Developing core outcome domains (OHL-COD) for evaluating organizational health literacy responsiveness interventions

Résumé fourni par la source

Organizational health literacy responsiveness is the ability of health organizations and systems to recognize and respond to health literacy needs and improve health environments to ensure equitable access to and use of information and services. However, research on outcome measures for organizational health literacy responsiveness interventions is scarce, making it difficult to synthesize findings from evaluations and compare effects. This study aims to develop a set of core outcome domains of organizational health literacy responsiveness. Organizational health literacy responsiveness outcomes were identified through a narrative literature review and categorized into domains using a content-mapping process. Consensus was reached on core outcome domains through a three-round Delphi process, in which experts in organizational health literacy research and practice were invited to complete questionnaires to rank and further define potential core outcome domains. The literature search identified 9 publications, yielding a total of 383 outcomes. The content mapping resulted in their categorization of the outcomes into 26 proposed outcome domains. The Delphi process involving 24 experts resulted in consensus on 15 core outcome domains in the final. These were categorized under five headings: 1) Organizational change, leadership, and management, 2) Workforce responsiveness, 3) Person-centered care and user involvement, 4) Access and navigation, and 5) Partnerships and transitions. The Organizational Health Literacy Core Outcome Domain Set (OHL-COD) enhances the stringency of future evaluations of organizational health literacy responsiveness interventions. The core outcome domains allow interventions of any scope to be easily assessed against the complete concept of organizational health literacy responsiveness and the structure of the set facilitates comparisons between methodologically or contextually related interventions.

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