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Article

Field-Testing and Refinement of the Organisational Health Literacy Responsiveness Self-Assessment (Org-HLR) Tool and Process

1
Faculty of Health, Deakin University, Burwood, VIC 3125, Australia
2
The Fred Hollows Foundation, Carlton, VIC 3053, Australia
3
Inner North West Primary Care Partnership, Brunswick, VIC 3056, Australia
4
Centre for Global Health and Equity, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC 3122, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(3), 1000; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17031000
Received: 4 November 2019 / Revised: 24 January 2020 / Accepted: 3 February 2020 / Published: 5 February 2020
Health literacy refers to the skills and knowledge that influence a person’s ability to access, understand and use information to make health-related decisions, which are influenced by the complexity of their health needs and the demands health services place on them. The aim of this study was to field-test the Organisational Health Literacy Responsiveness (Org-HLR) tool and process to determine their utility in assessing health literacy responsiveness and for supporting organisations to plan health literacy-related improvement activities. Four organisations in Victoria, Australia, field-tested the Org-HLR tool. Data were collected through direct observation, participant feedback, and focus groups. Forty-three individuals participated in field-testing activities, and 20 took part in focus group meetings. Themes relating to the applicability and utility of the Org-HLR self-assessment tool and process were identified. Field-testing resulted in a number of refinements to the tool and process. Twenty-eight indicators were removed, 29 were rephrased to improve their clarity, and four new indicators were added. The revised Org-HLR self-assessment tool contains six dimensions, 22 sub-dimensions and 110 performance indicators. The Org-HLR tool and process were perceived as useful for assessing health literacy responsiveness, prioritising improvement activities, and establishing a benchmark for monitoring and evaluation of improvements over time. Testing generated an improved Org-HLR tool and assessment process that are likely to have utility across a broad range of health and social service sector organisations. View Full-Text
Keywords: health literacy; health literacy responsiveness; health systems; access; health service improvement; self-assessment; Org-HLR self-assessment tool health literacy; health literacy responsiveness; health systems; access; health service improvement; self-assessment; Org-HLR self-assessment tool
MDPI and ACS Style

Trezona, A.; Dodson, S.; Fitzsimon, E.; LaMontagne, A.D.; Osborne, R.H. Field-Testing and Refinement of the Organisational Health Literacy Responsiveness Self-Assessment (Org-HLR) Tool and Process. Int. J. Environ. Res. Public Health 2020, 17, 1000. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17031000

AMA Style

Trezona A, Dodson S, Fitzsimon E, LaMontagne AD, Osborne RH. Field-Testing and Refinement of the Organisational Health Literacy Responsiveness Self-Assessment (Org-HLR) Tool and Process. International Journal of Environmental Research and Public Health. 2020; 17(3):1000. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17031000

Chicago/Turabian Style

Trezona, Anita, Sarity Dodson, Emma Fitzsimon, Anthony D. LaMontagne, and Richard H. Osborne 2020. "Field-Testing and Refinement of the Organisational Health Literacy Responsiveness Self-Assessment (Org-HLR) Tool and Process" International Journal of Environmental Research and Public Health 17, no. 3: 1000. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17031000

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