An international survey of Health Literacy Education within schools of pharmacy
Keywords:Communication, Curriculum, Education, Health Literacy, Pharmacy, Students
Background: Health literacy (HL) influences patients’ health status, use of the healthcare system and medication-related behaviours. However, the concept is relatively new to pharmacy and its incorporation in academic curricula has not been examined.
Aims: To explore HL training in pharmacy schools internationally, and academics’ opinions in regards to how it should be taught and assessed.
Methods: An anonymous, online survey was administered to academics who teach within pharmacy degree courses from countries where English is the main language.
Results: Responses were received from 21 pharmacy schools in seven countries; 20 stated that HL was taught within their pharmacy degree, in four as a stand-alone topic. Small-group tutorials were thought to be the most beneficial form of teaching health literacy, best assessed using oral and objective structured clinical examinations.
Conclusion: The majority of pharmacy schools taught health literacy and had similar opinions regarding best practice teaching and assessment.
Abraham, C., Connor, M., Jones, F. & O'Connor, D.(2008) Health Psychology: topics in Applied Psychology. London, Hodder Education.
Accreditation Council for Pharmacy Education (2011) Accreditation standards and guidelines for the professional program in pharmacy leading to the Doctor of Pharmacy degree. Chicago, Illinois
Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs (1999) Health literacy: report of the Council on scientific affairs. American Medical Association. Journal of the American Medical Association, 281, 552-557.
Australian Bureau of Statistics (2008) Adult literacy and life skills, summary results (reissue), (online). Available at: http://www. abs.gov.au. Accessed 23rd January, 2012.
Australian Pharmacy Council (2009). Accreditation Standards. Canberra, ACT 1.
Blenkinsopp, A., Panton, R. & Anderson, C. (1999) Health Promotion for Pharmacists. Oxford, Oxford University Press.
Davis, T.C., Wolf, M.S., Bass, P.F., Middlebrooks, M. Kennen, E., Baker, D.W., Bennett, C.L., Durazo-Arvizu, R., Bocchini, A., Savory, S. & Parker, R.M. (2006) Low Literacy Impairs Comprehension of Prescription Drug Warning Labels. Journal of General Internal Medicine, 21(8), 847-851.
Fiscella, K., Franks, P., Doescher, M. & Saver, B. (2002) Disparities in health care by race, ethnicity, and language among the insured: findings from a national sample. Medical Care, 40(1), 52-59.
Hawkins, A. (2010) Health literacy: a potential barrier in caring for underserved populations. Disease-a-Month, 56(12), 734-740.
Jones, R. (2007) Learning and teaching in small groups: characteristics, benefits, problems and approaches. Anaesthesia and Intensive Care, 35(4), 587.
Kutner, M., Greenberg, E., Jin, Y. & Paulsen, C. (2006). The health literacy of America's adults - results from the 2003 National Assessment of Health Literacy. Department of Education. Washington DC, National Center for Educational Statistics.
Kwan, B., Frankish, J. & Rootman, I. (2006). The development and validation of measures of "health literacy" in different populations. Vancouver, University of British Columbia Institute of Health Promotion Research & University of Victoria Centre for Community Health Promotions Research.
Lindquist, L., Go, L., Fleisher, J., Jain, N., Friesema E. & Baker, D. (2011). Relationship of Health Literacy to Intentional and Unintentional Non-Adherence of Hospital Discharge Medications. Journal of General Internal Medicine, 27(2), 173-178.
Mårtensson, L. & Hensing, G. (2011) Health literacy – a heterogeneous phenomenon: a literature review. Scandinavian Journal of Caring Sciences, 26(1), 151-160.
Norman, G. & Schmidt, H. (1992) The psychological basis of problem based learning: a review of the evidence. Academic Medicine, 67, 557-565.
Schwartz, P. (1997) Perservering with problem-based learning. London, Kogan Page.
Sheaff, M. (2005). Sociology and health care. Berkshire, Open University Press.
SPSS Statistics Inc. ( 2010). IBM SPSS Statistics.
SurveyMonkey® (2013) Available at http://www.survey monkey.com.
Weinick, R. & Krauss, N. (2000) Racial/ethnic differences in children's access to care. American Public Health Association, 90(11), 1771-1774.
Whalley, B., Fletcher, Weston, K., Howard, R. & Rawlinson, C. (2008) Foundation in Pharmacy Practice. London, Pharmaceutical Press.
Wilson, E., Chen, A.H., Grumbach, K., Wang, K. & Fernandez, A. (2005) Effects of Limited English Proficiency and Physician Language on Health Care Comprehension. Journal of General Internal Medicine, 20(9), 800-806.