Juliana M Andrade, Ada A Assunção, Mery N S Abreu
Long working hours in the healthcare system of the Belo Horizonte municipality, Brazil: a population-based cross-sectional survey
Human resources for health
developed evaluated health literacy training program allied health professionals explored feasibility trainthetrainer model support dissemination program combined didactic experiential teaching methods behaviour change techniques focus teachback developing easytounderstand written materials outcomes included participant reactions confidence range 630 behavioural intentions range 642 dissemination training content implementation outcomes evaluated using normalization measure development nomad tool assessing constructs coherence range 420 cognitive participation range 420 collective action range 735 reflexive monitoring range 525 29 allied health professionals participated 90 rated program excellentvery good 97 said information extremelyvery helpful everyday practice observed increases confidence mean difference md 63 standard deviation sd 27 t25 1187 p 001 intentions md 36 sd 81 t23 22 p 04 related health literacy practices 6 weeks improved confidence retained 6 months md 71 sd 52 t18 596 p 001 6 months 95 participants n 19 reported using teachback 50 n 10 reported used readability formula eightfive per cent participants 1720 trained others health literacy reaching n 201 allied health professionals students nomad scores highest relation cognitive participation 20 182 sd 21 lowest relation collective action 35 254 sd 30 trainthetrainer model appears feasible method disseminate health literacy training additional work may needed improve collective work done enable health literacy practices realworld clinical contexts staff training particularly important highly diverse areas patients disproportionately affected low health literacy