Incorporating health literacy in education for socially disadvantaged adults: an Australian feasibility study.
Muscat, DM
Smith, S
Dhillon, HM
Morony, S
Davis, EL
Luxford, K
Shepherd, HL
Hayen, A
Comings, J
Nutbeam, D
McCaffery, K
- Publisher:
- BIOMED CENTRAL LTD
- Publication Type:
- Journal Article
- Citation:
- Int J Equity Health, 2016, 15, (1), pp. 84
- Issue Date:
- 2016-06-04
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Muscat, DM | |
dc.contributor.author | Smith, S | |
dc.contributor.author | Dhillon, HM | |
dc.contributor.author | Morony, S | |
dc.contributor.author | Davis, EL | |
dc.contributor.author | Luxford, K | |
dc.contributor.author | Shepherd, HL | |
dc.contributor.author |
Hayen, A https://orcid.org/0000-0003-4046-8030 |
|
dc.contributor.author | Comings, J | |
dc.contributor.author | Nutbeam, D | |
dc.contributor.author | McCaffery, K | |
dc.date.accessioned | 2022-05-18T05:39:10Z | |
dc.date.available | 2016-05-19 | |
dc.date.available | 2022-05-18T05:39:10Z | |
dc.date.issued | 2016-06-04 | |
dc.identifier.citation | Int J Equity Health, 2016, 15, (1), pp. 84 | |
dc.identifier.issn | 1475-9276 | |
dc.identifier.issn | 1475-9276 | |
dc.identifier.uri | http://hdl.handle.net/10453/157491 | |
dc.description.abstract | BACKGROUND: Adult education institutions have been identified as potential settings to improve health literacy and address the health inequalities that stem from limited health literacy. However, few health literacy interventions have been tested in this setting. METHODS: Feasibility study for an RCT of the UK Skilled for Health Program adapted for implementation in Australian adult education settings. Implementation at two sites with mixed methods evaluation to examine feasibility, test for change in participants' health literacy and pilot test health literacy measures. RESULTS: Twenty-two socially disadvantaged adults with low literacy participated in the program and received 80-90 hours of health literacy instruction. The program received institutional support from Australia's largest provider of vocational education and training and was feasible to implement (100 % participation; >90 % completion; high teacher satisfaction). Quantitative results showed improvements in participants' health literacy skills and confidence, with no change on a generic measure of health literacy. Qualitative analysis identified positive student and teacher engagement with course content and self-reported improvements in health knowledge, attitudes, and communication with healthcare professionals. CONCLUSIONS: Positive feasibility results support a larger RCT of the health literacy program. However, there is a need to identify better, multi-dimensional measures of health literacy in order to be able to quantify change in a larger trial. This feasibility study represents the first step in providing the high quality evidence needed to understand the way in which health literacy can be improved and health inequalities reduced through Australian adult education programs. | |
dc.format | Electronic | |
dc.language | eng | |
dc.publisher | BIOMED CENTRAL LTD | |
dc.relation.ispartof | Int J Equity Health | |
dc.relation.isbasedon | 10.1186/s12939-016-0373-1 | |
dc.rights | © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated. | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 1117 Public Health and Health Services, 1608 Sociology | |
dc.subject.classification | Public Health | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Feasibility Studies | |
dc.subject.mesh | Female | |
dc.subject.mesh | Health Literacy | |
dc.subject.mesh | Healthcare Disparities | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Male | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Patient Education as Topic | |
dc.subject.mesh | Qualitative Research | |
dc.subject.mesh | Vulnerable Populations | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Feasibility Studies | |
dc.subject.mesh | Qualitative Research | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Vulnerable Populations | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Patient Education as Topic | |
dc.subject.mesh | Healthcare Disparities | |
dc.subject.mesh | Health Literacy | |
dc.title | Incorporating health literacy in education for socially disadvantaged adults: an Australian feasibility study. | |
dc.type | Journal Article | |
utslib.citation.volume | 15 | |
utslib.location.activity | England | |
utslib.for | 1117 Public Health and Health Services | |
utslib.for | 1117 Public Health and Health Services | |
utslib.for | 1608 Sociology | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Public Health | |
utslib.copyright.status | open_access | * |
dc.date.updated | 2022-05-18T05:39:08Z | |
pubs.issue | 1 | |
pubs.publication-status | Published online | |
pubs.volume | 15 | |
utslib.citation.issue | 1 |
Abstract:
BACKGROUND: Adult education institutions have been identified as potential settings to improve health literacy and address the health inequalities that stem from limited health literacy. However, few health literacy interventions have been tested in this setting. METHODS: Feasibility study for an RCT of the UK Skilled for Health Program adapted for implementation in Australian adult education settings. Implementation at two sites with mixed methods evaluation to examine feasibility, test for change in participants' health literacy and pilot test health literacy measures. RESULTS: Twenty-two socially disadvantaged adults with low literacy participated in the program and received 80-90 hours of health literacy instruction. The program received institutional support from Australia's largest provider of vocational education and training and was feasible to implement (100 % participation; >90 % completion; high teacher satisfaction). Quantitative results showed improvements in participants' health literacy skills and confidence, with no change on a generic measure of health literacy. Qualitative analysis identified positive student and teacher engagement with course content and self-reported improvements in health knowledge, attitudes, and communication with healthcare professionals. CONCLUSIONS: Positive feasibility results support a larger RCT of the health literacy program. However, there is a need to identify better, multi-dimensional measures of health literacy in order to be able to quantify change in a larger trial. This feasibility study represents the first step in providing the high quality evidence needed to understand the way in which health literacy can be improved and health inequalities reduced through Australian adult education programs.
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