TY - JOUR
T1 - Development of a Communication Intervention for Older Adults With Limited Health Literacy
T2 - Photo Stories to Support Doctor-Patient Communication
AU - Koops van 't Jagt, Ruth
AU - de Winter, Andrea F.
AU - Reijneveld, Sijmen A.
AU - Hoeks, John C. J.
AU - Jansen, Carel J. M.
PY - 2016
Y1 - 2016
N2 - Successful doctor-patient communication relies on appropriate levels of communicative health literacy, the ability to deal with and communicate about health information. This article aims to describe the development of a narrative- and picture-based health literacy intervention intended to support older patients with limited health literacy when communicating during their primary care consultations. We performed a formative evaluation that included a review of the literature and interviews with stakeholders on relevant health literacy issues, qualitative studies with the target group, intervention planning, and a small-scale evaluation. Cocreation with the target group was a major component. Seven photo stories were developed incorporating principles from narrative and social learning theory and covering communication themes and strategies identified during focus group discussions and role-play exercises. The intervention was developed in 3 different formats: 1-page photo stories, narrated video clips using the original photo story pictures, and interactive video clips covering participation and communication during primary care consultations. In our small-scale evaluation, older adults considered the cocreated intervention appealing and comprehensible. The intervention shows promise for improving the health of older adults but needs further evaluation. This study provides a rigorous template for the participatory development of health literacy interventions.
AB - Successful doctor-patient communication relies on appropriate levels of communicative health literacy, the ability to deal with and communicate about health information. This article aims to describe the development of a narrative- and picture-based health literacy intervention intended to support older patients with limited health literacy when communicating during their primary care consultations. We performed a formative evaluation that included a review of the literature and interviews with stakeholders on relevant health literacy issues, qualitative studies with the target group, intervention planning, and a small-scale evaluation. Cocreation with the target group was a major component. Seven photo stories were developed incorporating principles from narrative and social learning theory and covering communication themes and strategies identified during focus group discussions and role-play exercises. The intervention was developed in 3 different formats: 1-page photo stories, narrated video clips using the original photo story pictures, and interactive video clips covering participation and communication during primary care consultations. In our small-scale evaluation, older adults considered the cocreated intervention appealing and comprehensible. The intervention shows promise for improving the health of older adults but needs further evaluation. This study provides a rigorous template for the participatory development of health literacy interventions.
KW - HEALTH LITERACY
KW - Health communication
KW - NARRATIVES
KW - OLDER ADULTS
KW - DOCTOR-PATIENT COMMUNICATION
U2 - 10.1080/10810730.2016.1193918
DO - 10.1080/10810730.2016.1193918
M3 - Article
C2 - 27662265
SN - 1081-0730
VL - 21
SP - 69
EP - 82
JO - Journal of Health Communication
JF - Journal of Health Communication
IS - sup2
ER -