Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review
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)...
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2021
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oai:doaj.org-article:6c783e161a89443e8b05e33c33017ee92021-11-25T17:49:20ZOutcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review10.3390/ijerph1822119061660-46011661-7827https://doaj.org/article/6c783e161a89443e8b05e33c33017ee92021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11906https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Organizational 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.Marise S. KaperJane SixsmithSijmen A. ReijneveldAndrea F. de WinterMDPI AGarticlehealth literacyorganization and administrationhealth care settingsorganizational innovationcultureprogram developmentMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11906, p 11906 (2021) |
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health literacy organization and administration health care settings organizational innovation culture program development Medicine R |
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health literacy organization and administration health care settings organizational innovation culture program development Medicine R Marise S. Kaper Jane Sixsmith Sijmen A. Reijneveld Andrea F. de Winter Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review |
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. |
format |
article |
author |
Marise S. Kaper Jane Sixsmith Sijmen A. Reijneveld Andrea F. de Winter |
author_facet |
Marise S. Kaper Jane Sixsmith Sijmen A. Reijneveld Andrea F. de Winter |
author_sort |
Marise S. Kaper |
title |
Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review |
title_short |
Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review |
title_full |
Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review |
title_fullStr |
Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review |
title_full_unstemmed |
Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions: A Scoping Review |
title_sort |
outcomes and critical factors for successful implementation of organizational health literacy interventions: a scoping review |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/6c783e161a89443e8b05e33c33017ee9 |
work_keys_str_mv |
AT mariseskaper outcomesandcriticalfactorsforsuccessfulimplementationoforganizationalhealthliteracyinterventionsascopingreview AT janesixsmith outcomesandcriticalfactorsforsuccessfulimplementationoforganizationalhealthliteracyinterventionsascopingreview AT sijmenareijneveld outcomesandcriticalfactorsforsuccessfulimplementationoforganizationalhealthliteracyinterventionsascopingreview AT andreafdewinter outcomesandcriticalfactorsforsuccessfulimplementationoforganizationalhealthliteracyinterventionsascopingreview |
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1718411990418849792 |