Percentages and counts of papers with health literacy responsiveness elements, by whether or not training or education was provided, organized by themes and sub-themes
| Training or education provided . | ||||
|---|---|---|---|---|
| Theme . | Subtheme . | Health literacy responsiveness measurable elements . | Yes (n = 70) . | No (n = 59) . |
| Literacies | ||||
| Assess patient’s health literacy | 39% (27) | 51% (30) | ||
| Assess patient’s general literacy (reading/writing) and/or numeracy | 16% (11) | 25% (15) | ||
| Digital literacy / e-health | 1% (1)* | 14% (8) | ||
| Andragogy | ||||
| Teaching | Action-oriented instruction | 17% (12) | 22% (13) | |
| Demonstrations | 7% (5) | 15% (9) | ||
| Underlining key information | 9% (6) | 14% (8) | ||
| Check for understanding | Teach-Back Technique | 66% (46) | 49% (29) | |
| Chunk & Check | 10% (7) | 5% (3) | ||
| Communication | ||||
| General | Provide information | 47% (33) | 58% (34) | |
| Open-ended questions | 20% (14) | 15% (9) | ||
| Plain | Communicate clearly | 79% (55) | 69% (41) | |
| Avoid jargon / use plain language | 66% (46) | 58% (34) | ||
| Limit information (2–3 concepts at a time) | 29% (20) | 32% (19) | ||
| Universal precautions (assume all have low HL) | 30% (21) | 27% (16) | ||
| Bidirectional | Encourage client to ask questions | 24% (17)* | 44% (26) | |
| Ask Me 3 (client to ask provider) | 7% (5) | 3% (2) | ||
| Multimodal | Use images, diagrams or models | 40% (28) | 39% (23) | |
| Technology, multimedia | 4% (3)** | 24% (14) | ||
| Read aloud | 1% (1)** | 17% (10) | ||
| More white space in written information | 3% (2) | 3% (2) | ||
| Respond to diversity | ||||
| Cultural awareness | 27% (19) | 31% (18) | ||
| Adapt for CALD (e.g. translator services, family) | 20% (14) | 32% (19) | ||
| Consider personal and health beliefs | 14% (10) | 25% (15) | ||
| Avoid stigmatizing language and images | 3% (2) | 7% (4) | ||
| Social / relational | Shared decision making (individual and community) | 11% (8)* | 27% (16) | |
| Empowerment | 13% (9) | 24% (14) | ||
| Trust | 4% (3)** | 24% (14) | ||
| Respect | 7% (5)* | 19% (11) | ||
| Establish existing social supports | 6% (4)* | 20% (12) | ||
| Influence of socioeconomic factors on health | 11% (8) | 12% (7) | ||
| Training or education provided . | ||||
|---|---|---|---|---|
| Theme . | Subtheme . | Health literacy responsiveness measurable elements . | Yes (n = 70) . | No (n = 59) . |
| Literacies | ||||
| Assess patient’s health literacy | 39% (27) | 51% (30) | ||
| Assess patient’s general literacy (reading/writing) and/or numeracy | 16% (11) | 25% (15) | ||
| Digital literacy / e-health | 1% (1)* | 14% (8) | ||
| Andragogy | ||||
| Teaching | Action-oriented instruction | 17% (12) | 22% (13) | |
| Demonstrations | 7% (5) | 15% (9) | ||
| Underlining key information | 9% (6) | 14% (8) | ||
| Check for understanding | Teach-Back Technique | 66% (46) | 49% (29) | |
| Chunk & Check | 10% (7) | 5% (3) | ||
| Communication | ||||
| General | Provide information | 47% (33) | 58% (34) | |
| Open-ended questions | 20% (14) | 15% (9) | ||
| Plain | Communicate clearly | 79% (55) | 69% (41) | |
| Avoid jargon / use plain language | 66% (46) | 58% (34) | ||
| Limit information (2–3 concepts at a time) | 29% (20) | 32% (19) | ||
| Universal precautions (assume all have low HL) | 30% (21) | 27% (16) | ||
| Bidirectional | Encourage client to ask questions | 24% (17)* | 44% (26) | |
| Ask Me 3 (client to ask provider) | 7% (5) | 3% (2) | ||
| Multimodal | Use images, diagrams or models | 40% (28) | 39% (23) | |
| Technology, multimedia | 4% (3)** | 24% (14) | ||
| Read aloud | 1% (1)** | 17% (10) | ||
| More white space in written information | 3% (2) | 3% (2) | ||
| Respond to diversity | ||||
| Cultural awareness | 27% (19) | 31% (18) | ||
| Adapt for CALD (e.g. translator services, family) | 20% (14) | 32% (19) | ||
| Consider personal and health beliefs | 14% (10) | 25% (15) | ||
| Avoid stigmatizing language and images | 3% (2) | 7% (4) | ||
| Social / relational | Shared decision making (individual and community) | 11% (8)* | 27% (16) | |
| Empowerment | 13% (9) | 24% (14) | ||
| Trust | 4% (3)** | 24% (14) | ||
| Respect | 7% (5)* | 19% (11) | ||
| Establish existing social supports | 6% (4)* | 20% (12) | ||
| Influence of socioeconomic factors on health | 11% (8) | 12% (7) | ||
Significantly less than those not including health literacy responsiveness education at
*p < 0.05 or
**p ≤ 0.002.
Percentages and counts of papers with health literacy responsiveness elements, by whether or not training or education was provided, organized by themes and sub-themes
| Training or education provided . | ||||
|---|---|---|---|---|
| Theme . | Subtheme . | Health literacy responsiveness measurable elements . | Yes (n = 70) . | No (n = 59) . |
| Literacies | ||||
| Assess patient’s health literacy | 39% (27) | 51% (30) | ||
| Assess patient’s general literacy (reading/writing) and/or numeracy | 16% (11) | 25% (15) | ||
| Digital literacy / e-health | 1% (1)* | 14% (8) | ||
| Andragogy | ||||
| Teaching | Action-oriented instruction | 17% (12) | 22% (13) | |
| Demonstrations | 7% (5) | 15% (9) | ||
| Underlining key information | 9% (6) | 14% (8) | ||
| Check for understanding | Teach-Back Technique | 66% (46) | 49% (29) | |
| Chunk & Check | 10% (7) | 5% (3) | ||
| Communication | ||||
| General | Provide information | 47% (33) | 58% (34) | |
| Open-ended questions | 20% (14) | 15% (9) | ||
| Plain | Communicate clearly | 79% (55) | 69% (41) | |
| Avoid jargon / use plain language | 66% (46) | 58% (34) | ||
| Limit information (2–3 concepts at a time) | 29% (20) | 32% (19) | ||
| Universal precautions (assume all have low HL) | 30% (21) | 27% (16) | ||
| Bidirectional | Encourage client to ask questions | 24% (17)* | 44% (26) | |
| Ask Me 3 (client to ask provider) | 7% (5) | 3% (2) | ||
| Multimodal | Use images, diagrams or models | 40% (28) | 39% (23) | |
| Technology, multimedia | 4% (3)** | 24% (14) | ||
| Read aloud | 1% (1)** | 17% (10) | ||
| More white space in written information | 3% (2) | 3% (2) | ||
| Respond to diversity | ||||
| Cultural awareness | 27% (19) | 31% (18) | ||
| Adapt for CALD (e.g. translator services, family) | 20% (14) | 32% (19) | ||
| Consider personal and health beliefs | 14% (10) | 25% (15) | ||
| Avoid stigmatizing language and images | 3% (2) | 7% (4) | ||
| Social / relational | Shared decision making (individual and community) | 11% (8)* | 27% (16) | |
| Empowerment | 13% (9) | 24% (14) | ||
| Trust | 4% (3)** | 24% (14) | ||
| Respect | 7% (5)* | 19% (11) | ||
| Establish existing social supports | 6% (4)* | 20% (12) | ||
| Influence of socioeconomic factors on health | 11% (8) | 12% (7) | ||
| Training or education provided . | ||||
|---|---|---|---|---|
| Theme . | Subtheme . | Health literacy responsiveness measurable elements . | Yes (n = 70) . | No (n = 59) . |
| Literacies | ||||
| Assess patient’s health literacy | 39% (27) | 51% (30) | ||
| Assess patient’s general literacy (reading/writing) and/or numeracy | 16% (11) | 25% (15) | ||
| Digital literacy / e-health | 1% (1)* | 14% (8) | ||
| Andragogy | ||||
| Teaching | Action-oriented instruction | 17% (12) | 22% (13) | |
| Demonstrations | 7% (5) | 15% (9) | ||
| Underlining key information | 9% (6) | 14% (8) | ||
| Check for understanding | Teach-Back Technique | 66% (46) | 49% (29) | |
| Chunk & Check | 10% (7) | 5% (3) | ||
| Communication | ||||
| General | Provide information | 47% (33) | 58% (34) | |
| Open-ended questions | 20% (14) | 15% (9) | ||
| Plain | Communicate clearly | 79% (55) | 69% (41) | |
| Avoid jargon / use plain language | 66% (46) | 58% (34) | ||
| Limit information (2–3 concepts at a time) | 29% (20) | 32% (19) | ||
| Universal precautions (assume all have low HL) | 30% (21) | 27% (16) | ||
| Bidirectional | Encourage client to ask questions | 24% (17)* | 44% (26) | |
| Ask Me 3 (client to ask provider) | 7% (5) | 3% (2) | ||
| Multimodal | Use images, diagrams or models | 40% (28) | 39% (23) | |
| Technology, multimedia | 4% (3)** | 24% (14) | ||
| Read aloud | 1% (1)** | 17% (10) | ||
| More white space in written information | 3% (2) | 3% (2) | ||
| Respond to diversity | ||||
| Cultural awareness | 27% (19) | 31% (18) | ||
| Adapt for CALD (e.g. translator services, family) | 20% (14) | 32% (19) | ||
| Consider personal and health beliefs | 14% (10) | 25% (15) | ||
| Avoid stigmatizing language and images | 3% (2) | 7% (4) | ||
| Social / relational | Shared decision making (individual and community) | 11% (8)* | 27% (16) | |
| Empowerment | 13% (9) | 24% (14) | ||
| Trust | 4% (3)** | 24% (14) | ||
| Respect | 7% (5)* | 19% (11) | ||
| Establish existing social supports | 6% (4)* | 20% (12) | ||
| Influence of socioeconomic factors on health | 11% (8) | 12% (7) | ||
Significantly less than those not including health literacy responsiveness education at
*p < 0.05 or
**p ≤ 0.002.
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