Characteristics of people with low health literacy on coronary heart disease GP registers in South London: a cross-sectional study [UK]
This study, by Rowlands et al (2013), presents the initial findings of an investigation into the characteristics of low health literacy patients on General Practice Coronary Heart Disease registers in the UK. The authors found that patients with low health literacy have significantly higher anxiety levels and have more and longer consultations with practice nurses. Rowlands et al (2013) found that patients with higher anxiety levels were more likely to have lower literacy levels than patients with lower levels of anxiety. Rowlands et al (2013) noted that the REALM is a test of pronunciation rather than functional literacy skills.
Understanding critical health literacy: a concept analysis – 2013 (UK)
Interest in and debates around health literacy have grown over the last two decades and key to the discussions has been the distinction made between basic functional health literacy, communicative/interactive health literacy and critical health literacy. In this study Sykes et al look at the concept of critical health literacy and offer some clarity of definition upon which appropriate theory, well grounded practice and potential measurement tools can be based.
Exploring the pathways to poor health in the ‘hidden population’ with low literacy – 2011 (Scot)
This thesis (358 pages), by Phyllis Easton (University of Dundee), examines the links between poor health and low literacy capabilities. The findings from 25 in-depth interviews and 2 focus groups with adult learners highlighted the various difficulties that people with low literacy face with written and spoken communication in clinical encounters and in self-care activities. Note: this is a large document and may take a few minutes to download.
Functional health literacy and health-promoting behaviour in a national sample of British adults
The objective of this study by von Wagner et al (2007) was to measure the prevalence of limited functional health literacy in the UK, and examine associations with health behaviours and self‐rated health. The results encourage efforts to monitor health literacy in the British population and examine associations with engagement with preventative health behaviours.
Health care prioritization in ageing societies: influence of age, education, health literacy and culture
The objective of this study by Mak et al (2011) was to examine how Chinese people in Hong Kong view health care prioritization and to compare the findings with those from a United Kingdom survey. They discovered that that most people would give priority to the young over the old in distributing a given amount of healthcare services. To meet the needs of ageing societies and to meet the needs of all users equitably, health care policy needs to acknowledge constraints and the needs for prioritization.
Health Literacy ; A global snapshot
An international perspective on health literacy initiatives (including USA, Canada, United Kingdom, the Netherlands, Finland) with discussion on best practice and developing quality strategies for Victoria, Australia.
The development of health literacy in patients with a long-term health condition: the health literacy pathway model
Inadequate health literacy has been associated with poor management of long-term health conditions and has been identified as a key social determinant of health outcomes. However, little is understood about how health literacy might develop over time or the processes by which people may become more health literate. Our objectives were to describe how patients with a long-term condition practice health literacy in the management of their health and communication with health professionals, how they become more health literate over time and their experience of using health services. We also sought to identify and describe the motivations, facilitators and barriers in the practice of health literacy in healthcare consultations.
Skilled for Health – Health literacy curriculum
Skilled for Health (SfH) is a cross-cutting British Government–voluntary sector initiative between the Department of Health (DoH), Department for Education and Skills (DfES) and ContinYou. It provides adult education programmes with a curriculum (which needs to be adapted to New Zealand and our learners). A great platform for health literacy programmes. (You will need to register to download SfH resources on the website.)
Supporting health literacy through medicines management: Examples from Wales
This report from Public Health Wales draws together work from across Wales to support health literacy, particularly in relation to medicines management, and the role of pharmacy in health literacy initiatives.
Health Literacy in Wales: A scoping document for Wales
This scoping report identifies a Welsh definition of health literacy, explores implications for Wales, provides an overview of current activities, considers measurement opportunities, and offers evidence-based recommendations for the Welsh Assembly Government’s consideration of how to improve health literacy in Wales.