Health Literacy
Strategies and techniques to support
training, exercises and self-management
CC-BY-SA 4.0 License, except the images 1 - 2
Learning outcomes
You are able to:
As health profesionals, PT's have a role in education and training patients.
- Health promotion strategies
- Specific rehabilitation exercises
[World Physiotherapie 2021;
World Confedaration of Physical Therapy, 2011]
As health profesionals, PT have a role in education and training patients.
Physiotherapy expertice - Health condition knowledge
[World Physiotherapie 2021;
World Confedaration of Physical Therapy, 2011]
As health profesionals, PT have a role in education and training patients.
Health promotion strategies
[World Physiotherapie 2021;
World Confedaration of Physical Therapy, 2011]
As health profesionals, PT have a role in education and training patients.
Specific rehabilitation exercises
[World Physiotherapie 2021;
World Confedaration of Physical Therapy, 2011]
As health profesionals, PT have a role in education and training patients.
[World Physiotherapie 2021;
World Confedaration of Physical Therapy, 2011]
Strategies and techniques for exercises and training
Face-to-face sessions: Individual or in groups
Manuals
Booklets
Videos
Presentations
Flipcharts
Patient books
Web-based discussion forums (digital HL)
Communication and materials must be adequate to the patient’s HL level!
Written and visual materials:
Checking comprehension
Teach-back method: Ask patients to explain health information in their own words or to demonstrate the correct use of performance of an exercise, device or task.
Self-management
Self-management is a client's ability to deal with physical, psychological, and social consequences of a condition/disability and associated lifestyle adjustments, in coherence with the social environment.
[KNGF/ VvoCM, 2022]
Self-management support
Self-management support is the systematic provision of education and support interventions to clients (and possibly their family and social network) so that clients can cope with the consequences of their illness/ condition in daily life (physical, mental and social area). �
[KNGF/ VvoCM, 2022]
Factors that can influence self-management
Health literacy
Perception of the disease, condition or injury
Expectations of the therapy
Motivation
Behavior related to physical activity
Social support and guidance
Environmental factors
Factors specific to a disease or condition
Coping
[KNGF/ VvoCM, 2022]
5 A’s to support self-management
Image 3. Five A‘s to support self-mangement. Picture by Pan American Health Organization 2013, p. 31
Help patients break down goals into manageable steps. Have patients pick one specific step they are likely to do. Steps should be small and realistic to do over a short time (e.g., 1 week).
Fill out an action plan form. Use a form to outline exactly what the patient will do.
Image 4. Health Plan
After making the action plan
Assess confidence
Identify barriers
Make a copy of the action plan
Questionnaire/Self-reflection
Enabling self-management- I apply strategies adjusted to clients' level of health literacy to enable self-management |
32. I assess barriers and facilitators related to therapy compliance (e.g. illness believes, shame, level of education, influence of the family, taboos, cultural influences etc.) |
33. I involve the client in formulating personalized goals and action plans |
34. I use the influence of the social context in a beneficial way |
35. I check whether the follow up – plans for the subsequent sessions are understood and accepted |
Image 1. Five A‘s to support self-mangement. Picture Pan American Health Organization (2013, p. 31). Innovative care for chronic conditions: organizing and delivering high quality care for chronic noncommunicable diseases in the Americas. In: PAHO Washington, DC.
Image 2. Health Plan designed by by rawpixel, free license by freepik
All icons/pictograms from PowerPoint® for Microsoft 365 MSO (Version 2205 Build 16.0.15225.20172) 64 Bit )
References
Literature