A Health Equity Implementation Approach to Child Health Literacy Interventions
Abstract
:1. Introduction
- Ensuring health literacy is an integral element of teacher training and school curriculums;
- Developing supportive strategies for implementation at the individual school level
- Using regulatory mechanisms to allow pooling of funding and responsibility for policy and programmes between health and education sectors;
- Developing financial and reputational incentive schemes to promote fidelity in the implementation of education-system based health literacy programmes;
- Tailoring health literacy programmes to the local education sector context;
- Strengthening the evidence base on effectiveness and cost-effectiveness from an education, as well as health system, perspective.
2. Health Equity and Implementation
3. Implementation Science, Intervention Implementation and Health Literacy
- (1)
- Determinant frameworks—to identify and establish what factors determine or predict implementation success;
- (2)
- Process frameworks—to clarify how to address determinants to achieve implementation success;
- (3)
- Evaluation frameworks—to determine the metrics and assessment to identify implementation success.
- (1)
- Healthcare intervention recipient cultural factors—for example, socioeconomic status, race and/or ethnicity, language;
- (2)
- Interaction between Child and Educator—for example, interactions can predict satisfaction, perceived trust, and health outcomes;
- (3)
- Societal context—that may relate to economic, demographic, or geographical factors.
4. Child Health Literacy Interventions with an Equity Focus
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Strengths | Challenges |
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Adapted CFIR Domains | Illustrative Questions |
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Characteristics of interventions |
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Child–educator interaction |
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Culturally relevant factors (Recipients—children, parents, school staff) |
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Inner context (local school organisation) |
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Outer context (education system) |
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Societal context (economic, demographic, or geographical factors) |
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Naccarella, L.; Guo, S. A Health Equity Implementation Approach to Child Health Literacy Interventions. Children 2022, 9, 1284. https://doi.org/10.3390/children9091284
Naccarella L, Guo S. A Health Equity Implementation Approach to Child Health Literacy Interventions. Children. 2022; 9(9):1284. https://doi.org/10.3390/children9091284
Chicago/Turabian StyleNaccarella, Lucio, and Shuaijun Guo. 2022. "A Health Equity Implementation Approach to Child Health Literacy Interventions" Children 9, no. 9: 1284. https://doi.org/10.3390/children9091284