Department of Family Medicine, Hualien Tzu Chi Hospital, Hualien City, Taiwan.
Department of Medical Humanities, School of Medicine, Tzu Chi University, Hualien City, Taiwan.
BMC Med Educ. 2022 Jul 27;22(1):576. doi: 10.1186/s12909-022-03646-7.
Health literacy (HL) has proven to be a determining factor influencing the health of individuals. Community health providers (CHPs) work on the front line of improving public HL. Increasing their understanding of HL and their ability to incorporate HL into healthcare can reduce obstacles in healthcare services. This study evaluated the effectiveness of an HL training program for CHP by using the hybrid online team-based learning (TBL) model.
A quasi-experimental study and focused group interviews were conducted. We developed a six weeks HL online course for CHPs. The program included teaching videos for pre-class preparation, a 90-min online TBL model, and a case discussion in the last two weeks. Team application activities were designed for each class to enhance knowledge application. A total of 81 CHPs from 20 public health centers took the course and provided complete data for analysis. Learning effectiveness was evaluated based on the familiarity, attitude, and confidence in implementing HL practices, course satisfaction, and participants' learning experiences.
The comparison showed that the participants' familiarity with HL (4.29 ± 1.76 vs 6.92 ± 1.52, p < .001), attitude (7.39 ± 1.88 vs 8.10 ± 1.44, p = .004), and confidence in implementing HL practices (6.22 ± 1.48 vs 7.61 ± 1.34, p < .001) increased after the course. The average satisfaction with the teaching strategies was 4.06 ± .53 points, the average helpfulness to practice was 4.13 ± .55 points, and the overall feedback on satisfaction with learning was 4.06 ± .58 points (the full score was 5 points). According to the learning experience of the 20 participants in the focus group discussion, the experiences of teaching strategies and the learning experiences of the HL course were summed up into two categories, seven themes, and 13 subthemes. The results showed a positive experience with the hybrid online TBL program.
The use of hybrid online TBL model is a feasible and valid approach for the HL training of CHPs. The result can serve as a reference for the on-the-job training of various healthcare workers.
健康素养（HL）已被证明是影响个体健康的决定因素。社区卫生服务提供者（CHP）在提高公众 HL 方面发挥着重要作用。提高他们对 HL 的理解以及将 HL 融入医疗保健的能力，可以减少医疗服务中的障碍。本研究采用混合在线团队学习（TBL）模式评估 CHP 的 HL 培训计划的效果。
进行了一项准实验研究和焦点小组访谈。我们为 CHP 开发了一个为期六周的 HL 在线课程。该课程包括课前准备的教学视频、90 分钟的在线 TBL 模式和最后两周的案例讨论。为每节课设计了团队应用活动，以增强知识的应用。共有 81 名来自 20 个公共卫生中心的 CHP 参加了该课程，并提供了完整的数据进行分析。学习效果基于对 HL 实践实施的熟悉程度、态度和信心、课程满意度以及参与者的学习体验进行评估。
结果显示，参与者对 HL 的熟悉程度（4.29±1.76 与 6.92±1.52，p<.001）、态度（7.39±1.88 与 8.10±1.44，p=.004）和实施 HL 实践的信心（6.22±1.48 与 7.61±1.34，p<.001）在课程后均有所提高。对教学策略的平均满意度为 4.06±.53 分，对实践的平均帮助度为 4.13±.55 分，对学习满意度的整体反馈为 4.06±.58 分（满分 5 分）。根据 20 名焦点小组讨论参与者的学习经验，总结出教学策略的经验和 HL 课程的学习经验分为两类、七个主题和 13 个次主题。结果表明，混合在线 TBL 模式的使用是 CHP 进行 HL 培训的一种可行且有效的方法。结果可为各种医护人员的在职培训提供参考。
