Evidence map›Paper›PMID 28678433›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

Qualitative insights into the experience of teaching shared decision making within adult education health literacy programmes for lower-literacy learners.

Danielle M Muscat, Suzanne Morony, Sian K Smith, Heather L Shepherd, Haryana M Dhillon, Andrew Hayen, Lyndal Trevena, Karen Luxford, Don Nutbeam, Kirsten J McCaffery

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Is there a need for change in cancer survivorship care? A qualitative exploration of survivor experiences and needs at the Sydney Cancer Survivorship Centre Clinic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  9. Qualitative insights into the experience of teaching shared decision making within adult education health literacy programmes for lower-literacy learners.Health expectations : an international journal of public participation in health care and health policy · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Danielle M MuscatUniversity of Sydney, School of Public Health, Sydney, NSW, Australia.ORCID 0000-0001-6106-6298
Suzanne MoronyUniversity of Sydney, School of Public Health, Sydney, NSW, Australia.ORCID 0000-0002-4534-0899
Sian K SmithPsychosocial Research Group, Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Heather L ShepherdUniversity of Sydney, School of Public Health, Sydney, NSW, Australia.ORCID 0000-0002-3350-1325
Haryana M DhillonUniversity of Sydney, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), Sydney, NSW, Australia.
Andrew HayenUniversity of Technology Sydney, Faculty of Health, Sydney, NSW, Australia.
Lyndal TrevenaUniversity of Sydney, School of Public Health, Sydney, NSW, Australia.
Karen LuxfordClinical Excellence Commission, Sydney, NSW, Australia.
Don NutbeamUniversity of Sydney, School of Public Health, Sydney, NSW, Australia.
Kirsten J McCafferyUniversity of Sydney, School of Public Health, Sydney, NSW, Australia.
The University of Sydney · AUMental Health Commission · IEUniversity of Technology Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhancing health literacy can play a major role in improving healthcare and health across the globe. To build higher-order (communicative/critical) health literacy skills among socially disadvantaged Australians, we developed a novel shared decision making (SDM) training programme for adults with lower literacy. The programme was delivered by trained educators within an adult basic education health literacy course.

objectiveTo explore the experience of teaching SDM within a health literacy programme and investigate whether communicative/critical health literacy content meets learner needs and teaching and institutional objectives. DESIGN AND

participantsQualitative interview study with 11 educators who delivered the SDM programme. Transcripts were analysed using the Framework approach; a matrix-based method of thematic analysis.

resultsTeachers noted congruence in SDM content and the institutional commitment to learner empowerment in adult education. The SDM programme was seen to offer learners an alternative to their usual passive approach to healthcare decision making by raising awareness of the right to ask questions and consider alternative test/treatment options. Teachers valued a structured approach to training building on foundational skills, with language reinforcement and take-home resources, but many noted the need for additional time to develop learner understanding and cover all aspects of SDM. Challenges for adult learners included SDM terminology, computational numerical risk tasks and understanding probability concepts. DISCUSSION AND

conclusionsSDM programmes can be designed in a way that both supports teachers to deliver novel health literacy content and empowers learners. Collaboration between adult education and healthcare sectors can build health literacy capacity of those most in need.

Indexed as

Decision MakingEducation, ContinuingPower, PsychologicalAdultAustraliaFemaleHealth LiteracyHumansInterviews as TopicMalePhysician-Patient RelationsQualitative ResearchVulnerable Populationsadult educationempowermenthealth literacyliteracyqualitativeshared decision making

Identifiers

PMID28678433
PMCPMC5689229
OpenAlexW2724671661

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.