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Learn more. Enhancing health literacy can play a major role in improving healthcare and health across the globe. The programme was delivered by trained educators within an adult basic education health literacy course. Qualitative interview study with 11 educators who delivered the SDM programme.
Teachers noted congruence in SDM content and the institutional commitment to learner empowerment in adult education. Challenges for adult learners included SDM terminology, computational numerical risk tasks and understanding probability concepts. SDM programmes can be designed in a way that both supports teachers to deliver novel health literacy content and empowers learners. Collaboration between adult education and healthcare sectors can build health literacy capacity of those most in need.
Given that lower health literacy is associated with poorer health outcomes 1 and higher healthcare utilization and costs, 2 improving health literacy is a policy initiative in most developed countries.
Shared decision making SDM may be viewed within Nutbeam's conceptual framework as corresponding to communicative and critical health literacy. Specifically, SDM occurs when patients and health professionals both contribute to decision making by exchanging information and deliberating about available treatment options.