Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)

Abstract Background The aim of this study was to develop a tool to support health workers’ ability to identify patients’ multidimensional health literacy strengths and challenges. The tool was intended to be suitable for administration in healthcare settings where health workers must identify health...

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Main Authors: Jonathan O’Hara, Melanie Hawkins, Roy Batterham, Sarity Dodson, Richard H. Osborne, Alison Beauchamp
Format: Article
Language:English
Published: BMC 2018-03-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-018-3037-6
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author Jonathan O’Hara
Melanie Hawkins
Roy Batterham
Sarity Dodson
Richard H. Osborne
Alison Beauchamp
author_facet Jonathan O’Hara
Melanie Hawkins
Roy Batterham
Sarity Dodson
Richard H. Osborne
Alison Beauchamp
author_sort Jonathan O’Hara
collection DOAJ
description Abstract Background The aim of this study was to develop a tool to support health workers’ ability to identify patients’ multidimensional health literacy strengths and challenges. The tool was intended to be suitable for administration in healthcare settings where health workers must identify health literacy priorities as the basis for person-centred care. Methods Development was based on a qualitative co-design process that used the Health Literacy Questionnaire (HLQ) as a framework to generate questions. Health workers were recruited to participate in an online consultation, a workshop, and two rounds of pilot testing. Results Participating health workers identified and refined ten questions that target five areas of assessment: supportive professional relationships, supportive personal relationships, health information access and comprehension, current health behaviours, and health promotion barriers and support. Conclusions Preliminary evidence suggests that application of the Conversational Health Literacy Assessment Tool (CHAT) can support health workers to better understand the health literacy challenges and supportive resources of their patients. As an integrated clinical process, the CHAT can supplement existing intake and assessment procedures across healthcare settings to give insight into patients’ circumstances so that decisions about care can be tailored to be more appropriate and effective.
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spelling doaj.art-6d06989a6c0a44868bcf0515fc0c7b112022-12-22T02:15:31ZengBMCBMC Health Services Research1472-69632018-03-011811810.1186/s12913-018-3037-6Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)Jonathan O’Hara0Melanie Hawkins1Roy Batterham2Sarity Dodson3Richard H. Osborne4Alison Beauchamp5Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin UniversityHealth Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin UniversityHealth Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin UniversityHealth Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin UniversityHealth Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin UniversityHealth Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin UniversityAbstract Background The aim of this study was to develop a tool to support health workers’ ability to identify patients’ multidimensional health literacy strengths and challenges. The tool was intended to be suitable for administration in healthcare settings where health workers must identify health literacy priorities as the basis for person-centred care. Methods Development was based on a qualitative co-design process that used the Health Literacy Questionnaire (HLQ) as a framework to generate questions. Health workers were recruited to participate in an online consultation, a workshop, and two rounds of pilot testing. Results Participating health workers identified and refined ten questions that target five areas of assessment: supportive professional relationships, supportive personal relationships, health information access and comprehension, current health behaviours, and health promotion barriers and support. Conclusions Preliminary evidence suggests that application of the Conversational Health Literacy Assessment Tool (CHAT) can support health workers to better understand the health literacy challenges and supportive resources of their patients. As an integrated clinical process, the CHAT can supplement existing intake and assessment procedures across healthcare settings to give insight into patients’ circumstances so that decisions about care can be tailored to be more appropriate and effective.http://link.springer.com/article/10.1186/s12913-018-3037-6Conversational health literacy assessment toolCHATHealth literacyHLQPatient-centred careClinical assessment
spellingShingle Jonathan O’Hara
Melanie Hawkins
Roy Batterham
Sarity Dodson
Richard H. Osborne
Alison Beauchamp
Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)
BMC Health Services Research
Conversational health literacy assessment tool
CHAT
Health literacy
HLQ
Patient-centred care
Clinical assessment
title Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)
title_full Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)
title_fullStr Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)
title_full_unstemmed Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)
title_short Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)
title_sort conceptualisation and development of the conversational health literacy assessment tool chat
topic Conversational health literacy assessment tool
CHAT
Health literacy
HLQ
Patient-centred care
Clinical assessment
url http://link.springer.com/article/10.1186/s12913-018-3037-6
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