University of Groningen
Improving communication in healthcare for patients with low health literacy
Kaper, Marise
DOI:
10.33612/diss.172455932
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Publication date: 2021
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Citation for published version (APA):
Kaper, M. (2021). Improving communication in healthcare for patients with low health literacy: Building competencies of health professionals and shifting towards health literacy friendly organizations. University of Groningen. https://doi.org/10.33612/diss.172455932
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Improving communication in
healthcare for patients with
low health literacy
Building competencies of health professionals and shifting
towards health literacy friendly organizations
Marise S. Kaper
University of Groningen
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Author: Marise S. Kaper Photographer: Roelof Bos Cover design: Desmond Dijk Lay-out: Douwe Oppewal Printed by: Gildeprint, Enschede
The studies in this thesis were conducted within the Research Institute SHARE of the Graduate School of Medical Sciences, University Medical Center Gronin-gen, University of GroninGronin-gen, and under auspices of the research program Public Health Research.
This thesis was part of the project Intervention Research on Health Literacy among the Ageing Population (IROHLA), which was coordinated by the University Medical Center Groningen and has received funding from the European Union’s Seventh Framework Programme (FP7/2007-2013) under grant agreement n°305831. The printing of this thesis was financially supported by the Graduate School of Medical Sciences, Research Institute SHARE, University Medical Center Groningen, and the University of Groningen.
© Marise S. Kaper, 2021
All rights reserved. No part of this thesis may be reproduced or transmitted, in any form or by any means, without prior written permission of the author.
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Improving communication in
healthcare for patients with
low health literacy
Building competencies of health professionals and shifting
towards health literacy friendly organizations
PhD thesis
to obtain the degree of PhD at the
University of Groningen
on the authority of the
Rector Magnificus Prof. C. Wijmenga
and in accordance with
the decision by the College of Deans.
This thesis will be defended in public on
Wednesday 30 June 2021 at 16.15 hours
by
Marise Sarien Kaper
born on 24 November 1982
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Supervisor
Prof. S.A. Reijneveld
Co-supervisor
Dr. A.F. de Winter
Assessment Committee
Prof. A.D.C. Jaarsma
Prof. C.J.M. Jansen
Prof. S. Van den Broucke
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Paranimfen
Robert Hulzebos
Emanuel Tomassen
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TABLE OF CONTENTS
Chapter 1 General Introduction 9
Chapter 2 Developing and pilot testing a comprehensive health 27 literacy communication training for health professionals
in three European countries.
Published in Patient Educ. Couns., 2018, 101, 152–158.
Chapter 3 Positive outcomes of a comprehensive health literacy 47 communication training for health professionals in three
European countries: A multi-centre pre-post intervention study Published in Int. J. Environ. Res. Public Health, 2019, 16, 3923.
Chapter 4 Effectiveness of a comprehensive health literacy consultation 69
skills training for undergraduate medical students: A randomized controlled trial
Published in Int. J. Environ. Res. Public Health, 2020, 17, 81.
Chapter 5 Outcomes and critical factors for successful implementation 93 of Organizational Health Literacy Interventions:
A scoping review
Chapter 6 Implementation and long-term outcomes of organizational 121 health literacy interventions in Ireland and the Netherlands: A longitudinal mixed-methods study
Published in Int. J. Environ. Res. Public Health, 2019, 16, 4812.
Chapter 7 General discussion 151
Summary 179
Samenvatting 187
Dankwoord 195
About the author 201
Appendix 205
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