Abstract
Objectives: To evaluate variability in health literacy outcomes due to home visiting (HV) program components including PHN, Intervention, and Client. Design and Sample: A comparative, correlational study evaluated PHN home visiting program data that included PHNs (N = 16); Interventions (N = 21,634); and Clients (N = 141). Client age ranged from 14 to 46 (median = 21, mean = 22.8, SD = 6.65). Clients were predominately White (75.9%), not married (84.4%), and female (99.3%). PHNS documented care using electronic health records (EHR) and the Omaha System. Measures: The outcome of interest was health literacy benchmark attainment (adequate knowledge) operationalized by Omaha System Problem Rating Scale for Outcomes Knowledge scores averaged across problems. Intervention: Program of individually tailored, evidence-based HV interventions provided by PHNs. Results: There were 233 different interventions for 22 problems. Knowledge benchmark was attained by 16.3% of clients. Four factors explained variance in reaching the knowledge benchmark: Client (51%), Problem (17%), Intervention (16%), and PHN (16%). Conclusions: The PHN and intervention tailoring are actionable components of HV programs that explain variability in health literacy outcomes. Further research should examine effects of training on PHN relationship skills and intervention tailoring to optimize outcomes of evidence-based PHN HV programs, and to evaluate whether improving health literacy may subsequently improve client problems.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 94-100 |
| Number of pages | 7 |
| Journal | Public Health Nursing |
| Volume | 32 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 1 2015 |
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Keywords
- Health disparities
- Health literacy
- Home visiting
- Informatics
- Interventions
- Omaha system
- Outcomes
- Public health nursing
Cite this
Factors explaining variability in health literacy outcomes of public health nursing clients. / Monsen, Karen A; Chatterjee, Singdhansu B; Timm, Jill E.; Kay Poulsen, J.; Mcnaughton, Diane B.
In: Public Health Nursing, Vol. 32, No. 2, 01.03.2015, p. 94-100.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Factors explaining variability in health literacy outcomes of public health nursing clients
AU - Monsen, Karen A
AU - Chatterjee, Singdhansu B
AU - Timm, Jill E.
AU - Kay Poulsen, J.
AU - Mcnaughton, Diane B.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Objectives: To evaluate variability in health literacy outcomes due to home visiting (HV) program components including PHN, Intervention, and Client. Design and Sample: A comparative, correlational study evaluated PHN home visiting program data that included PHNs (N = 16); Interventions (N = 21,634); and Clients (N = 141). Client age ranged from 14 to 46 (median = 21, mean = 22.8, SD = 6.65). Clients were predominately White (75.9%), not married (84.4%), and female (99.3%). PHNS documented care using electronic health records (EHR) and the Omaha System. Measures: The outcome of interest was health literacy benchmark attainment (adequate knowledge) operationalized by Omaha System Problem Rating Scale for Outcomes Knowledge scores averaged across problems. Intervention: Program of individually tailored, evidence-based HV interventions provided by PHNs. Results: There were 233 different interventions for 22 problems. Knowledge benchmark was attained by 16.3% of clients. Four factors explained variance in reaching the knowledge benchmark: Client (51%), Problem (17%), Intervention (16%), and PHN (16%). Conclusions: The PHN and intervention tailoring are actionable components of HV programs that explain variability in health literacy outcomes. Further research should examine effects of training on PHN relationship skills and intervention tailoring to optimize outcomes of evidence-based PHN HV programs, and to evaluate whether improving health literacy may subsequently improve client problems.
AB - Objectives: To evaluate variability in health literacy outcomes due to home visiting (HV) program components including PHN, Intervention, and Client. Design and Sample: A comparative, correlational study evaluated PHN home visiting program data that included PHNs (N = 16); Interventions (N = 21,634); and Clients (N = 141). Client age ranged from 14 to 46 (median = 21, mean = 22.8, SD = 6.65). Clients were predominately White (75.9%), not married (84.4%), and female (99.3%). PHNS documented care using electronic health records (EHR) and the Omaha System. Measures: The outcome of interest was health literacy benchmark attainment (adequate knowledge) operationalized by Omaha System Problem Rating Scale for Outcomes Knowledge scores averaged across problems. Intervention: Program of individually tailored, evidence-based HV interventions provided by PHNs. Results: There were 233 different interventions for 22 problems. Knowledge benchmark was attained by 16.3% of clients. Four factors explained variance in reaching the knowledge benchmark: Client (51%), Problem (17%), Intervention (16%), and PHN (16%). Conclusions: The PHN and intervention tailoring are actionable components of HV programs that explain variability in health literacy outcomes. Further research should examine effects of training on PHN relationship skills and intervention tailoring to optimize outcomes of evidence-based PHN HV programs, and to evaluate whether improving health literacy may subsequently improve client problems.
KW - Health disparities
KW - Health literacy
KW - Home visiting
KW - Informatics
KW - Interventions
KW - Omaha system
KW - Outcomes
KW - Public health nursing
UR - http://www.scopus.com/inward/record.url?scp=84925378397&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84925378397&partnerID=8YFLogxK
U2 - 10.1111/phn.12138
DO - 10.1111/phn.12138
M3 - Article
C2 - 25040680
AN - SCOPUS:84925378397
VL - 32
SP - 94
EP - 100
JO - Public Health Nursing
JF - Public Health Nursing
SN - 0737-1209
IS - 2
ER -