Dianne Goeman|Sue Conway|Ralph D. Norman|J.E. Morley|Rona Weerasuriya|Richard H. Osborne|Alison Beauchamp
Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support
Monash University|Deakin University|Deakin University|Deakin University
background health literacy ability access understand use information services good health among people chronic conditions health literacy requirements effective selfmanagement high optimising health literacy access ophelia study engaged diverse organisations codesign interventions involving health literacy questionnaire hlq needs assessment followed development evaluation interventions addressing identified needs study reports process outcomes one nine organisations royal district nursing service rdns methods participants home nursing clients diabetes intervention included tailored diabetes selfmanagement education according preferred learning style standardised diabetes education tool resources teachback method results needs analysis 113 quotasampled clients showed difficulties managing health finding appraising health information servicewide diabetes education intervention applied 24 clients intervention well received clients nurses positive impacts clients diabetes knowledge behaviour seen nurses reported clear benefits practice conclusion structured method supports healthcare services codesign interventions respond health literacy needs clients lead evidenceinformed sustainable practice changes support clients better understand effective diabetes selfmanagement