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

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

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Research questions

• 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?
• (a) Which of these interventions have been found
  to be effective?
• (b) Evidence for the cost and/or
  cost-effectiveness of these interventions?
• (c) Evidence for similarities differences in
  low socio-economic groups people with cultural
  or linguistic disadvantages?
• 2. What were the known effective drivers and
  barriers to the uptake and sustaining of the
  policy initiatives interventions
• (a) Evidence for the cost and/or
  cost-effectiveness of these interventions and
  the cost - effectiveness of drivers to influence
  their uptake?
• (b) Evidence for similarities differences in
  low socio-economic groups people with cultural
  or linguistic disadvantages

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• 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?
• (a) Evidence for similarities differences in
  low socio-economic groups people with cultural
  or linguistic disadvantages
• 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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Reference Group

• Two telephone conferences (March and April)
• One to one discussions with Dr Tim Shortus
• Membership
• Ms Jennie Roe, Assistant Secretary, Chronic
  Disease Branch, Department of Health and Ageing
• Dr John Litt, Senior Lecturer, Department of
  General Practice, Flinders University
• Mr John Kurko, Senior Manager, Active Living,
  National Heart Foundation
• Mr Steve Morris, Senior Policy Adviser,
  Australian General Practice Network
• Associate Professor Fran Boyle, Head of Health
  Systems and Economics, The University of
  Queensland
• Ms Judy Daniel, Assistant Secretary, Policy
  Development Branch, Primary and Ambulatory Care
  Division, Department of Health and Ageing
• Dr Christine Walker, Chronic Illness Alliance
  Victoria
• Associate Professor Jeffrey Fuller, Director of
  Education, University Department of Rural Health,
  University of Sydney and Southern Cross
  University
• Mr Andrew Milat, Manager, Strategic Research and
  Development Branch, Centre for Health
  Advancement, NSW Department of Health
• Issues raised
• What works and for whom? HL as a precursor to
  SMS. A sensible role for primary care.
  Preconditions for sustainability at patient and
  provider levels. Delivery mechanism including
  provider level interventions

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International experts / key informants

• Prof Anne Rogers University of Manchester
• Prof Don Nutbeam - University of Sydney
• Prof Rima Rudd Harvard University
• A/Prof Grant Russell University of Ottawa
• A/Prof Bruce Arroll University of Auckland
• Dr Annelies Jacobs - Radboud University Medical
  Centre

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Black Literature database search
Title and abstract screen (4,224)
Grey Literature
Unsure (374)
10 of excluded
Relevance check (full paper)
Policy
Cost
Barriers / drivers
Typology
Effectiveness
Quality assessment and data extraction
Synthesis
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Main issues arising to date

• Health literacy hard to define
• Database limitations health literacy poorly
  indexed, highly sensitive not very specific, lots
  of irrelevant papers
• Provider level studies - what to include,
  defining outcomes
• Few interventions measure health literacy
• Lots of talking about the problem of poor health
  literacy but few empirical studies
• For further information s.dennis_at_unsw.edu.au

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• The research reported in this presentation is a
  project of the Australian Primary Health Care
  Research Institute, which is supported by a grant
  from the Australian Government Department of
  Health and Ageing.