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Health literacy under the health promotion
framework: a German study case
Paulo Pinheiro
O Okan, P Pinheiro, U Bauer
Bielefeld University, Faculty of Educational Science, Centre for Prevention
and Intervention in Childhood and Adolescence (CPI), Bielefeld, Germany
During the last 30 years the operationalization of health
promotion has been an important focus for researchers and
practitioners. The Nairobi declaration in 2009 navigates a step
forward with the introduction of health literacy (HL). In line
with this, the Health Literacy in Childhood and Adolescence
Research Consortium (HLCA) is conducting evidence-based
research on HL.
Main objectives of HLCA include developing and evaluating
strategies for effective child health promotion and analyzing
the extent to which HL drives the Ottawa Charters’ action area
of developing personal skills and knowledge.
The framework of HLCA is informed by health promotion and
comprises nine subprojects committed to three work blocks on
(1) basic research on HL including conceptual and methodo-
logical projects and (2)applied research on mental HL and (3)
eHL. We apply collaborative team science and a mixed method
approach combining quantitative research, e.g. questionnaires,
online surveys, systematic reviews, and qualitative methods,
e.g. ethnographic studies and observations, focus groups,
cognitive interviews.
After the first project year and critically analysing research
studies on the subject, we approached ethics committees and
obtained positive approvals. Currently, most projects are
performing field research by applying interviews and focus
groups using questionnaires (pen&paper, online survey) or
implementing an HL intervention for parent-child dyads on
media use.
From a public health perspective, HL is a multidimensional
content and context specific concept. It applies to both an
individual and a system level. HL is affected by social
structures, health inequalities, risk factors, and effectiveness
and sustainability of health promoting efforts. In the next two
years, we will analyse our models and data and refine our
approaches. Findings will be translated into policy and practice
recommendations for child health promotion.
9th European Public Health Conference: Parallel Sessions 151
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