Effective determinants for supporting lifestyle health literacy and self management skills in primar

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Effective determinants for supporting lifestyle
health literacy and self management skills in
primary health care.

• Mark Harris
• Anna Williams
• Sarah Dennis
• Anthony Newall
• Nick Zwar
• Elizabeth Denney-Wilson
• Tim Shortus
• Jane Taggart

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Background

• Addressing the issues
• Focus on PHC Interventions
• Which target health literacy in relation to the
  behavioural lifestyle risk factors (SNAPW)
• Government policies initiatives
• COAG
• ABHI

• The issues..
• Burden of chronic disease
• Incidence of modifiable SNAPW risk factors
• Low Health Literacy
• Inappropriate use of health services (including
  hospitalizations) and ineffective prevention and
  control of chronic illness.

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Definitions
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Research Questions

• Question 1
• What have been the major primary health care
  policy initiatives or interventions nationally
  and internationally which have aimed to improve
  the health literacy and motivation of people to
  manage their own lifestyle risk factors?
• Which of these interventions have been found to
  be effective?
• What are the likely costs and benefits
  associated with these interventions
• Evidence for similarities differences in low
  socio-economic groups people with cultural or
  linguistic disadvantages

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Research Questions continued

• Question 2
• What were the drivers and barriers to the uptake
  and sustaining of the policy initiatives
  interventions
• Which drivers have been found effective?
• What are likely to be the most cost-effective
  drivers to influence their uptake?
• Evidence for similarities differences in low
  socio-economic groups people with cultural or
  linguistic disadvantages

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Research Questions continued

• Question 3
• What barriers influenced the uptake of these
  interventions in health services and health
  services providers and the receptivity of
  patients to these interventions in primary health
  care?
• Evidence for similarities differences in low
  socio-economic groups people with cultural or
  linguistic disadvantages

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Research Questions continued

• Question 4
• What are the policy options to support the
  implementation of effective interventions to
  improve the knowledge, skills and motivation
  (health literacy) of people to manage their own
  lifestyle risk factors in Australian primary
  health care?

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Linkages and Exchange
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Methods Progress
Sentinel articles Reference Group key informant
consultations Theoretical frameworks
Pre-Review Stage
Definitions refining the research questions

• Scoping the review
• Librarian consultation
• Developing testing the search strategy
• Research Protocol

• Review Activities
• Search strategy electronic databases, targeted
  journals, snowballing, Experts key informants -
  grey literature
• Quality assessment of studies (non-experimental
  experimental, grey)
• Data Extraction
• Development of policy intervention typology
• Development of a typology of drivers barriers
• Effectiveness of interventions drivers
• Consultation with experts, reference group key
  informants

• Policy practice Implications
• Reference Group, Key Informant expert feedback
• Evidence, Macro/Meso/Micro policy practice
  implications

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Issues

• Scale of Review
• Need to include broader range of study
  types/quality to develop typologies
• Search Strategy Limitations
• Content analysis required to identify
  interventions, drivers barriers
• Efficacy
• Limited number of studies that focus on the
  effectiveness of health literacy interventions
  related to SNAPW risk factors