Roy Batterham|Rachelle Buchbinder|Alison Beauchamp|Sarity Dodson|Gerald R Elsworth|Richard H. Osborne
The OPtimising HEalth LIterAcy (Ophelia) process: study protocol for using health literacy profiling and community engagement to create and implement health reform
Deakin University|Cabrini Hospital|Deakin University|Deakin University|Deakin University|Deakin University
health literacy multidimensional concept comprising range cognitive affective social personal skills attributes paper describes research development protocol large communitiesbased collaborative project victoria australia aims identify respond health literacy issues people chronic conditions project called ophelia optimising health literacy victoria partnership two universities eight service organisations victorian government based identified issues develop pilot health literacy interventions across eight disparate health services inform creation health literacy response framework improve health outcomes reduce health inequalitiesthe protocol draws many inputs including experience partners previous cocreation rollout largescale healthpromotion initiatives three key conceptual modelsdiscourses inform protocol intervention mapping quality improvement collaboratives realist synthesis protocol outcomesoriented focuses two key questions health literacy strengths weaknesses clients participating sites sites interpret respond order achieve positive health equity outcomes clients process six steps three main phases first phase needs assessment uses health literacy questionnaire hlq multidimensional measure health literacy identify common health literacy needs among clients second phase involves frontline staff management within service organisation cocreating intervention plans strategically respond identified local needs third phase trial interventions within site determine site improve identified limitations service access andor health outcomesthere attempts assist agencies identify respond planned way varied health literacy needs clients project assess potential targeted locallydeveloped health literacy interventions improve access equity outcomes