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Evaluation of a Health Literacy Program for Chronic Conditions


Elmer, S and Bridgman, H and Williams, A and Bird, ML and Murray, S and Jones, RP and Cheney, M, Evaluation of a Health Literacy Program for Chronic Conditions, Health Literacy Research and Practice, 1, (3) pp. e100-e108. ISSN 2474-8307 (2017) [Refereed Article]


Copyright Statement

2017 Elmer, Bridgman, Williams, et al.; licensee SLACK Incorporated. Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

DOI: doi:10.3928/24748307-20170523-01


BACKGROUND: Although much is known about health literacy in concept and practice, more research is needed to understand the mechanisms that improve health literacy and result in healthy behavior change. This is particularly so for those at risk of or living with chronic conditions who reside in communities experiencing socioeconomic disadvantage.

OBJECTIVE: The program aimed to improve the prevention and management of chronic conditions by responding to health literacy needs.

METHODS: A health literacy program, underpinned by Ophelia principles, was developed in consultation with three Neighbourhood Houses located in areas of socioeconomic disadvantage. Four 7-week group programs were delivered by a multidisciplinary team of academic health professionals. The evaluation aimed to explain how the design, content, and approach to delivery resulted in healthy behavior change and increased health literacy for the participants. Four focus groups were conducted to elicit feedback about the participants' experience of the program and recommendations for future programs. Data were thematically analyzed. The focus groups were attended by 22 (43%) of the total 51 program participants. Most of the participants were women with one or more chronic condition and residing in an area of socioeconomic disadvantage.

KEY RESULTS: Four major themes were identified including the components of self-determination theory (SDT) (autonomy and competence and relatedness) and a separate, but related theme of empowerment. Recommendations for improving future programs were categorized separately.

CONCLUSIONS: The SDT framework is a useful and novel approach to explaining the evaluation outcomes, the application of the Ophelia principles' underpinning design of the program, and the contribution of a multidisciplinary team of academic health professionals. Future programs will benefit from the SDT as a planning and evaluation framework, as well as understanding the long-term effects of the program within the broader community.

Item Details

Item Type:Refereed Article
Keywords:health literacy, self determination theory, chronic conditions, prevention
Research Division:Health Sciences
Research Group:Public health
Research Field:Health promotion
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Behaviour and health
UTAS Author:Elmer, S (Associate Professor Shandell Elmer)
UTAS Author:Bridgman, H (Dr Heather Bridgman)
UTAS Author:Williams, A (Associate Professor Andrew Williams)
UTAS Author:Bird, ML (Dr Marie-Louise Bird)
UTAS Author:Murray, S (Ms Sandra Murray)
UTAS Author:Jones, RP (Mrs Rachael Jones)
UTAS Author:Cheney, M (Mr Michael Cheney)
ID Code:120003
Year Published:2017
Deposited By:Health Sciences
Deposited On:2017-08-08
Last Modified:2018-09-13
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