An Australian study on an evaluation the ‘Ophelia’ health literacy approach has been published in BMC Public Health.
The evaluation project developed and tested the Ophelia (OPtimising HEalth LIteracy and Access) approach for co-design of interventions to improve health literacy and equity of access.
The authors of the study conclude that the approach can be used to generate health service improvements that enhance health outcomes and address inequity of access to healthcare.
The overall aim of Ophelia Victoria was to develop and test a structured approach that organisations can use to enhance equitable engagement of consumers in health and health care.
Eight principles guided the evaluation development: Outcomes focused; Equity driven, Needs diagnosis, Co-design, Driven by local wisdom, Sustainable, Responsive and Systematically applied.
Nine sites were briefed on the aims of the project around health literacy, co-design and quality improvement. The sites were rural/metropolitan, small/large hospitals, community health centres or municipalities.
Each site identified their own priorities for improvement; collected health literacy data using the Health Literacy Questionnaire (HLQ) within the identified priority groups; engaged staff in co-design workshops to generate ideas for improvement; developed program-logic models; and implemented their projects using Plan-Do-Study-Act (PDSA) cycles.
Evaluation included assessment of impacts on organisations, practitioners and service users, and whether the principles were applied.
Sites undertook co-design workshops involving discussion of service user needs informed by HLQ (n = 813) and interview data.
Sites generated between 21 and 78 intervention ideas and then planned their selected interventions through program-logic models. Sites successfully implemented interventions and refined them progressively with PDSA cycles.
Interventions generally involved one of four pathways: development of clinician skills and resources for health literacy, engagement of community volunteers to disseminate health promotion messages, direct impact on consumers’ health literacy, and redesign of existing services.
The Ophelia approach guided identification of health literacy issues at each participating site and the development and implementation of locally appropriate solutions. The eight principles provided a framework that allowed flexible application of the Ophelia approach and generation of a diverse set of interventions. Changes were observed at organisational, staff, and community member levels.
The full evaluation article, including details of each site, their needs assessment and the programmes they developed in response, can be read here: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4147-5
Systematic development and implementation of interventions to OPtimise Health Literacy and Access (Ophelia); Beauchamp et al. BMC Public Health (2017) 17:230; DOI 10.1186/s12889-017-4147-5