A Review and Report of Community-based Health Literacy Interventions

Baur, Cynthia; Martinez, Lourdes M.; Tchangalova, Nedelina; Rubin, Don

A Review and Report of Community-based Health Literacy Interventions

dc.contributor.author	Baur, Cynthia
dc.contributor.author	Martinez, Lourdes M.
dc.contributor.author	Tchangalova, Nedelina
dc.contributor.author	Rubin, Don
dc.date.accessioned	2017-12-13T17:02:23Z
dc.date.available	2017-12-13T17:02:23Z
dc.date.issued	2017-07-19
dc.description.abstract	BACKGROUND: A scoping literature review was conducted to identify and describe the state-of the-art of community-based health literacy interventions. “Health literacy” and “community” were the core concepts used to identify relevant interventions for review and analysis. “Health literacy,” “community” and “community-based” are terms with a range of meanings, and the review aimed to find and report those interventions that intentionally brought together groups of people to participate in an intervention that addressed health literacy issues or tried to change health literacy skills, behaviors, status, or other outcomes as defined by researchers. METHODS: Literature searching was conducted using PubMed, selected EBSCO and Proquest databases, as well as Web of Science for relevant studies. Grey literature was searched on web sites to identify eligible community-based programs. Search results were limited to English publications from June 2010 to 2017, however no limit was applied to geographical location, participants, health topic, or intervention type. Two authors screened titles and abstracts and identified 170 references suitable for full-text analysis. Papers were reviewed using a standard template with descriptive categories about the intervention; and criteria from the CDC “Best Practices” for evidence-based practices and Guide to Community Preventive Services study designs. RESULTS: Of the 2,402 papers located with the search strategy, 74 papers met the inclusion criteria. Of the included papers, 55 reported that intervention communities were selected because of health literacy concerns; 63 reported that health literacy principles or techniques were used for content or program development; 54 used health literacy measures; and 53 included health literacy outcome information. Only two papers reported large magnitude effects. CONCLUSIONS: A wide range of community-based health literacy interventions provide qualitative and quantitative evidence of positive outcomes; knowledge change was the most common outcome. Interventions can be strengthened in a number of ways to continue to build the body of knowledge about when and how to best address health literacy in community interventions.	en_US
dc.description.sponsorship	This work was commissioned by the National Academies of Sciences, Engineering and Medicine, Health and Medicine Division, Roundtable on Health Literacy	en_US
dc.identifier	https://doi.org/10.13016/M2W66996Q
dc.identifier.citation	Baur, C., Martinez, L. M., Tchangalova, N. & Rubin, D. (2017). A review and report of community-based health literacy interventions. Presentation and paper at Roundtable on Health Literacy, The National Academies of Sciences, Engineering, and Medicine, Washington, D.C. Available at http://www.nationalacademies.org/hmd/Activities/PublicHealth/HealthLiteracy/2017-JUL-19.aspx	en_US
dc.identifier.uri	http://hdl.handle.net/1903/20238
dc.language.iso	en_US	en_US
dc.publisher	National Academy of Sciences	en_US
dc.relation.isAvailableAt	Digital Repository at the University of Maryland	en_us
dc.relation.isAvailableAt	University of Maryland Libraries	en_us
dc.relation.isAvailableAt	University of Maryland (College Park, MD)	en_us
dc.subject	health literacy	en_US
dc.subject	community	en_US
dc.subject	community-based interventions	en_US
dc.title	A Review and Report of Community-based Health Literacy Interventions	en_US
dc.type	Article	en_US