Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support
Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse org...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/2483263 |
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| _version_ | 1832550428061990912 |
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| author | Dianne Goeman Sue Conway Ralph Norman Jo Morley Rona Weerasuriya Richard H. Osborne Alison Beauchamp |
| author_facet | Dianne Goeman Sue Conway Ralph Norman Jo Morley Rona Weerasuriya Richard H. Osborne Alison Beauchamp |
| author_sort | Dianne Goeman |
| collection | DOAJ |
| description | Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS). Methods. Participants were home nursing clients with diabetes. The intervention included tailored diabetes self-management education according to preferred learning style, a standardised diabetes education tool, resources, and teach-back method. Results. Needs analysis of 113 quota-sampled clients showed difficulties managing health and finding and appraising health information. The service-wide diabetes education intervention was applied to 24 clients. The intervention was well received by clients and nurses. Positive impacts on clients’ diabetes knowledge and behaviour were seen and nurses reported clear benefits to their practice. Conclusion. A structured method that supports healthcare services to codesign interventions that respond to the health literacy needs of their clients can lead to evidence-informed, sustainable practice changes that support clients to better understand effective diabetes self-management. |
| format | Article |
| id | doaj-art-79e58d58a679464fb36cfa00e118b67a |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-79e58d58a679464fb36cfa00e118b67a2025-02-03T06:06:47ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/24832632483263Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing SupportDianne Goeman0Sue Conway1Ralph Norman2Jo Morley3Rona Weerasuriya4Richard H. Osborne5Alison Beauchamp6RDNS Institute, St Kilda, VIC, AustraliaRDNS, South Site, Bentleigh, VIC, AustraliaRDNS, East Site, Knox, VIC, AustraliaRDNS, West Site, Ravenhall, VIC, AustraliaHealth Systems Improvement Unit, Deakin University Centre for Population Health Research, School of Health and Social Development, Geelong, VIC, AustraliaHealth Systems Improvement Unit, Deakin University Centre for Population Health Research, School of Health and Social Development, Geelong, VIC, AustraliaHealth Systems Improvement Unit, Deakin University Centre for Population Health Research, School of Health and Social Development, Geelong, VIC, AustraliaBackground. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS). Methods. Participants were home nursing clients with diabetes. The intervention included tailored diabetes self-management education according to preferred learning style, a standardised diabetes education tool, resources, and teach-back method. Results. Needs analysis of 113 quota-sampled clients showed difficulties managing health and finding and appraising health information. The service-wide diabetes education intervention was applied to 24 clients. The intervention was well received by clients and nurses. Positive impacts on clients’ diabetes knowledge and behaviour were seen and nurses reported clear benefits to their practice. Conclusion. A structured method that supports healthcare services to codesign interventions that respond to the health literacy needs of their clients can lead to evidence-informed, sustainable practice changes that support clients to better understand effective diabetes self-management.http://dx.doi.org/10.1155/2016/2483263 |
| spellingShingle | Dianne Goeman Sue Conway Ralph Norman Jo Morley Rona Weerasuriya Richard H. Osborne Alison Beauchamp Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support Journal of Diabetes Research |
| title | Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support |
| title_full | Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support |
| title_fullStr | Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support |
| title_full_unstemmed | Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support |
| title_short | Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support |
| title_sort | optimising health literacy and access of service provision to community dwelling older people with diabetes receiving home nursing support |
| url | http://dx.doi.org/10.1155/2016/2483263 |
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