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. 2018 Jun 28;18(1):505.
doi: 10.1186/s12913-018-3315-3.

Health literacy - engaging the community in the co-creation of meaningful health navigation services: a study protocol

Christine Loignon  1 , Sophie Dupéré  2 , Martin Fortin  3 , Vivian R Ramsden  4 , Karoline Truchon  3
Affiliations

Health literacy - engaging the community in the co-creation of meaningful health navigation services: a study protocol

Christine Loignon et al. BMC Health Serv Res. .

Abstract

Background: A large proportion of patients encounter barriers to access and navigation in complex healthcare systems. They are unable to obtain information and services and to take appropriate action to improve their health. Low health literacy affects the ability of individuals to benefit from health services. Some social groups are disproportionately affected by low health literacy, including those with low educational attainment, Aboriginal people, and those on social assistance. These individuals face significant barriers in self-management of chronic diseases and in navigating the healthcare system. For these people, living in a context of deprivation contributes to maintaining disparities in access to healthcare and services. The objective of this study is to support knowledge co-construction and knowledge translation in primary care and services by involving underserved and Aboriginal people in research.

Methods: This study will integrate participatory health processes and action research to co-create, with patients, individuals, and community members impacted by health literacy, practical recommendations or solutions for facilitating navigation of the healthcare system by patients, individuals, and community members with less than optimal health literacy on how to best access health services. With this approach, academics and those for whom the research is intended will collaborate closely in all stages of the research to identify findings of immediate benefit to those impacted by health literacy and work together on knowledge translation. This study, carried out by researchers, community organizations and groups of people with low health literacy from three different regions of Quebec and Saskatchewan who can play an expert role in improving health services, will be conducted in three phases: 1) data collection; 2) data analysis and interpretation; and, 3) knowledge translation.

Discussion: Persons with low health literacy experience major obstacles in navigating the health system. This project will therefore contribute to addressing the gap between healthcare challenges and the needs of underserved patients with multi-morbidity and/or low health literacy who have complex health-related needs. It will pave the way for co-creating successful solutions for and with these communities that will increase their access to health services.

Keywords: Aboriginal peoples; Co-creation; Health literacy; Knowledge translation; Participatory action research; Underserved populations.

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Conflict of interest statement

Ethics approval and consent to participate

This study protocol, including recruitment procedures, was approved by the Centre Intégré Universitaire de Santé et des Services Sociaux (CIUSSS) de l’Estrie and Chicoutimi. The project has also been approved by the Ethics and Research Committee of Université de Laval. The project in Saskatchewan was submitted to the University of Saskatchewan’s Behavioural Research Ethics Board Programs and was deemed to be Exempt from Ethical Review.

In Saskatchewan, the process that we followed for working with First Nations/Indigenous peoples is found in Government of Canada regulations (Chapter 9 of TCPS2, http://www.pre.ethics.gc.ca/eng/policy-politique/initiatives/tcps2-eptc2/chapter9-chapitre9/). Each participant will sign a consent form or provide oral consent before participating in the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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