ArticleInternational journal of environmental research and public health2020
Improving Organizational Health Literacy Responsiveness in Cardiac Rehabilitation Using a Co-Design Methodology: Results from The Heart Skills Study.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring co-design: a systematic review of concepts, processes, models, and frameworks used in public health research.Journal of public health (Oxford, England) · 2025Pooled it
- Defining, assessing, and implementing organizational health literacy: barriers, facilitators, and tools - a systematic review.BMC health services research · 2025Pooled it
- PRODUCES+: Guidance for co-creation in public health informed by evidence and user experience.Public health in practice (Oxford, England) · 2026Article
- Article
- Health Literacy and Type 1 Diabetes Mellitus: A Mixed Method Study.Health literacy research and practice · 2026Article
- The argument-based approach to validity: theory, assumptions, evidence, and consequences.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- From means to meaningful: undertaking cluster analysis to develop health literacy profiles of people in Australian prisons.PloS one · 2026Article
- Strategies to Implement Knee Osteoarthritis Guidelines in Switzerland.Public health reviews · 2026Article
- Application of co-design to develop and prioritise health literacy-informed action ideas for implementation across prisons in New South Wales, Australia.Scientific reports · 2025Article
- Using Codesign to Develop a Health Literacy Intervention to Improve the Accessibility and Acceptability of Cardiac Services: The Equal Hearts Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Article
- Responding to health literacy of refugees in Australian primary health care settings: a qualitative study of barriers and potential solutions.BMC health services research · 2024Article
- Use of co-design methodology in the development of cardiovascular disease secondary prevention interventions: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- The organizational health components for small-sized health-care organizations: A systematic review.Journal of education and health promotion · 2023Review
- Application of the optimizing health literacy and access (Ophelia) process in partnership with a refugee community in Australia: Study protocol.Frontiers in public health · 2023Article
- Digital Health Literacy as a Predictor of Awareness, Engagement, and Use of a National Web-Based Personal Health Record: Population-Based Survey Study.Journal of medical Internet research · 2022Article
- Health Literacy Development among People with Chronic Diseases: Advancing the State of the Art and Learning from International Practices.International journal of environmental research and public health · 2022Article
- The Health Literacy in Pregnancy (HeLP) Program Study Protocol: Development of an Antenatal Care Intervention Using the Ophelia Process.International journal of environmental research and public health · 2022Article
- Organizational Health Literacy in the Context of Employee Health: An Expert-Panel-Guided Scoping Review Protocol.International journal of environmental research and public health · 2022Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
For health services, improving organizational health literacy responsiveness is a promising approach to enhance health and counter health inequity. A number of frameworks and tools are available to help organizations boost their health literacy responsiveness. These include the Ophelia (OPtimising HEalth LIteracy and Access) approach centered on local needs assessments, co-design methodologies, and pragmatic intervention testing. Within a municipal cardiac rehabilitation (CR) setting, the Heart Skills Study aimed to: (1) Develop and test an organizational health literacy intervention using an extended version of the Ophelia approach, and (2) evaluate the organizational impact of the application of the Ophelia approach. We found the approach successful in producing feasible organizational quality improvement interventions that responded to local health literacy needs such as enhanced social support and individualized care. Furthermore, applying the Ophelia approach had a substantial organizational impact. The co-design process in the unit helped develop and integrate a new and holistic understanding of CR user needs and vulnerabilities based on health literacy. It also generated motivation and ownership among CR users, staff, and leaders, paving the way for sustainable future implementation. The findings can be used to inform the development and evaluation of sustainable co-designed health literacy initiatives in other settings.
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Registered trials
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