Including the Discipline Health Literacy in a Collective Health Postgraduate Program of a Public Institution: An Experience in Northeastern Brazil

Document Type : Original Article

Authors

1 Ceará State University, Postgraduate Program in Collective Health

2 Ceará State University, Postgraduate Program in Collective Health.

Abstract

Background and Objectives: Health literacy encompasses skills and competences that allow users to understand health care. The knowledge gap was identified in the Post-Graduate Health Programs. The aim of the current article was to describe the process focused on including the Health Literacy discipline in a Postgraduate Program in Collective Health of a Public Institution. 

Materials and Methods: Descriptive study, carried out from the identification of the existing gap in the disciplinary matrix of postgraduate courses, starting from the assessment of needs, establishment of goals and objectives, as well as educational strategies to achieve them, from the implementation of a health literacy discipline with 30 hours, divided into eight meetings, later formally evaluated by the students. 

Results: The course content allowed students to enter the epistemological field of health literacy, through reflections and discussions related to health literacy strategies in their professional practice, improving health communication and qualifying health decision-making by the user. 

Conclusion: The discipline based on health literacy is of paramount importance to the matrix, as it allows health professionals to identify new paths in their practices, as well as improving the health professional/patient relationship.

Keywords


1. Sorensen K, Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health 2012; 12(80):1-13. Available at: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-80.
https://doi.org/10.1186/1471-2458-12-80
PMid:22276600 PMCid:PMC3292515

 

2. Peerson A, Saunders M. Health literacy revisited: What do we mean and why does it matter? Health Promot Int. 2009; 24(3):285-96. https://doi.org/10.1093/heapro/dap014.
https://doi.org/10.1093/heapro/dap014
PMid:19372101

 

3. World Health Organization. HealthInSDGs Policy brief 4 : Health literacy. 9th Glob Conf Heal Promot 2016. 2016; 1-9. Available at: http://policy.nl.go.kr/cmmn/FileDown.do?atchFileId=155572&fileSn=34811.

 

4. Batterham RW, Hawkins M, Collins PA, Buchbinder R, Osborne RH. Health literacy: Applying current concepts to improve health services and reduce health inequalities. Public Health 2016; 132:3-12. http://dx.doi.org/10.1016/j.puhe.2016.01.001.
https://doi.org/10.1016/j.puhe.2016.01.001
PMid:26872738

 

5. Freedman DA, Bess KD, Tucker HA, Boyd DL, Tuchman AM, Wallston KA. Public Health Literacy Defined. Am J Prev Med 2009; 36(5):446-51. http://dx.doi.org/10.1016/j.amepre.2009.02.001
https://doi.org/10.1016/j.amepre.2009.02.001
PMid:19362698

 

6. Huang YJ, Lin GH, Lu WS, Tam KW, Chen C, Hou WH, et al. Validation of the European Health Literacy Survey Questionnaire in Women with Breast Cancer. Cancer Nurs. 2017; 1-9. https://doi.org/10.1097/ncc.0000000000000475.
https://doi.org/10.1097/NCC.0000000000000475
PMid:28221213

 

7. Santana S, Brach C, Harris L, Ochiai E, Blakey C, Bevington F, et al. Updating Health Literacy for Healthy People 2030: Defining Its Importance for a New Decade in Public Health. J Public Health Manag Pract. 2021; 27(Suppl 6): S258-S264. doi: 10.1097/PHH.0000000000001324.
https://doi.org/10.1097/PHH.0000000000001324
PMid:33729194 PMCid:PMC8435055

 

8. World Health Organization. Health promotion glossary of terms 2021. Geneva: World Health Organization; 2021.

 

9. Jafari A, Tavakoly SBS, Peyman N. The Status of Health Literacy in Students Aged 6 to 18 Old Years: A Systematic Review Study. Iran J Public Health. 2021; 50(3):448-458. https://doi.org/10.18502%2Fijph.v50i3.5584.
https://doi.org/10.18502/ijph.v50i3.5584

 

10. Brasil. Lei nº 9.394, de 20 de dezembro de 1996: estabelece as diretrizes e bases da educação nacional. 13a. Diário Oficial da União; 2016. Available at: http://www.planalto.gov.br/ccivil_03/leis/l9394.htm.

 

11. Carthery-Goulart MT, Anghinah R, Areza-Fegyveres R, Bahia VS, Dozzi Brucki SM, Damin A, et al. Performance of a Brazilian population on the test of functional health literacy in adults. Rev Saude Publica. 2009; 43(4):631-8. https://doi.org/10.1590/S0034-89102009005000031.
https://doi.org/10.1590/S0034-89102009005000031
PMid:19488667

 

12. Zarcadoolas C, Pleasant A, Greer DS. Understanding health literacy : an expanded model SUMMARY. Health Promot Int. 2005;20(2):195-203.10.1093/heapro/dah609.
https://doi.org/10.1093/heapro/dah609
PMid:15788526

 

13. Mayer G, Villaire M. Health Literacy in primare care: a clinician's guide.New York-USA. WA Springer Publishing Company, LLC. 2007. Available at: https://www.amazon.ca/Health-Literacy-Primary-Care-Clinicians/dp/0826102298

 

14. Rudd RE, Renzulli D, Pereira A, Daltroy L. Literacy Demands in Health Care Settings: The Patient Perspective. In Schwartzberg JG, VanGeest JB, Wang CC. Understanding Health Literacy. Implications for Medicine and Public Health. American Medical Association; 2003.

 

15. Sampaio HAC, Sabry MOD, Passamai MPB, Soares NT, Bezerra JAB, Coelho MAM. PLANO ALFANUTRI: um novo paradigma, a alfabetização nutricional, para promoção da alimentação saudável e prática regular de atividade física na prevenção e controle de doenças crônicas. 2012. Available at: http://www.uece.br/nutrindo/index.php/arquivos/doc_view/185?tmpl=component&format=raw

 

16. Kern DE, Thomas PA, Hughes MT. Curriculum Development for Medical Education: A Six‑Step Approach. Baltimore: Johns Hopkins University Press; 2009.

 

17. Brasil. Doenças Crônicas Não Transmissíveis: Estratégias de Controle e Desafios e para os Sistemas Únicos de Saúde. Organização Pan-Americana da Saúde. Organização Mundial da Saúde. Ministério da Saúde; 2011.

 

18. Ceará. Doenças crônicas não transmissíveis. Secretaria Estadual de Saúde do Ceará; 2018.

 

19. Bardin L. Análise de conteúdo. 4 ed. Edições70; 2010.

 

20. Ferraz APCM, Belhot RV. Bloom's taxonomy and its adequacy to define instructional objective in order to obtain excellence in teaching. Gestão Produção 2010; 17(2):421-31. https://doi.org/10.1590/S0104-530X2010000200015.
https://doi.org/10.1590/S0104-530X2010000200015

 

21. Ausubel DPA. Aprendizagem Significativa: a teoria de David Ausubel. Moraes; 1982.

 

22. Costa RKS, Miranda FAN. Opinion of the nursing graduate student on the formation of nurses for sus: an analysis of FAEN/UERN. Esc Anna Nery 2010; 14(1):39-47. https://doi.org/10.1590/S1414-81452010000100007.
https://doi.org/10.1590/S1414-81452010000100007

 

23. Abrams MA, Kurtz-Rossi S, Riffenburgh A, Savage B. Building Health Literate Organizations: A Guidebook to Achieving Organizational Change. 2014. Available at: http://www.unitypoint.org/filesimages/ Literacy/Health%20Literacy%20Guidebook.pdf

 

24. Vamos S, Yeung P, Schaal S, Schlüter K. Developing an online health literacy curriculum for two German universities: a key stakeholder approach. Glob Health Promot. 2018;25(3):43-51. 10.1177/1757975916676958.
https://doi.org/10.1177/1757975916676958
PMid:28059615

 

25. Doak CC, Doak LG, Root JH. Teaching patients with low literacy skills. 2 ed. Lippincott; 1996.
https://doi.org/10.1097/00000446-199612000-00022

 

26. Nutbeam D. Health literacy as a public health goal. Health Promot Int. 2006; 15(3):259-67. https://doi.org/10.1093/heapro/15.3.259.
https://doi.org/10.1093/heapro/15.3.259

 

27. Institute of Medicine. Health Literacy. Improving health, health systems, and health policy around the world. Workshop summary. The National Academies Press; 2013.

 

28.Osborne RH, Batterham RW, Elsworth GR, Hawkins M, Buchbinder R. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health. 2013;13(1):1-17. Available at: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-658.
https://doi.org/10.1186/1471-2458-13-658
PMid:23855504 PMCid:PMC3718659

 

29. Billett S. Learning through health care work: Premises, contributions and practices. Med Educ. 2016; 50(1):124-31. Available at: https://doi.org/10.1111/medu.12848.
https://doi.org/10.1111/medu.12848
PMid:26695472

 

30. Belim C, Almeida CV. Communication Competences are the Key! A Model of Communication for the Health Professional to Optimize the Health Literacy - Assertiveness, Clear Language and Positivity. J Healthc Commun. 2018; 3(3):1-13. Available at: https://www.primescholars.com/articles/communication-competences-are-the-keya-model-of-communication-for-the-healthprofessional-to-optimize-the-health-literacy-96326.html.
https://doi.org/10.4172/2472-1654.100141

 

31. Oommen AM, Vyas R, Faith M, Selvakumar D, George K. Curriculum development for a module on noncommunicable diseases for the master of public health program. Educ Health 2017; 30:236-9. 10.4103/efh.EfH_148_15.
https://doi.org/10.4103/efh.EfH_148_15
PMid:29786027

 

32. Perissé G. O valor do professor. Autêntica; 2011.

 

33. National Assessment of Adult Literacy. A first look at the literacy of America's adults in the 21st century. NCES Natl Cent Educ Stat. 2005;1-26. Available at: http://nces.ed.gov/naal/pdf/2006470.pdf

 

34. Murray S, Hagey J, Willms D, Shillington R, Desjardins R. Health Literacy in Canada: A Healthy Understanding. Www.Ccl-Cca.Ca. 2008; 1-38 p. Available at: http://en.copian.ca/library/research/ccl/health/health.pdf

 

35. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015; 25(6):1053-8. https://doi.org/10.1093/eurpub/ckv043.
https://doi.org/10.1093/eurpub/ckv043
PMid:25843827 PMCid:PMC4668324

 

36. Rigolin CCD, Bastos Júnior JC, Mello LC, Carvalho CCB. A produção científica brasileira de teses e dissertações sobre health literacy. Rev Tecnol e Soc. 2018; 14(34): 178-95. http://dx.doi.org/10.3895/rts.v14n34.7599.
https://doi.org/10.3895/rts.v14n34.7599

 

37. Stone M, Bazaldua O, Morrow J. Developing Health Literacy Communication Practices for Medical Students. MedEdPORTAL. 2021; 17:11091. 10.15766/mep_2374-8265.11091.
https://doi.org/10.15766/mep_2374-8265.11091
PMid:33537408 PMCid:PMC7842086

 

38. Saunders C, Palesy D, Lewis J. Systematic Review and Conceptual Framework for Health Literacy Training in Health Professions Education. Health Professions Education. 2019; 5(1):13-29. https://doi.org/10.1016/j.hpe.2018.03.003
https://doi.org/10.1016/j.hpe.2018.03.003