Next Article in Journal
Technical Efficiency of Public and Private Hospitals in Beijing, China: A Comparative Study
Next Article in Special Issue
Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark
Previous Article in Journal
Sources and Determinants of Discretionary Food Intake in a Cohort of Australian Children Aged 12–14 Months
Previous Article in Special Issue
The Impact of the Chronic Disease Self-Management Program on Health Literacy: A Pre-Post Study Using a Multi-Dimensional Health Literacy Instrument
Article

Effectiveness of a Comprehensive Health Literacy Consultation Skills Training for Undergraduate Medical Students: A Randomized Controlled Trial

1
Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands
2
Faculty of Medical Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, FA10, 9700 RB Groningen, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(1), 81; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17010081
Received: 6 November 2019 / Revised: 12 December 2019 / Accepted: 15 December 2019 / Published: 20 December 2019
Comprehensible communication by itself is not sufficient to overcome health literacy related problems. Future doctors need a larger scope of capacities in order to strengthen a patient’s autonomy, participation, and self-management abilities. To date, such comprehensive training-interventions are rarely embedded in curricula, nor systematically evaluated. We assessed whether comprehensive training increased these health literacy competencies, in a randomized controlled trial (RCT), with a waiting list condition. Participants were international undergraduate medical students of a Dutch medical faculty (intervention: 39; control: 40). The 11-h-training-intervention encompassed a health literacy lecture and five interactive small-group sessions to practise gathering information and providing comprehensible information, shared decision-making, and enabling of self-management using role-play and videotaped conversations. We assessed self-reported competencies (knowledge and awareness of health literacy, attitude, self-efficacy, and ability to use patient-centred communication techniques) at baseline, after a five and ten-week follow-up. We compared students’ competencies using multi-level analysis, adjusted for baseline. As validation, we evaluated demonstrated skills in videotaped consultations for a subsample. The group of students who received the training intervention reported significantly greater health literacy competencies, which persisted up to five weeks afterwards. Increase was greatest for providing comprehensible information (B: 1.50; 95% confidence interval, CI 1.15 to 1.84), shared decision-making (B: 1.08; 95% CI 0.60 to 1.55), and self-management (B: 1.21; 95% CI 0.61 to 1.80). Effects regarding demonstrated skills confirmed self-rated competency improvement. This training enhanced a larger scope of health literacy competences and was well received by medical students. Implementation and further evaluation of this training in education and clinical practice can support sustainable health literacy capacity building of future doctors and contribute to better patient empowerment and outcomes of consultations. View Full-Text
Keywords: health literacy; medical education; patient-centred communication; shared decision-making; self-management health literacy; medical education; patient-centred communication; shared decision-making; self-management
Show Figures

Figure 1

MDPI and ACS Style

Kaper, M.S.; Reijneveld, S.A.; van Es, F.D.; de Zeeuw, J.; Almansa, J.; Koot, J.A.R.; de Winter, A.F. Effectiveness of a Comprehensive Health Literacy Consultation Skills Training for Undergraduate Medical Students: A Randomized Controlled Trial. Int. J. Environ. Res. Public Health 2020, 17, 81. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17010081

AMA Style

Kaper MS, Reijneveld SA, van Es FD, de Zeeuw J, Almansa J, Koot JAR, de Winter AF. Effectiveness of a Comprehensive Health Literacy Consultation Skills Training for Undergraduate Medical Students: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2020; 17(1):81. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17010081

Chicago/Turabian Style

Kaper, Marise S., Sijmen A. Reijneveld, Frank D. van Es, Janine de Zeeuw, Josué Almansa, Jaap A.R. Koot, and Andrea F. de Winter 2020. "Effectiveness of a Comprehensive Health Literacy Consultation Skills Training for Undergraduate Medical Students: A Randomized Controlled Trial" International Journal of Environmental Research and Public Health 17, no. 1: 81. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17010081

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop