Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)

Jonathan O'Hara, Melanie Hawkins, Roy Batterham, Sarity Dodson, Richard H. Osborne, Alison Beauchamp

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: The aim of this study was to develop a tool to support health workers' ability to identify patients' multidimensional health literacy strengths and challenges. The tool was intended to be suitable for administration in healthcare settings where health workers must identify health literacy priorities as the basis for person-centred care. Methods: Development was based on a qualitative co-design process that used the Health Literacy Questionnaire (HLQ) as a framework to generate questions. Health workers were recruited to participate in an online consultation, a workshop, and two rounds of pilot testing. Results: Participating health workers identified and refined ten questions that target five areas of assessment: supportive professional relationships, supportive personal relationships, health information access and comprehension, current health behaviours, and health promotion barriers and support. Conclusions: Preliminary evidence suggests that application of the Conversational Health Literacy Assessment Tool (CHAT) can support health workers to better understand the health literacy challenges and supportive resources of their patients. As an integrated clinical process, the CHAT can supplement existing intake and assessment procedures across healthcare settings to give insight into patients' circumstances so that decisions about care can be tailored to be more appropriate and effective.

Original languageEnglish
Article number199
Number of pages8
JournalBMC Health Services Research
Volume18
Issue number1
DOIs
Publication statusPublished - 22 Mar 2018

Keywords

  • CHAT
  • Clinical assessment
  • Conversational health literacy assessment tool
  • Health literacy
  • HLQ
  • Patient-centred care

Cite this

O'Hara, Jonathan ; Hawkins, Melanie ; Batterham, Roy ; Dodson, Sarity ; Osborne, Richard H. ; Beauchamp, Alison. / Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT). In: BMC Health Services Research. 2018 ; Vol. 18, No. 1.
@article{ee3e6bcc51ae42ffaab0178c37121656,
title = "Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)",
abstract = "Background: The aim of this study was to develop a tool to support health workers' ability to identify patients' multidimensional health literacy strengths and challenges. The tool was intended to be suitable for administration in healthcare settings where health workers must identify health literacy priorities as the basis for person-centred care. Methods: Development was based on a qualitative co-design process that used the Health Literacy Questionnaire (HLQ) as a framework to generate questions. Health workers were recruited to participate in an online consultation, a workshop, and two rounds of pilot testing. Results: Participating health workers identified and refined ten questions that target five areas of assessment: supportive professional relationships, supportive personal relationships, health information access and comprehension, current health behaviours, and health promotion barriers and support. Conclusions: Preliminary evidence suggests that application of the Conversational Health Literacy Assessment Tool (CHAT) can support health workers to better understand the health literacy challenges and supportive resources of their patients. As an integrated clinical process, the CHAT can supplement existing intake and assessment procedures across healthcare settings to give insight into patients' circumstances so that decisions about care can be tailored to be more appropriate and effective.",
keywords = "CHAT, Clinical assessment, Conversational health literacy assessment tool, Health literacy, HLQ, Patient-centred care",
author = "Jonathan O'Hara and Melanie Hawkins and Roy Batterham and Sarity Dodson and Osborne, {Richard H.} and Alison Beauchamp",
year = "2018",
month = "3",
day = "22",
doi = "10.1186/s12913-018-3037-6",
language = "English",
volume = "18",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "Springer-Verlag London Ltd.",
number = "1",

}

Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT). / O'Hara, Jonathan; Hawkins, Melanie; Batterham, Roy; Dodson, Sarity; Osborne, Richard H.; Beauchamp, Alison.

In: BMC Health Services Research, Vol. 18, No. 1, 199, 22.03.2018.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)

AU - O'Hara, Jonathan

AU - Hawkins, Melanie

AU - Batterham, Roy

AU - Dodson, Sarity

AU - Osborne, Richard H.

AU - Beauchamp, Alison

PY - 2018/3/22

Y1 - 2018/3/22

N2 - Background: The aim of this study was to develop a tool to support health workers' ability to identify patients' multidimensional health literacy strengths and challenges. The tool was intended to be suitable for administration in healthcare settings where health workers must identify health literacy priorities as the basis for person-centred care. Methods: Development was based on a qualitative co-design process that used the Health Literacy Questionnaire (HLQ) as a framework to generate questions. Health workers were recruited to participate in an online consultation, a workshop, and two rounds of pilot testing. Results: Participating health workers identified and refined ten questions that target five areas of assessment: supportive professional relationships, supportive personal relationships, health information access and comprehension, current health behaviours, and health promotion barriers and support. Conclusions: Preliminary evidence suggests that application of the Conversational Health Literacy Assessment Tool (CHAT) can support health workers to better understand the health literacy challenges and supportive resources of their patients. As an integrated clinical process, the CHAT can supplement existing intake and assessment procedures across healthcare settings to give insight into patients' circumstances so that decisions about care can be tailored to be more appropriate and effective.

AB - Background: The aim of this study was to develop a tool to support health workers' ability to identify patients' multidimensional health literacy strengths and challenges. The tool was intended to be suitable for administration in healthcare settings where health workers must identify health literacy priorities as the basis for person-centred care. Methods: Development was based on a qualitative co-design process that used the Health Literacy Questionnaire (HLQ) as a framework to generate questions. Health workers were recruited to participate in an online consultation, a workshop, and two rounds of pilot testing. Results: Participating health workers identified and refined ten questions that target five areas of assessment: supportive professional relationships, supportive personal relationships, health information access and comprehension, current health behaviours, and health promotion barriers and support. Conclusions: Preliminary evidence suggests that application of the Conversational Health Literacy Assessment Tool (CHAT) can support health workers to better understand the health literacy challenges and supportive resources of their patients. As an integrated clinical process, the CHAT can supplement existing intake and assessment procedures across healthcare settings to give insight into patients' circumstances so that decisions about care can be tailored to be more appropriate and effective.

KW - CHAT

KW - Clinical assessment

KW - Conversational health literacy assessment tool

KW - Health literacy

KW - HLQ

KW - Patient-centred care

UR - http://www.scopus.com/inward/record.url?scp=85044394737&partnerID=8YFLogxK

U2 - 10.1186/s12913-018-3037-6

DO - 10.1186/s12913-018-3037-6

M3 - Article

VL - 18

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

M1 - 199

ER -