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Migrant communities at the center in co-design of health literacy-based innovative solutions for non-communicable diseases prevention and risk reduction

2021-05-31Artigo científico Acesso aberto
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dc.contributor.authorDias, Sónia
dc.contributor.authorGama, Ana
dc.contributor.authorMaia, Ana Catarina
dc.contributor.authorMarques, Maria J.
dc.contributor.authorCampos Fernandes, Adalberto
dc.contributor.authorGoes, Ana Rita
dc.contributor.authorLoureiro, Isabel
dc.contributor.authorOsborne, Richard H.
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblFrontiers Media
dc.date.accessioned2021-08-04T23:29:40Z
dc.date.available2021-08-04T23:29:40Z
dc.date.issued2021-05-31
dc.descriptionAPP1155125. The present publication was funded by Funda??o Ci?ncia e Tecnologia, lP national support through CHRC (UIDP/04923/2020), and NOVA National School of Public Health ? NOVA University of Lisbon. Publisher Copyright: © Copyright © 2021 Dias, Gama, Maia, Marques, Campos Fernandes, Goes, Loureiro and Osborne.
dc.description.abstractThe drivers of high prevalence of non-communicable diseases (NCD) among migrants are well-documented. Health literacy is regarded as a potential tool to reduce health inequalities and improve migrant's access to and quality of health care. Yet, little is known about the health literacy needs among these groups and how to address them. This paper outlines the protocol for a migrant community-based co-design project that seeks to optimize health literacy, health promotion, and social cohesion in support of prevention of NCDs among migrants in Lisbon using the OPtismizing HEalth LIteracy and Access (Ophelia) process. This participatory implementation research project starts with a mixed-methods needs assessment covering health literacy strengths, weaknesses and needs of migrants, and local data about determinants of health behaviors, service engagement, and organizational responsiveness. Diverse migrant groups will be engaged and surveyed using the Health Literacy Questionnaire and questions on sociodemographic and economic characteristics, health status, use of health services, and perceived impact of the COVID-19 pandemic. Semi-structured interviews with migrants will also be conducted. Based on data collected, vignettes will be developed representing typical persons with diverse health literacy profiles. Migrants and stakeholders will participate in ideas generation workshops for depth co-creation discussions in simulated real-world situations based on the vignettes, to design health literacy-based multisectoral interventions. Selected interventions will be piloted through quality improvement cycles to ensure ongoing local refinements and ownership development. Through a genuine engagement, the project will evaluate the uptake, effectiveness and sustainability of the interventions. This protocol takes a grounded approach to produce evidence on real health literacy needs from the perspective of key stakeholders, especially migrants, and embodies strong potential for effective knowledge translation into innovative, locally relevant, culturally and context congruent solutions for prevention of NCDs among migrants. Given the diverse communities engaged, this protocol will likely be adaptable to other migrant groups in a wide range of contexts, particularly in European countries. The scale-up of interventions to similar contexts and populations will provide much needed evidence on how health literacy interventions can be developed and applied to reduce health inequality and improve health in diverse communities.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent650107
dc.identifier.doi10.3389/fpubh.2021.639405
dc.identifier.issn2296-2565
dc.identifier.otherPURE: 33025693
dc.identifier.otherPURE UUID: 9ca4be87-9e88-4333-8205-e581c2347f67
dc.identifier.otherScopus: 85107911765
dc.identifier.otherPubMed: 34136449
dc.identifier.otherWOS: 000661091200001
dc.identifier.otherPubMedCentral: PMC8200814
dc.identifier.otherORCID: /0000-0003-3784-8198/work/131002633
dc.identifier.otherORCID: /0000-0001-5085-0685/work/131110303
dc.identifier.urihttp://hdl.handle.net/10362/122112
dc.identifier.urlhttps://www.scopus.com/pages/publications/85107911765
dc.language.isoeng
dc.peerreviewedyes
dc.relationFunding Information: This project is co-funded in part by Fundação Calouste Gulbenkian, Alto Comissariado para as Migrações, Câmara Municipal de Lisboa and Novartis. The funders had no role in study design, in data collection, analysis and interpretation, in conducting the project, in decision to publish, or preparation of the manuscript. RO was funded in part through a National Health and Medical Research Council of Australia Principal Research Fellowship
dc.relationAPP1155125. The present publication was funded by Fundação Ciência e Tecnologia, lP national support through CHRC (UIDP/04923/2020), and NOVA National School of Public Health – NOVA University of Lisbon. Funding Information: Funding. This project is co-funded in part by Funda??o Calouste Gulbenkian, Alto Comissariado para as Migra??es, C?mara Municipal de Lisboa and Novartis. The funders had no role in study design, in data collection, analysis and interpretation, in conducting the project, in decision to publish, or preparation of the manuscript. RO was funded in part through a National Health and Medical Research Council of Australia Principal Research Fellowship
dc.subjectco-design
dc.subjecthealth literacy
dc.subjecthealth literacy questionnaire
dc.subjectinequality
dc.subjectmigrant health
dc.subjectnon-communicable diseases
dc.subjectOphelia
dc.subjectprevention
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 10 - Reduced Inequalities
dc.titleMigrant communities at the center in co-design of health literacy-based innovative solutions for non-communicable diseases prevention and risk reductionen
dc.title.subtitleApplication of the OPtimising HEalth LIteracy and Access (Ophelia) processen
dc.typejournal article
degois.publication.titleFrontiers in public health
degois.publication.volume9
dspace.entity.typePublication
rcaap.rightsopenAccess

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