Spencer Madeline, Cruickshank Vaughan, Kemp Nenagh, Nash Rosie
School of Medicine, College of Health and Medicine, University of Tasmania, 17 Liverpool Street, Hobart, Tasmania 7001, Australia.
School of Education, College of Arts, Law and Education, University of Tasmania, Newnham Drive, Newnham, Tasmania 7001, Australia.
Health Promot Int. 2025 Jan 17;40(1). doi: 10.1093/heapro/daaf003.
Health promotion efforts that enhance health literacy among individuals, organizations, and communities are gaining attention globally. Additionally, co-designed and community-led health promotion interventions have gained recognition as an effective strategy for addressing health issues through more effective and sustainable health outcomes. This qualitative study conducted in Tasmania, Australia, aimed to co-design the emerging Health Literacy Mediator (HLM) and to assess the support, expectations, and need for such a role. Following an Ophelia approach, data for this research were collected via focus group discussions within an online workshop, enabling diverse perspectives to emerge and be analysed via thematic analysis. Discussions around how the role could impact the individuals and families presented in the short case scenarios (vignettes) produced four strong expectations: that they are solution-focused, that they have a duty to facilitate change, that the role is based in community, and that the role targets those in the community who need them most to ensure the greatest impact. Participants also shared other recommendations and supporting ideas for the role. The potential role of HLM holds substantial promise in addressing health inequities for all individuals, regardless of background or socioeconomic status, by optimizing time management, simplifying navigation, ensuring the right care, and building community trust. By creating connections and advocating for individuals, HLMs could effectively break down barriers to healthcare access. This proactive approach not only addresses immediate health concerns but could also lay the groundwork for sustained improvements in public health outcomes in the future.
在个人、组织和社区中提高健康素养的健康促进工作在全球范围内日益受到关注。此外，共同设计和社区主导的健康促进干预措施已被公认为是一种有效的策略，可通过更有效和可持续的健康成果来解决健康问题。这项在澳大利亚塔斯马尼亚州进行的定性研究旨在共同设计新兴的健康素养调解人（HLM），并评估对这一角色的支持、期望和需求。采用奥菲莉亚方法，本研究的数据通过在线研讨会中的焦点小组讨论收集，从而能够通过主题分析得出不同的观点并进行分析。围绕该角色如何影响简短案例场景（小插曲）中呈现的个人和家庭展开的讨论产生了四项强烈期望：即他们以解决方案为重点、有责任促进变革、该角色基于社区，以及该角色针对社区中最需要他们的人，以确保产生最大影响。参与者还分享了对该角色的其他建议和支持性想法。HLM的潜在作用在解决所有个人的健康不平等问题方面具有巨大潜力，无论其背景或社会经济地位如何，通过优化时间管理、简化流程、确保获得正确的护理以及建立社区信任。通过建立联系并为个人发声，HLM可以有效地消除获得医疗保健的障碍。这种积极主动的方法不仅解决了当前的健康问题，还可以为未来公共卫生成果的持续改善奠定基础。
