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Article

Positive Outcomes of a Comprehensive Health Literacy Communication Training for Health Professionals in Three European Countries: A Multi-centre Pre-post Intervention Study

1
University of Groningen, University Medical Center Groningen, Department of Health Sciences, 9700 RB Groningen, The Netherlands
2
IRCCS INRCA (the National Institute of Health and Science on Aging), 60124 Ancona, Italy
3
The Regional Agency for Health (ARS of the Marche region), 60125 Ancona, Italy
4
Belfast Healthy Cities, Belfast BT1 1RD, UK
5
Health Promotion Research Centre, National University of Ireland Galway, Galway H91 TK33, Ireland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(20), 3923; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16203923
Received: 29 August 2019 / Revised: 10 October 2019 / Accepted: 11 October 2019 / Published: 15 October 2019
(This article belongs to the Special Issue Routes to Improve Health Literacy during the Life-Course)
Many professionals have limited knowledge of how to address health literacy; they need a wider range of health literacy competencies to enhance empowerment and person-centred prevention. We evaluated whether: (1) a comprehensive health literacy training increased self-rated competencies of health professionals to address health literacy related problems and support the development of people’s autonomy and self-management abilities after training and 6–12 weeks later, (2) professionals were satisfied with the training, (3) outcomes differed for the three participating European countries. Health professionals (N = 106) participated in a multicentre pre-post intervention study in Italy, the Netherlands and Northern Ireland. The 8-hour training-intervention involved health literacy knowledge, the practice of comprehensible communication skills, shared decision-making, and enhancing self-management. Self-rated health literacy competencies and training satisfaction were assessed at baseline, immediately after training and 6-12 weeks later, and analysed by multi-level analysis. Professionals’ self-rated health literacy competencies significantly improved following training in all three countries; this increase persisted at 6-12 weeks follow-up. The strongest increase regarded professional’s skills to enhance shared-decision making and enabling self-management after training and follow-up respectively. Professionals perceived the training as relevant for practice. Competency increases seemed to be consistent across countries. In three countries, professionals’ self-rated health literacy competencies increased following this comprehensive training. These promising findings should be confirmed in a further full effect study. Implementation of this training in European education and health care may improve person-centred communication by professionals and might help to tackle health literacy related problems and to strengthen people’s abilities in achieving better health outcomes. View Full-Text
Keywords: health literacy; person-centred communication; health promotion; health professional; capacity building; continuing professional education; empowerment; shared decision-making; self-management health literacy; person-centred communication; health promotion; health professional; capacity building; continuing professional education; empowerment; shared decision-making; self-management
MDPI and ACS Style

Kaper, M.S.; Winter, A.F.d.; Bevilacqua, R.; Giammarchi, C.; McCusker, A.; Sixsmith, J.; Koot, J.A.R.; Reijneveld, S.A. Positive Outcomes of a Comprehensive Health Literacy Communication Training for Health Professionals in Three European Countries: A Multi-centre Pre-post Intervention Study. Int. J. Environ. Res. Public Health 2019, 16, 3923. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16203923

AMA Style

Kaper MS, Winter AFd, Bevilacqua R, Giammarchi C, McCusker A, Sixsmith J, Koot JAR, Reijneveld SA. Positive Outcomes of a Comprehensive Health Literacy Communication Training for Health Professionals in Three European Countries: A Multi-centre Pre-post Intervention Study. International Journal of Environmental Research and Public Health. 2019; 16(20):3923. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16203923

Chicago/Turabian Style

Kaper, Marise S., Andrea F. de Winter, Roberta Bevilacqua, Cinzia Giammarchi, Anne McCusker, Jane Sixsmith, Jaap A.R. Koot, and Sijmen A. Reijneveld 2019. "Positive Outcomes of a Comprehensive Health Literacy Communication Training for Health Professionals in Three European Countries: A Multi-centre Pre-post Intervention Study" International Journal of Environmental Research and Public Health 16, no. 20: 3923. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16203923

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