Gesundheitskompetenz – Health Literacy
Authors: Eva Maria Bitzer, Kristine Sørensen
This article provides an introduction to the definition and current theoretical/conceptual models for health literacy as well as their scope and importance to the provision of modern healthcare. We illustrate methods for measuring the health literacy of individuals – and explain why it is worthwhile to deal with the topic of health literacy. In addition, we present strategies and technologies with which healthcare facilities can take the health literacy of its patients appropriately into account and provide an overview of current national and international political initiatives on the topic of health literacy. Weiterlesen →
Do adolescents understand the items of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) – German version? Findings from cognitive interviews of the project “Measurement of Health Literacy Among Adolescents” (MOHLAA) in Germany
In Germany, there are no measurement tools to assess the general health literacy of adolescents. The aim of the study “Measurement of Health Literacy Among Adolescents” (MOHLAA) is to develop such a tool for use among adolescents aged 14–17. The German version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47-GER) served as a blueprint for the development of the tool. The present study examined the extent to which the HLS-EU-Q47-GER can be applied to the measurement of general health literacy in adolescents.
Health in all policies is increasing importance and health literacy as well has just entered the political arena in Germany. Consoritum coordinator Ullrich Bauer is co-editor of the German “National Action Plan Health Literacy”, which also defines education and schools as important action areas to promote health litercay. This recommendation is in line with the German Health Ministry`s recommendations within the Alliance for Health Literacy regarding the promotion of health literacy in education and schools.
Based on a recently conducted survey in the UK, the Mental Health Foundation (UK) recommends that mental health literacy should be integrated into teacher training and also that schools should address mental health literacy promotion of their students embedded within the ‘whole-school approach’. All recommendations available here.
The aim of this paper was to explore opportunities to promote schoolchildren’s health literacy based on their own experiences and ideas. Research suggests the necessity for health literacy to be included into the school curriculum, and to view health promotion as part of lifelong learning. There is also a need to involve schoolchildren in developing health literacy so they can find strategies to improve their health. Weiterlesen →
Health literacy is a concept that is frequently applied to the patient’s ability to find and comprehend health information. However, recent literature has included the skill of the health professional and the accessibility of health resources as important factors in the level of health literacy achieved by individuals and populations. In 2014 a qualitative study Weiterlesen →
With the main objectives of the NRW state program “health and education” (Bildung und Gesundheit, BuG), which are to sustainably promote children`s and adolescent`s health, facilitate their educational opportunities, well-being, and the performance of adults working and/or engaging in schools, BuG also provides particular health and education goals that, too, address the promotion of health literacy prominently and also significantly contribute to BuG`s main objectives:
Promoting health literacy: i.a. health-related attitudes, health awareness, health behaviour, health experience of all involved in school (behavioural prevention)
Improving health-related conditions for all in schools (structural/systems-based/ecologic prevention)
Enhancing quality education and the quality of education in schools
Improving the integration of health promotion and prevention into education and science but most importantly into educational policy.
We see great fit of our HLCA research activities to these goals, both with the projects of our first funding period as well as with the new projects of the second funding period 2018-2021. This is great news #healthliteracy
We want to share a comment on health literacy from the HLCA coordinator Ullrich Bauer, which he provided for the AOK practice journal: Health and Society (Gesundheit und Gesellschaft):
“Health literacy has the potential to provide new perspectives for rethinking the future of health care, in particular and above all, this applies to patient representatives and patient advocacy as well as self-help organisations. We are specifically talking about certain challenges in relation to health literacy that might have not been fully understood by everybody and on all levels yet. Health literacy does not mean to shift the responsibility for good or ill-health to the individual, but, moreover, health literacy is the key for a transparent, user-friendly, and responsive health care system, which is able to provide reliable and easy to understand health information and communicate them with all user groups. In turn, such an approach towards the understanding of the role of health literacy in this context is a decisive step to change the game, especially for the field of self-help. The incapacitation of patients within the health care system commonly goes along with higher expectancy for changes in individual health behaviour. Having said this, health literacy means that health information should be provided shaped to the needs of the target population, yet decisions are meant to be taken autonomously.” Prof.Dr. Ullrich Bauer, Faculty of Educational Science, University of Bielefeld, Germany
From the 18th to 22th of September 2017 the 2nd HLCA-Summer School on Health Literacy: Research, Policy and Advocacy took place at the Center for Interdisciplinary Research (ZiF) at the University of Bielefeld in Germany. Young researchers from around the world and renowned international researchers from the Topic Health Literacy came together for working on Health Literacy.
First, – research planning and possible research methods,
– the potential and challenges of health literacy with regard to children and adolescents,
– the consideration of specific cases in clinical contexts and
– the participation of patients and other vulnerable groups in the research process have been discussed.
Afterwards, the young scientists have developed exciting and relevant research projects and presented and discussed them in the plenum.
Further, the practical work of policy-makers was assessed by analyzing and evaluating political action plans on health literacy and other political documents. At the end of the week, necessary soft skills for health literacy experts were tested with the experienced health and health literacy expert Barbara Kondilis from Hellenic University in Greece. In addition, Prof. Dr. Peter Goldblatt from the Institute of Health Equity at University College London (UK) on Health Equality and Justice related to Health Literacy. As President of the EUPHA – Health Promotion Section, Luis Saboga-Nunes gave input into the field of health promotion, prevention of tobacco consumption and evidence-based insights into salutogenesis. Stefanie Harsch (Germany) presented first research results from a Health Literacy Study in Afganistan. Kristine Sørensen has held the closing presentation on health competences and closed with Prof. Dr. Ullrich Bauer, Dr. Paulo Pinheiro and Orkan Okan the 2. Health Literacy Summer School 2017. According to the young scientists, the international atmosphere and group dynamics were outstanding. The flat hierarchy between teachers and students had also been decisive. As a very enriching participant, the participants have taken note of the controversies with health literacy projects taking place all over the world and, above all, highlighted the possibility of dealing with the research methods.
On Friday, the 17th of March 2017 the Health Inequalities XII Panel took place on the German Public Health Congress “Poverty and Health” at the Technical University Berlin.
Under the title: Closing the gap in health inequalities – Quo vadis? the lectures and discussions focussed on possible strategies to close the gap.
Therfor the recommendations formulated by the Commission on Social Determinants of Health (CSDH) launched by the World Health Organization in 2005 gave the discussion framework:
The Commission`s overarching recommendations are to:
improve the daily living conditions,
tackle the inequitable distribution of power, money, and resources, and
measure and understand the problem and assess the impact of action.
In this context, the development, implementation and evaluation of interventions and programmes are seen as a key vehicle to reduce health inequalities and raise health equity.
This year`s the panel shed light on both national (Germany) and international perspectives in order to reflect and discuss upon the status quo of current efforts to reduce health inequalities and raise health equity.
Selected webinares of the panels you can see here:
Taking action on health inequalities and improving health equity: The International perspective von Prof. Dr. Peter Goldblatt, University College London, Institute of Health Equity, England
Improving health Literacy to take action on health equity with Prof. Dr. Luis Saboga-Nunes, National School of Public Health, Universidade NOVA de Lisboa, Portugal
Prof. Dr. Ullrich Bauer, Dr. Paulo Pinheiro, Orkan Okan (Bielefeld University, Faculty of Educational Science, Centre for Prevention and Intervention in Childhood and Adolescence (CPI)
Prof. Dr. Uwe Bittlingmayer (University of Education Freiburg, Institute of Sociology)
Prof. Dr. Diana Sahrai (University of Applied Sciences and Arts Northwestern Switzerland, School of Education)
Dr. Irene Moor (Martin Luther University of Halle-Wittenberg, Institute of Medical Sociology)
Jens Hoebel, MSc (Robert Koch Institute Berlin)