Findings From Performing an Organizational Health Literacy Assessment in Community-Based Health Organizations

Background Organizations have a responsibility to reduce cognitive demands and strengthen health literacy support for patients and clients to improve understanding, access, and use of services. Most studies of organizational health literacy (OHL) are focused on traditional clinical settings and do n...

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Main Authors: Melanie Stone, Jason Rosenfeld, Melissa Valerio-Shewmaker, Teresa Wagner; DrPH
Format: Article
Language:English
Published: SLACK Incorporated 2025-01-01
Series:Health Literacy Research and Practice
Online Access:https://journals.healio.com/doi/10.3928/24748307-20250218-01
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author Melanie Stone
Jason Rosenfeld
Melissa Valerio-Shewmaker
Teresa Wagner; DrPH
author_facet Melanie Stone
Jason Rosenfeld
Melissa Valerio-Shewmaker
Teresa Wagner; DrPH
author_sort Melanie Stone
collection DOAJ
description Background Organizations have a responsibility to reduce cognitive demands and strengthen health literacy support for patients and clients to improve understanding, access, and use of services. Most studies of organizational health literacy (OHL) are focused on traditional clinical settings and do not provide clear direction on how to make change. It is recognized that many people seek their everyday health information from trusted community-based organizations. The aim of this pilot study was to guide community-based health organizations performing an environmental health literacy assessment and operationalize the results to create actions plans for health literacy change. Brief Description of Activity A novel health literacy Pledge Program facilitated community-based health organizations in performing a self-assessment of their internal and external environments to identify OHL supporting factors and barriers. Findings informed this offering of best practice for the assessment process. Implementation Small teams from the 10 participating organizations, which included traditional health care settings like clinics and non-traditional settings like community centers and housing providers, performed the Health Literacy Environment of Hospitals and Health Centers (HLE2) self-assessment. Structured discussion groups were held with the teams to review the HLE2 results and create an action plan for OHL change. Thematic analysis of the findings revealed trends to inform actions to be considered in ongoing OHL research. Results All organizations were able to successfully complete the HLE2. Score ranges overall were low, indicating opportunities for improving OHL. There was overlap with the themes of the short-term and long-term actions. All themes aligned with OHL domains in which interventions can make services more understandable and accessible. Lessons Learned This is the first known OHL study that includes non-clinical community based-health organizations. Findings demonstrate that OHL assessment and corresponding development of plans for actionable change is needed and accepted by community-based organizations. Further research into OHL best practices should continue to explore these trusted settings as a resource where people receive health information and services. [HLRP: Health Literacy Research and Practice. 2025;9(1):e37–e45.]
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spelling doaj-art-feb351481a6d47bebbdaa324c8405e1d2025-08-20T02:57:55ZengSLACK IncorporatedHealth Literacy Research and Practice2474-83072025-01-0191e37e4510.3928/24748307-20250218-01Findings From Performing an Organizational Health Literacy Assessment in Community-Based Health OrganizationsMelanie StoneJason RosenfeldMelissa Valerio-ShewmakerTeresa Wagner; DrPHBackground Organizations have a responsibility to reduce cognitive demands and strengthen health literacy support for patients and clients to improve understanding, access, and use of services. Most studies of organizational health literacy (OHL) are focused on traditional clinical settings and do not provide clear direction on how to make change. It is recognized that many people seek their everyday health information from trusted community-based organizations. The aim of this pilot study was to guide community-based health organizations performing an environmental health literacy assessment and operationalize the results to create actions plans for health literacy change. Brief Description of Activity A novel health literacy Pledge Program facilitated community-based health organizations in performing a self-assessment of their internal and external environments to identify OHL supporting factors and barriers. Findings informed this offering of best practice for the assessment process. Implementation Small teams from the 10 participating organizations, which included traditional health care settings like clinics and non-traditional settings like community centers and housing providers, performed the Health Literacy Environment of Hospitals and Health Centers (HLE2) self-assessment. Structured discussion groups were held with the teams to review the HLE2 results and create an action plan for OHL change. Thematic analysis of the findings revealed trends to inform actions to be considered in ongoing OHL research. Results All organizations were able to successfully complete the HLE2. Score ranges overall were low, indicating opportunities for improving OHL. There was overlap with the themes of the short-term and long-term actions. All themes aligned with OHL domains in which interventions can make services more understandable and accessible. Lessons Learned This is the first known OHL study that includes non-clinical community based-health organizations. Findings demonstrate that OHL assessment and corresponding development of plans for actionable change is needed and accepted by community-based organizations. Further research into OHL best practices should continue to explore these trusted settings as a resource where people receive health information and services. [HLRP: Health Literacy Research and Practice. 2025;9(1):e37–e45.]https://journals.healio.com/doi/10.3928/24748307-20250218-01
spellingShingle Melanie Stone
Jason Rosenfeld
Melissa Valerio-Shewmaker
Teresa Wagner; DrPH
Findings From Performing an Organizational Health Literacy Assessment in Community-Based Health Organizations
Health Literacy Research and Practice
title Findings From Performing an Organizational Health Literacy Assessment in Community-Based Health Organizations
title_full Findings From Performing an Organizational Health Literacy Assessment in Community-Based Health Organizations
title_fullStr Findings From Performing an Organizational Health Literacy Assessment in Community-Based Health Organizations
title_full_unstemmed Findings From Performing an Organizational Health Literacy Assessment in Community-Based Health Organizations
title_short Findings From Performing an Organizational Health Literacy Assessment in Community-Based Health Organizations
title_sort findings from performing an organizational health literacy assessment in community based health organizations
url https://journals.healio.com/doi/10.3928/24748307-20250218-01
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