Health Lit Res Pract. 2022 Apr;6(2):e113-e120. doi: 10.3928/24748307-20220420-01. Epub 2022 May 6.
Ensuring that health care professionals are knowledgeable about the influence limited health literacy has on health outcomes and how to apply health literate strategies is crucial to transform quality and safety in care settings. Although many organizational efforts to address health literacy have focused on hospital settings, few have focused on primary care. The designation of a patient-centered medical home requires the need to address integrating health literacy and the training needs of primary care settings. Brief description of activity: An interactive health literacy training intervention was developed, implemented, and evaluated for 25 primary care clinics. This included an online educational module, in-person application activities, and a sustainability plan to continue skill building, reinforce behaviors, and support practice.
Using a descriptive pre- and post-training design, three survey measures were used to rate health literacy knowledge, behaviors, and confidence levels of more than 475 primary care staff. A pre-training survey was completed prior to completion of an interactive online health literacy module and attendance at an in-person training session which followed. A post-training survey was then completed. Sustainment activities, including lunch and learns, and reinforcement activities by clinic leaders, were initiated to promote use of the strategies in practice. A 1-year follow-up survey was then administered to measure sustainability.
The interactive training intervention improved primary care staff's knowledge, behaviors, and confidence in using health literacy strategies with patients and families. Common barriers and facilitators around the use of these strategies were also identified.
Careful consideration should be taken when developing health literacy training to ensure it will be effective, efficient, and sustainable. Using elements that facilitate the transfer of training to practice will help improve success. Addressing barriers and promoting facilitators, as well as integrating and connecting health literacy strategies with existing organizational goals and initiatives offer additional ways to reinforce and sustain the practice change. Plain Language Summary: Clinic staff can improve how they provide information and education to children and families. Interactive training about health literacy led clinic staff to (1) know more about health literacy, (2) use health literacy strategies more, and (3) feel more confident using health literacy strategies. Training over time, supporting staff, and connecting to organizational goals are important for sustainment.
确保医疗保健专业人员了解有限的健康素养对健康结果的影响，以及如何应用健康素养策略，对于改善医疗保健环境中的质量和安全至关重要。尽管许多旨在解决健康素养问题的组织工作都集中在医院环境中，但很少关注初级保健。以患者为中心的医疗之家的指定要求解决整合健康素养和初级保健环境的培训需求。简要描述活动：为 25 家初级保健诊所开发、实施和评估了一项互动式健康素养培训干预措施。这包括一个在线教育模块、面对面的应用活动以及一个可持续性计划，以继续进行技能建设、强化行为和支持实践。
使用描述性的培训前和培训后设计，使用了三种调查措施来评估 475 多名初级保健人员的健康素养知识、行为和信心水平。在完成互动式在线健康素养模块并参加随后的现场培训课程之前，完成了培训前调查。然后完成了培训后调查。为了促进在实践中使用这些策略，启动了包括午餐和学习以及诊所领导的强化活动等持续活动。然后进行了为期一年的随访调查，以衡量可持续性。
互动培训干预措施提高了初级保健人员在与患者和家属一起使用健康素养策略方面的知识、行为和信心。还确定了使用这些策略的常见障碍和促进因素。
在开发健康素养培训时，应仔细考虑确保其有效性、高效性和可持续性。使用有助于培训向实践转移的要素将有助于提高成功率。解决障碍和促进因素，以及将健康素养策略与现有组织目标和计划相结合，提供了加强和维持实践变革的其他方法。
诊所工作人员可以提高向儿童和家庭提供信息和教育的能力。关于健康素养的互动培训使诊所工作人员（1）更多地了解健康素养，（2）更多地使用健康素养策略，以及（3）更有信心使用健康素养策略。随着时间的推移进行培训、支持员工并与组织目标保持联系对于维持工作至关重要。
