Department of Nursing and Health Sciences, Fulda University of Applied Sciences, 36037 Fulda, Germany.
Centre for Applied Health Sciences, Leuphana University Lueneburg, 21335 Lueneburg, Germany.
Int J Environ Res Public Health. 2020 Apr 22;17(8):2886. doi: 10.3390/ijerph17082886.
To date, studies on individual and organizational health literacy (OHL) in facilities for people with disabilities are scarce. Thus, the aims of this study are (1) to adapt an existing instrument for measuring organizational health literacy (OHL), namely, the "Health literate health care organization scale" (HLHO-10), to the context of facilities for people with disabilities, (2) to quantitatively examine characteristics of OHL, and (3) to qualitatively assess the definition and role of OHL by interviewing managers and skilled staff. An online study in Germany with = 130 managers and skilled staff in facilities for people with disabilities was conducted, using the adapted HLHO-10 questionnaire. Univariate analyses were applied. Qualitative content analysis was used to investigate interview data from = 8 managers and skilled staff from = 8 facilities for people with disabilities in Hesse, Germany. Quantitative results revealed that respondents reported a below-average level in HLHO-10, with the lowest level found in the attribute of participative development of health information. The qualitative findings showed a clear need for improved navigation to and in facilities. The quantitative and qualitative findings are mainly consistent. Future research and measures should focus on facilities for people with disabilities in order to strengthen the development of and access to target-group-specific health information, as well as to establish a health-literate working and living environment.
迄今为止，针对残疾人士服务机构的个体和组织健康素养（OHL）的研究还很少。因此，本研究的目的是：（1）改编现有的用于测量组织健康素养（OHL）的工具，即“健康素养型医疗组织量表”（HLHO-10），以适应残疾人士服务机构的情况；（2）定量研究 OHL 的特点；（3）通过采访管理人员和熟练员工，定性评估 OHL 的定义和作用。在德国进行了一项在线研究，共调查了 130 名残疾人士服务机构的管理人员和熟练员工，使用了改编后的 HLHO-10 问卷。进行了单变量分析。采用定性内容分析法，对来自德国黑森州 8 个残疾人士服务机构的 8 名管理人员和熟练员工的访谈数据进行了研究。定量结果显示，受访者报告 HLHO-10 的水平低于平均水平，其中参与式开发健康信息的属性得分最低。定性结果表明，明确需要改善在机构内和机构间的导航。定量和定性结果主要一致。未来的研究和措施应侧重于残疾人士服务机构，以加强针对特定目标群体的健康信息的开发和获取，并建立健康素养型的工作和生活环境。
