts and mitigation strategies.
TL;DR: The reciprocal impacts of the COVID-19 crisis and digital inequalities are explored, and a set of multi-layered strategies focusing on actionability that can be implemented at multiple structural levels, ranging from governmental to corporate and community levels are proposed.
Journal ArticleDOI
Health literacy: applying current concepts to improve health services and reduce health inequalities.
TL;DR: This paper considers some approaches to applying health literacy in the daily practice of health-service providers in many settings, and how new insights and tools--including approaches based on an understanding of diversity of health literacy needs in a target community--can contribute to improvements in practice.
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