Instructional Approaches to Enhance Health Literacy of Health Science Students: A Mixed-Methods Research Synthesis
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Published
Sep 25, 2020
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Abstract
The strategies development to enhance health literacy in health science students adopted from evidences is crucial. This research is to synthesize findings on quantitative, qualitative and mixed-methods studies published and unpublished from 2010 to 2019. The Mixed-Methods Research Synthesis (MMRS), that synthesized quantitative and qualitative findings, was conducted by a design of segregated Mixed-Methods Research Synthesis. The meta-analysis was applied to synthesize quantitative findings in quantitative and mixed-methods research whereas the meta-aggregation was applied to synthesize qualitative findings in qualitative and mixed-methods research. The results showed that the student-centered instructional method and interactive teaching method were the highest mean of effect sizes related to the recommendation of the usage of various methods to enhance health literacy. It was recommended that using technology and non-technology teaching materials and media could enhance health literacy among health science students. Appropriate approaches as instructional methods and media should be adopted to develop strategies for health literacy enhancement.
Keywords: Health Literacy, Health Science Students, Instructional Approach, Mixed-Methods Research Synthesis, MMRS
References
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Bloom-Feshbach, K., Casey, D., Schulson, L., Gliatto, P., Giftos, J., & Karani, R. (2016). Health Literacy in Transitions of Care: An Innovative Objective Structured Clinical Examination for Fourth-Year Medical Students in an Internship Preparation Course. Journal of General Internal Medicine, 31(2), 242-246. DOI: 10.1007/s11606-015-3513-1
Borrero, J. G. (2018). Nursing Students at the HeLM: A Study of the Effect of a Health Literacy Module (HeLM) on Health Literacy Knowledge, Skills and Attitudes of Pre-Licensure Baccalaureate Nursing Students. (Doctoral dissertation). CUNY Academiv Works, New York. Retrieved from https://academicworks.cuny.edu/gc_etds/2542/
Brenner, K. S., Kaushal, R., Grinspan, Z., Joyce, C., Kim, I., Allard, R. J., Delgado, D., & Abramson, E. L. (2016). Effects of Health Information Technology on Patient Outcomes: A Systematic Review. Journal of the American Medical Informatics Association, 23(5), 1016–1036. DOI: 10.1093/jamia/ocv138
Bruselius-Jensen, M., Bonde, A. H., & Christensen, J. H. (2017). Promoting Health Literacy in the Classroom. Health Education Journal, 76(2), 156-168. DOI: 10.1177/0017896916653429
Chen, A. M. H., Noureldin, M., & Plake, K. S. (2013). Impact of a Health Literacy Assignment on Student Pharmacist Learning. Research in Social and Administrative Pharmacy, 9(5), 531-541. DOI: 10.1016/j.sapharm.2013.05.002
Choeisuwan, V. (2017). Health Literacy: Concept and Application for Nursing Practice. Royal Thai Navy Medical Journal, 44(3), 183-197. Retrieved from https://he01.tci-thaijo.org/index.php/nmdjournal/article/view/115970
Devraj, R., Butler, L. M., Gupchup, G. V., & Poirier, T. I. (2010). Active-Learning Strategies to Develop Health Literacy Knowledge and Skills. American Journal of Pharmaceutical Education, 74(8), 1-9. DOI: 10.5688/aj7408137
Dunkerley, M. C. A. (2016). Health Literacy: The Knowledge, Attitudes, and Behavior of Beginning Baccalaureate Nursing Students of the Use of Health Literacy Strategies to Improve Patient Understanding. (Doctoral dissertation). Retrieved from https://www.semanticscholar.org/author/Marion-Caroline-Alida-Dunkerley/78819803
Farokhi, M. R., Muck, A., Lozano-Pineda, J., Boone, S. L., & Worabo, H. (2018). Using Interprofessional Education to Promote Oral Health Literacy in a Faculty-Student Collaborative Practice. Journal of Dental Education, 82(10), 1091-1097. DOI: 10.21815/JDE.018.110
Fawaz, M., & Anshasi, H. A. (2019). Senior Nursing Student’s Perceptions of an Interprofessional Simulation-Based Education (IPSE): A Qualitative Study. Heliyon, 5(10), e02546. DOI: 10.1016/j.heliyon.2019.e02546
Frazier, A. P. (2012). An Evaluation of Physician-to-Patient Communication Training in Medical Schools Across the United States: A Status Report on the Nation’s Efforts to Promote Health Literacy by Adding Health Literacy Courses to Medical School Curriculum. (Doctoral dissertation). Lindenwood University, St. Charles, MO, USA. Retrieved from https://pqdtopen.proquest.com/doc/1368992666.html?FMT=ABS
Ha, H., & Lopez, T. (2014). Developing Health Literacy Knowledge and Skills through Case-Based Learning. American Journal of Pharmaceutical Education, 78(1), 1-7. DOI: 10.5688/ajpe78117
Heyvaert, M., Hannes, K., & Onghena, P. (2017). Using Mixed-Methods Research Synthesis for Literature Reviews. California: SAGE Publications.
Heyvaert, M., Maes, B., & Onghena, P. (2011). Applying Mixed-methods Research at the Synthesis Level: An Overview. Research in the Schools, 18(1), 12-24.
Indhraratana, A. (2014). Health Literacy of Health Professionals. Journal of the Royal Thai Army Nurses, 15(3), 174-178. Retrieved from https://he01.tci-thaijo.org/index.php/JRTAN/article/view/30480
Joanna Briggs Institute. (n.d.). JBI Reviewer’s Manual. Retrieved from https://wiki.joannabriggs.org/display/MANUAL/JBI+Reviewer%27s+Manual
Kaeodumkoeng, K. (2018). Health Literacy: Access, Understand and Application. Nonthaburi: Amarin Book Center.
Kim, H., & Xie, B. (2017). Health Literacy in the eHealth Era: A Systematic Review of the Literature. Patient Education and Counseling, 100(6), 1073-1082. DOI: 10.1016/j.pec.2017.01.015
Matsee, C., & Waratwichit, C. (2017). Promotion of Health Literacy: From Concept to Practice. Boromarajonani College of Nursing. Boromarajonani College of Nursing, Uttaradit Journal, 9(2), 96-111. Retrieved from https://he01.tci-thaijo.org/index.php/unc/article/view/115941
McCleary-Jones, V. (2012). Assessing Nursing Students’ Knowledge of Health Literacy. Nurse Educator, 37(5), 214-217. DOI: 10.1097/NNE.0b013e318262ead3
McCleary-Jones, V. (2016). A Systematic Review of the Literature on Health Literacy in Nursing Education. Nurse Educator, 41(2), 93-97. DOI: 10.1097/NNE.0000000000000204
Milford, E., Morrison, K., Teutsch, C., Nelson, B. B., Herman, A., King, M., & Beucke, N. (2016). Out of the Classroom and into the Community: Medical Students Consolidate Learning about Health Literacy through Collaboration with Head Start. BMC Medical Education, 16(121), 1-9. DOI: 10.1186/s12909-016-0635-z
Mnatzaganian, C., Fricovsky, E., Best, B. M., & Singh, R. F. (2017). An Interactive, Multifaceted Approach to Enhancing Pharmacy Students’ Health Literacy Knowledge and Confidence. American Journal of Pharmaceutical Education, 81(2), 1-9. DOI: 10.5688/ajpe81232
Nammontri, O. (2018). Health Literacy. Thai Dental Nurse Journal, 29(1), 122-128. Retrieved from https://he02.tci-thaijo.org/index.php/TDNJ/article/view/112495
Nurash, P., Intarakamhang, U., & Kasevayuth, K. (2019). Effect of Teaching Program on Oral Health Literacy and Patient-Centered Communication Promotion. Journal of Behavioral Science for Development, 11(1), 71-90. Retrieved from https://so02.tci-thaijo.org/index.php/JBSD/article/view/156056
Paterick, T. E., Patel, N. J., Tajik, A. J., & Chandrasekaran, K. (2017). Improving Health Outcomes through Patient Education and Partnerships with Patients. Proceedings (Baylor University. Medical Center), 30(1), 112–113. DOI: 10.1080/08998280.2017.11929552
Pearce, K. L., Birbeck, D., & May, E. (2013). The Use of Animations and the “Teach-Back” Technique to Facilitate an Understanding of Health Literacy Levels within the General Community. Ergo, 3(2), 39-45. Retrieved from https://ojs.unisa.edu.au/index.php/ergo/article/view/926
Phongsakchat, P. (2018). Health Literacy Development Program and 3E Behaviors with Local Wisdom in Student Nurses. (Doctoral dissertation). Faculty of Education, Chulalongkorn University, Bangkok, Thailand. Retrieved from http://cuir.car.chula.ac.th/handle/123456789/61383
Preston, J. A. (2007). Student-Centered Versus Teacher-Centered Mathematics Instruction: A Meta-Analysis. (Doctoral dissertation). Indiana University of Pennsylvania, Indiana, Pennsylvania. Retrieved from https://search.proquest.com/openview/20d908aaa53fbf7b2cdb1bec1e58adbd/1?pq-origsite=gscholar&cbl=18750&diss=y
Roberts, D. M., Reid, J. R., Conner, A. L., Barrer, S., Miller, K. H., & Ziegler, C. (2012). A Replicable Model of a Health Literacy Curriculum for a Third-Year Clerkship. Teaching and Learning in Medicine, 24(3), 200-210. DOI: 10.1080/10401334.2012.692261
Ross, P. T., Lukela, M. P., Agbakwuru, U., & Lypson, M. L. (2013). Medical Students’ Recognition of Health Literacy in a Single Embedded Curricular Activity. International Journal of Medical Education, 4, 115-119. DOI: 10.5116/ijme.51aa.3508
Sangkam, M., Amthong, P., Pikun, P., Kaewwangpa, P., Khampitak, R., Komsaeng, R., ...Lomprom, R. (2018). Health Literacy of the Students in Faculty of Nursing, Saint Louis College: Mixed-Methods Research (Research report). Bangkok: Faculty of Nursing, Saint Louis College.
Saunders, C., Palesy, D., & Lewis, J. (2019). Systematic Review and Conceptual Framework for Health Literacy Training in Health Professions Education. Health Professions Education, 5(1), 13-29. DOI: 10.1016/j.hpe.2018.03.003
Scheckel, M., Emery, N., & Nosek, C. (2010). Addressing Health Literacy: The Experiences of Undergraduate Nursing Students. Journal of Clinical Nursing, 19(5-6), 794-802. DOI: 10.1111/j.1365-2702.2009.02991.x
Shieh, C., Belcher, A. E., & Habermann, B. (2013). Experiences of Nursing Students in Caring for Patients with Behaviors Suggestive of Low Health Literacy: A Qualitative Analysis. Journal of Nursing Education and Practice, 3(2), 75-85. DOI: 10.5430/jnep.v3n2p75
Squellati, R. E. (2013). Health Literacy Preparation of BSN Students: A Basic Qualitative Study. (Doctoral dissertation). Capella University, USA.
Trujillo, J. M., & Figler, T. A. (2015). Teaching and Learning Health Literacy in a Doctor of Pharmacy Program. American Journal of Pharmaceutical Education, 79(2), 1-9. DOI: 10.5688/ajpe79227
Wang, M., Han, X., Fang, H., Xu, C., Lin, X., Xia, S., Yu, W., He, J., Jiang, S., & Tao, H. (2018). Impact of Health Education on Knowledge and Behaviors toward Infectious Diseases among Students in Gansu Province, China. BioMed Research International, 11, 1-12. DOI: 10.1155/2018/6397340
Weekes, C. V. N., & Phillips, T. M. (2015). A Mile in My Patients’ Shoes: A Health Literacy Simulation for Baccalaureate Nursing Students. Clinical Simulation in Nursing, 11(11), 464-468. DOI: 10.1016/j.ecns.2015.09.001
World Health Organization. (1998). Health Promotion Glossary. Geneva: World Health Organization. Retrieved from https://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf
Zanchetta, M., Taher, Y., Fredericks, S., Waddell, J., Fine, C., & Sales, R. (2012). Undergraduate Nursing Students Integrating Health Literacy in Clinical Settings. Nurse Education Today, 33(9), 1026-1033. DOI: 10.1016/j.nedt.2012.05.008
Bhutani, J., & Bhutani, S. (2014). Worldwide Burden of Diabetes. Indian Journal of Endocrinology and Metabolism, 18(6), 868-870. DOI: 10.4103/2230-8210.141388
Bloom-Feshbach, K., Casey, D., Schulson, L., Gliatto, P., Giftos, J., & Karani, R. (2016). Health Literacy in Transitions of Care: An Innovative Objective Structured Clinical Examination for Fourth-Year Medical Students in an Internship Preparation Course. Journal of General Internal Medicine, 31(2), 242-246. DOI: 10.1007/s11606-015-3513-1
Borrero, J. G. (2018). Nursing Students at the HeLM: A Study of the Effect of a Health Literacy Module (HeLM) on Health Literacy Knowledge, Skills and Attitudes of Pre-Licensure Baccalaureate Nursing Students. (Doctoral dissertation). CUNY Academiv Works, New York. Retrieved from https://academicworks.cuny.edu/gc_etds/2542/
Brenner, K. S., Kaushal, R., Grinspan, Z., Joyce, C., Kim, I., Allard, R. J., Delgado, D., & Abramson, E. L. (2016). Effects of Health Information Technology on Patient Outcomes: A Systematic Review. Journal of the American Medical Informatics Association, 23(5), 1016–1036. DOI: 10.1093/jamia/ocv138
Bruselius-Jensen, M., Bonde, A. H., & Christensen, J. H. (2017). Promoting Health Literacy in the Classroom. Health Education Journal, 76(2), 156-168. DOI: 10.1177/0017896916653429
Chen, A. M. H., Noureldin, M., & Plake, K. S. (2013). Impact of a Health Literacy Assignment on Student Pharmacist Learning. Research in Social and Administrative Pharmacy, 9(5), 531-541. DOI: 10.1016/j.sapharm.2013.05.002
Choeisuwan, V. (2017). Health Literacy: Concept and Application for Nursing Practice. Royal Thai Navy Medical Journal, 44(3), 183-197. Retrieved from https://he01.tci-thaijo.org/index.php/nmdjournal/article/view/115970
Devraj, R., Butler, L. M., Gupchup, G. V., & Poirier, T. I. (2010). Active-Learning Strategies to Develop Health Literacy Knowledge and Skills. American Journal of Pharmaceutical Education, 74(8), 1-9. DOI: 10.5688/aj7408137
Dunkerley, M. C. A. (2016). Health Literacy: The Knowledge, Attitudes, and Behavior of Beginning Baccalaureate Nursing Students of the Use of Health Literacy Strategies to Improve Patient Understanding. (Doctoral dissertation). Retrieved from https://www.semanticscholar.org/author/Marion-Caroline-Alida-Dunkerley/78819803
Farokhi, M. R., Muck, A., Lozano-Pineda, J., Boone, S. L., & Worabo, H. (2018). Using Interprofessional Education to Promote Oral Health Literacy in a Faculty-Student Collaborative Practice. Journal of Dental Education, 82(10), 1091-1097. DOI: 10.21815/JDE.018.110
Fawaz, M., & Anshasi, H. A. (2019). Senior Nursing Student’s Perceptions of an Interprofessional Simulation-Based Education (IPSE): A Qualitative Study. Heliyon, 5(10), e02546. DOI: 10.1016/j.heliyon.2019.e02546
Frazier, A. P. (2012). An Evaluation of Physician-to-Patient Communication Training in Medical Schools Across the United States: A Status Report on the Nation’s Efforts to Promote Health Literacy by Adding Health Literacy Courses to Medical School Curriculum. (Doctoral dissertation). Lindenwood University, St. Charles, MO, USA. Retrieved from https://pqdtopen.proquest.com/doc/1368992666.html?FMT=ABS
Ha, H., & Lopez, T. (2014). Developing Health Literacy Knowledge and Skills through Case-Based Learning. American Journal of Pharmaceutical Education, 78(1), 1-7. DOI: 10.5688/ajpe78117
Heyvaert, M., Hannes, K., & Onghena, P. (2017). Using Mixed-Methods Research Synthesis for Literature Reviews. California: SAGE Publications.
Heyvaert, M., Maes, B., & Onghena, P. (2011). Applying Mixed-methods Research at the Synthesis Level: An Overview. Research in the Schools, 18(1), 12-24.
Indhraratana, A. (2014). Health Literacy of Health Professionals. Journal of the Royal Thai Army Nurses, 15(3), 174-178. Retrieved from https://he01.tci-thaijo.org/index.php/JRTAN/article/view/30480
Joanna Briggs Institute. (n.d.). JBI Reviewer’s Manual. Retrieved from https://wiki.joannabriggs.org/display/MANUAL/JBI+Reviewer%27s+Manual
Kaeodumkoeng, K. (2018). Health Literacy: Access, Understand and Application. Nonthaburi: Amarin Book Center.
Kim, H., & Xie, B. (2017). Health Literacy in the eHealth Era: A Systematic Review of the Literature. Patient Education and Counseling, 100(6), 1073-1082. DOI: 10.1016/j.pec.2017.01.015
Matsee, C., & Waratwichit, C. (2017). Promotion of Health Literacy: From Concept to Practice. Boromarajonani College of Nursing. Boromarajonani College of Nursing, Uttaradit Journal, 9(2), 96-111. Retrieved from https://he01.tci-thaijo.org/index.php/unc/article/view/115941
McCleary-Jones, V. (2012). Assessing Nursing Students’ Knowledge of Health Literacy. Nurse Educator, 37(5), 214-217. DOI: 10.1097/NNE.0b013e318262ead3
McCleary-Jones, V. (2016). A Systematic Review of the Literature on Health Literacy in Nursing Education. Nurse Educator, 41(2), 93-97. DOI: 10.1097/NNE.0000000000000204
Milford, E., Morrison, K., Teutsch, C., Nelson, B. B., Herman, A., King, M., & Beucke, N. (2016). Out of the Classroom and into the Community: Medical Students Consolidate Learning about Health Literacy through Collaboration with Head Start. BMC Medical Education, 16(121), 1-9. DOI: 10.1186/s12909-016-0635-z
Mnatzaganian, C., Fricovsky, E., Best, B. M., & Singh, R. F. (2017). An Interactive, Multifaceted Approach to Enhancing Pharmacy Students’ Health Literacy Knowledge and Confidence. American Journal of Pharmaceutical Education, 81(2), 1-9. DOI: 10.5688/ajpe81232
Nammontri, O. (2018). Health Literacy. Thai Dental Nurse Journal, 29(1), 122-128. Retrieved from https://he02.tci-thaijo.org/index.php/TDNJ/article/view/112495
Nurash, P., Intarakamhang, U., & Kasevayuth, K. (2019). Effect of Teaching Program on Oral Health Literacy and Patient-Centered Communication Promotion. Journal of Behavioral Science for Development, 11(1), 71-90. Retrieved from https://so02.tci-thaijo.org/index.php/JBSD/article/view/156056
Paterick, T. E., Patel, N. J., Tajik, A. J., & Chandrasekaran, K. (2017). Improving Health Outcomes through Patient Education and Partnerships with Patients. Proceedings (Baylor University. Medical Center), 30(1), 112–113. DOI: 10.1080/08998280.2017.11929552
Pearce, K. L., Birbeck, D., & May, E. (2013). The Use of Animations and the “Teach-Back” Technique to Facilitate an Understanding of Health Literacy Levels within the General Community. Ergo, 3(2), 39-45. Retrieved from https://ojs.unisa.edu.au/index.php/ergo/article/view/926
Phongsakchat, P. (2018). Health Literacy Development Program and 3E Behaviors with Local Wisdom in Student Nurses. (Doctoral dissertation). Faculty of Education, Chulalongkorn University, Bangkok, Thailand. Retrieved from http://cuir.car.chula.ac.th/handle/123456789/61383
Preston, J. A. (2007). Student-Centered Versus Teacher-Centered Mathematics Instruction: A Meta-Analysis. (Doctoral dissertation). Indiana University of Pennsylvania, Indiana, Pennsylvania. Retrieved from https://search.proquest.com/openview/20d908aaa53fbf7b2cdb1bec1e58adbd/1?pq-origsite=gscholar&cbl=18750&diss=y
Roberts, D. M., Reid, J. R., Conner, A. L., Barrer, S., Miller, K. H., & Ziegler, C. (2012). A Replicable Model of a Health Literacy Curriculum for a Third-Year Clerkship. Teaching and Learning in Medicine, 24(3), 200-210. DOI: 10.1080/10401334.2012.692261
Ross, P. T., Lukela, M. P., Agbakwuru, U., & Lypson, M. L. (2013). Medical Students’ Recognition of Health Literacy in a Single Embedded Curricular Activity. International Journal of Medical Education, 4, 115-119. DOI: 10.5116/ijme.51aa.3508
Sangkam, M., Amthong, P., Pikun, P., Kaewwangpa, P., Khampitak, R., Komsaeng, R., ...Lomprom, R. (2018). Health Literacy of the Students in Faculty of Nursing, Saint Louis College: Mixed-Methods Research (Research report). Bangkok: Faculty of Nursing, Saint Louis College.
Saunders, C., Palesy, D., & Lewis, J. (2019). Systematic Review and Conceptual Framework for Health Literacy Training in Health Professions Education. Health Professions Education, 5(1), 13-29. DOI: 10.1016/j.hpe.2018.03.003
Scheckel, M., Emery, N., & Nosek, C. (2010). Addressing Health Literacy: The Experiences of Undergraduate Nursing Students. Journal of Clinical Nursing, 19(5-6), 794-802. DOI: 10.1111/j.1365-2702.2009.02991.x
Shieh, C., Belcher, A. E., & Habermann, B. (2013). Experiences of Nursing Students in Caring for Patients with Behaviors Suggestive of Low Health Literacy: A Qualitative Analysis. Journal of Nursing Education and Practice, 3(2), 75-85. DOI: 10.5430/jnep.v3n2p75
Squellati, R. E. (2013). Health Literacy Preparation of BSN Students: A Basic Qualitative Study. (Doctoral dissertation). Capella University, USA.
Trujillo, J. M., & Figler, T. A. (2015). Teaching and Learning Health Literacy in a Doctor of Pharmacy Program. American Journal of Pharmaceutical Education, 79(2), 1-9. DOI: 10.5688/ajpe79227
Wang, M., Han, X., Fang, H., Xu, C., Lin, X., Xia, S., Yu, W., He, J., Jiang, S., & Tao, H. (2018). Impact of Health Education on Knowledge and Behaviors toward Infectious Diseases among Students in Gansu Province, China. BioMed Research International, 11, 1-12. DOI: 10.1155/2018/6397340
Weekes, C. V. N., & Phillips, T. M. (2015). A Mile in My Patients’ Shoes: A Health Literacy Simulation for Baccalaureate Nursing Students. Clinical Simulation in Nursing, 11(11), 464-468. DOI: 10.1016/j.ecns.2015.09.001
World Health Organization. (1998). Health Promotion Glossary. Geneva: World Health Organization. Retrieved from https://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf
Zanchetta, M., Taher, Y., Fredericks, S., Waddell, J., Fine, C., & Sales, R. (2012). Undergraduate Nursing Students Integrating Health Literacy in Clinical Settings. Nurse Education Today, 33(9), 1026-1033. DOI: 10.1016/j.nedt.2012.05.008
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How to Cite
SARNKHAOWKHOM, Chawapon; SUWATHANPORNKUL, Ittipaat.
Instructional Approaches to Enhance Health Literacy of Health Science Students: A Mixed-Methods Research Synthesis.
Journal of Community Development Research (Humanities and Social Sciences), [S.l.], v. 13, n. 4, p. 47-58, sep. 2020.
ISSN 2985-0231.
Available at: <https://www.journal.nu.ac.th/JCDR/article/view/Vol-13-No-4-2020-47-58>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.14456/jcdr-hs.2020.35.