| Title: |
Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review |
| Authors: |
Marise S. Kaper; Jane Sixsmith; Sijmen A. Reijneveld; Andrea F. de Winter |
| Source: |
International Journal of Environmental Research and Public Health, Vol 18, Iss 11906, p 11906 (2021) |
| Publisher Information: |
MDPI AG |
| Publication Year: |
2021 |
| Collection: |
Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: |
health literacy; organization and administration; health care settings; organizational innovation; culture; program development; Medicine |
| Description: |
Organizational health literacy (OHL)-interventions can reduce inequality and demands in health care encountered by patients. However, an overview of their impact and critical factors for organization-wide implementation is lacking. The aim of this scoping review is to summarize the evidence on: (1) the outcomes of OHL-interventions at patient, professional and organizational levels; and (2) the factors and strategies that affect implementation and outcomes of OHL-interventions. We reviewed empirical studies following the five-stage framework of Arksey and O’Malley. The databases Scopus, PubMed, PsychInfo and CINAHL were searched from 1 January 2010 to 31 December 2019, focusing on OHL-interventions using terms related to “health literacy”, “health care organization” and “intervention characteristics”. After a full-text review, we selected 24 descriptive stu-dies. Of these, 23 studies reported health literacy problems in relation to OHL-assessment tools. Nine out of thirteen studies reported that the use of interventions resulted in positive changes on OHL-domains regarding comprehensible communication, professionals’ competencies and practices, and strategic organizational changes. Organization-wide OHL-interventions resulted in some improvement of patient outcomes but evidence was scarce. Critical factors for organization-wide implementation of OHL-interventions were leadership support, top-down and bottom-up approaches, a change champion, and staff commitment. Organization-wide interventions lead to more positive change on OHL-domains, but evidence regarding OHL-outcomes needs strengthening. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
https://www.mdpi.com/1660-4601/18/22/11906; https://doaj.org/toc/1661-7827; https://doaj.org/toc/1660-4601; https://doaj.org/article/6c783e161a89443e8b05e33c33017ee9 |
| DOI: |
10.3390/ijerph182211906 |
| Availability: |
https://doi.org/10.3390/ijerph182211906; https://doaj.org/article/6c783e161a89443e8b05e33c33017ee9 |
| Accession Number: |
edsbas.BB56A58 |
| Database: |
BASE |