Designing a model of health literacy organization in health care centers in Iran

Document Type : Original Article

Authors

1 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Department of Health Education and Health Promotion, faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Department of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

4 Public Health Expert, Health Center No. 2, Mashhad University of Medical Sciences, Mashhad, Iran

5 Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Background and Objective: The Health Literacy Organization plays an important role in promoting community health. A health literacy organization is an organization that facilitates the guidance, understanding, and use of information and services for health care. The aim of this study was to validate the model of health literacy organization in health care centers in Iran.

Materials and Methods: This study is a descriptive-analytic study that was conducted from February 2021 to May 2021. Amongst the health education and health promotion experts and health center staff from different cities in Iran, 30 people were purposefully selected. The proposed template of the Health Literacy Organization of the health care centers was sent to the participants via email or via cyberspace (depending on the choice of the specialist) and experts were asked to enter their comments into the template on a 5-point Likert scale. This study was performed in two rounds. The impact coefficient formula was used to analyze the pattern. Data analysis was performed using spss25 software.
 
Results: There were 30 participants with 15.2 ± 7.7 years of experience, of which 53.3% were female participants and 46.6% were faculty members. In the first round of Delphi, the impact factor between 2.6 to 4.9 and the pattern was valid, but because the Delphi study is not feasible in less than two rounds, the second stage of Delphi was performed with an impact score between 3.5 to 4.9.

Conclusion: This study provided a valid model for the Health Literacy Organization in health care centers in Iran to help improve the level of health literacy in Iranian society.

Keywords


Acknowledgments: The authors wish to express their gratitude towards the  esteemed participants and vice research and technology in Mashhad University of Medical Sciences


Conflicts of Interests: No potential conflict of interest was reported by the author.


Ethical approval: This study is based on a research project approved by Ethics Committee of Mashhad University of Medical Sciences with the code of ethics IR.MUMS.REC.1398.161. All participants signed the consent form and they were ensured of the confidentiality of data collection prior to the study.


Financial Disclosure: The authors have no financial interests related to the material in the manuscript.


Authors’ contributions: E Ch-KH and NP conceptualized the study and led the project and writing. All authors contributed to the development of the coding scheme. HT, Ms M and M M conducted the coding and analyses and drafted the methods. AR, and HT reviewed the codes and results. All authors contributed to the writing and revision and approved the final version of the manuscript

1. E CK, N P, Esmaily H. Relations between Breastfeeding Self-efficacy and Maternal Health Literacy among Pregnant Women Evidence Based Care Journal. 2017;6(4): 18-25
 
2. Frisch A-L, Camerini L, Diviani N, Schulz PJJHpi. Defining and measuring health literacy: how can we profit from other literacy domains? Health Promotion International. 2012;27(1):117-26.
https://doi.org/10.1093/heapro/dar043
PMid:21724626
 
3. Organization WH. Health literacy: The solid facts. 2013.
 
4. Brach C, Keller D, Hernandez LM, Baur C, Parker R, Dreyer B, et al. Ten attributes of health literate health care organizations. 2012.
https://doi.org/10.31478/201206a
 
5. Palumbo R, Annarumma C, editors. The importance of being health literate: An organizational health literacy approach. 17th Toulon-Verona International Conference Proceedings2014: Conference Proceedings Liverpool 2014; England.
 
6. Paasche-Orlow MK, Wolf MSJJohc. Promoting health literacy research to reduce health disparities. Journal of Health Communication. 2010;15(S2):34-41.
https://doi.org/10.1080/10810730.2010.499994
PMid:20845191
 
7. DW B. The meaning and the measure of health literacy. Journal of general internal medicine. 2006;21(8):878-83.
https://doi.org/10.1111/j.1525-1497.2006.00540.x
PMid:16881951 PMCid:PMC1831571
 
8. Farmanova E. Organization of health services for minority populations: the role of organizational health literacy and an active offer of health services in French in Ontario. University of Ottawa Université d'Ottawa/University of Ottawa; 2017.
 
9. Brach C, Dreyer, B.P., & Schillinger, D. . Physicians' role in creating health literate organizations: A call to action. Journal of General Internal Medicine. 2013;29: 273-5.
https://doi.org/10.1007/s11606-013-2619-6
PMid:24113805 PMCid:PMC3912273
 
10. Charoghchian Khorasani E, Tavakoly Sany SB, Tehrani H, Doosti H, Peyman NJIjoer, health p. Review of Organizational Health Literacy Practice at Health Care Centers: Outcomes, Barriers and Facilitators. Int J Environ Res Public Health 2020;17(20):7544.
https://doi.org/10.3390/ijerph17207544
PMid:33081335 PMCid:PMC7589923
 
11. Annarumma C PR, Cavallone M. Who empowers whom? The role of organizational health literacy in empowering patients. Sinergie. 2017;104(Sep-Dec).
https://doi.org/10.7433/s104.2017.01
 
12. Dadipoor S, Ramezankhani A, Aghamolaei T, Rakhshani F, Safari-Moradabadi A. Evaluation of Health Literacy in the Iranian Population. health scope. 2018;7(3):e62212.
https://doi.org/10.5812/jhealthscope.62212
 
13. M. R. Getting to Know the Delphi Method. . Journal of Rafsanjan University of Medical Sciences. 2019;17(12):1093-4.
 
14. Hayran O, Omer A, Ö. O. Assessment of Organizational Health Literacy in a Group of Public, Private and University Hospitals in Istanbul. Journal of Health Systems and Policies. 2019;1(1):47-59.
 
15. Kowalski C, Lee S-YD, Schmidt A, Wesselmann S, Wirtz MA, Pfaff H, et al. The health literate health care organization 10 item questionnaire (HLHO-10): development and validation. BMC Health Serv Res 2015;15(1):1-9.
https://doi.org/10.1186/s12913-015-0707-5
PMid:25638047 PMCid:PMC4332719
 
16. Henrard G, Vanmeerbeek M, Buret L, Rademakers JJBhsr. Dealing with health literacy at the organisational level, French translation and adaptation of the Vienna health literate organisation self-assessment tool. Bmc Health Services Research. 2019;19(1):1-9.
https://doi.org/10.1186/s12913-019-3955-y
PMid:30832637 PMCid:PMC6399896
 
17. Trezona A, Dodson S, Osborne RHJBhsr. Development of the Organisational Health Literacy Responsiveness (Org-HLR) self-assessment tool and process. BMC Health Services Research. 2018;18(1):1-10.
https://doi.org/10.1186/s12913-018-3499-6
PMid:30189874 PMCid:PMC6128002
 
18. Wynia MK, Osborn CYJJohc. Health literacy and communication quality in health care organizations. Journal of health communication. 2010;15(S2):102-15.
https://doi.org/10.1080/10810730.2010.499981
PMid:20845197 PMCid:PMC3086818
 
19. Abrams MA, Kurtz-Rossi, S., Riffenburgh, A., & Savage, B. . Building health literate organizations: A guidebook to achieving organizational change. Des Moines, IA: Wellmark Foundation. Retrieved from http://www.unitypoint.org/health-literacyguidebook.aspx2014.
 
20. Andralus D, & Brach, C. Integrating literacy, culture, and language to improve health care quality for diverse populations. American Journal of Health Behavior. 2007;31:S122-S33.
https://doi.org/10.5993/AJHB.31.s1.16
 
21. Brega AG, Hamer MK, Albright K, Brach C, Saliba D, Abbey D, et al. Organizational health literacy: Quality improvement measures with expert consensus. Health Literacy Research and Practice. 2019;3(2):e127-e46.
https://doi.org/10.3928/24748307-20190503-01
PMid:31294314 PMCid:PMC6610031
 
22. Ernstmann N, Halbach S, Kowalski C, Pfaff H, Ansmann LJZfE, Fortbildung und Qualität im Gesundheitswesen. Measuring attributes of health literate health care organizations from the patients' perspective: Development and validation of a questionnaire to assess health literacy-sensitive communication (HL-COM). Zeitschrift Fur Evidenz Fortbildung Und Qualitaet Im Gesundheitswesen. 2017;121:58-63.
https://doi.org/10.1016/j.zefq.2016.12.008
PMid:28545615
 
23. Prince L. Assessing Organizational Health Literacy at an academic health center: A quantitative research study: University of Arkansas; 2017.