Evidence map›Paper›PMID 36497990›Full record

ArticleInternational journal of environmental research and public health2022

Health Professionals' Experience with the First Implementation of the Organizational Health Literacy Self-Assessment Tool for Primary Care (OHL Self-AsseT)-A Qualitative Reflexive Thematic Analysis.

Natascha Stuermer, Saskia Maria De Gani, Anna-Sophia Beese, Jennifer Giovanoli Evack, Rebecca Jaks, Dunja Nicca

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. [Development and evaluation of an assessment tool for organisational health literacy].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  3. [Organizational health literacy in German hospitals and nursing homes: state and perspectives].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
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

6 authors.

Natascha StuermerEpidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland.
Saskia Maria De GaniCenter for Health Literacy, Careum Foundation, 8032 Zurich, Switzerland.ORCID 0000-0002-7992-7209
Anna-Sophia BeeseCenter for Health Literacy, Careum Foundation, 8032 Zurich, Switzerland.
Jennifer Giovanoli EvackEpidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland.ORCID 0000-0001-7615-3570
Rebecca JaksCenter for Health Literacy, Careum Foundation, 8032 Zurich, Switzerland.ORCID 0000-0002-4998-2792
Dunja NiccaEpidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland.ORCID 0000-0002-4133-8177

Funding

Gesundheitsförderung Schweiz 18.194
6 · The paper itself

Abstract

Organizational health literacy (OHL) is crucial for public health, in turn health care organizations play vital roles in improving populations' health literacy. Therefore, the aim of this qualitative study was to explore how the organizational health literacy self-assessment tool (OHL Self-AsseT) was implemented, used, and understood by primary care teams from a network of general practices and a Home Care Service Organization in Zurich, Switzerland. Reflexive thematic analysis with a constructivist orientation was used to analyze data from 19 interviews pre- and post-OHL Self-AsseT use. Normalization Process Theory supported structuring of inductively developed themes. Findings show that the participants experienced working with the OHL Self-AsseT meaningful, as it helped with "Addressing OHL construction sites" so that they could "build momentum for change". The experience of "Succeeding together in construction" led to a "feeling of team-efficacy during change". Practical use of the tool and/or discussions about OHL led to a growing conceptual understanding, which was described as "Using a construction plan-making sense of ongoing OHL activities". To conclude, the OHL Self-AsseT encouraged teams to initiate change, led to greater team-efficacy and supported the construction of OHL. Improved implementation strategies will support this intervention's scale-up as a base for effectiveness testing.

Indexed as

Health LiteracyHealth PersonnelHumansOral HealthPrimary Health CareSelf-AssessmentimplementationNormalization Process Theoryorganizational health literacyprimary care settingreflexive thematic analysisself-assessment

Identifiers

PMID36497990
PMCPMC9735722

What OpenQuestion holds

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Registered trials

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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.