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Improving health literacy of newly arrived refugees : A qualitative assessment of the health-communication method Förstå Mig Rätt within the Swedish civic orientationDrebold, Helge January 2020 (has links)
Background: The growing number of migrants, and refugees in particular, can have complex impacts on healthcare systems as they face pressures of responding to new healthcare needs. Refugees report lower levels of self-assessed health and psychological well-being compared to host populations, but paradoxically, many refrains from seeking care although they perceive the need to. Health promotion and improved health literacy has been identified to improve service utilization and health outcomes of refugees. Aim: Investigating perceptions of health communicators in implementing a Swedish version of the teach-back method for improved health information recall – Förstå Mig Rätt (FMR) – in the Swedish civic orientation for newly arrived refugees. Method: Semi-structured in-depth interviews were used to explore the utilization of FMR. Content analysis was used to analyze the data, and an integrated model for health literacy by Sørensen et al. guided the discussion in examining how FMR contributed to improved health literacy. Findings: Three themes emerged from the data: (i) Appreciating the impact of FMR; (ii) valuing the role of a communicator and; (iii) practical challenges of implementing FMR. The findings demonstrated an overall appreciation for the method but implicated changes in the layout for further improvements. Conclusion: FMR serves its purpose of ensuring recall and understanding of health information among newly arrived refugees attending the Swedish civic orientation. For optimal utilization, groups should be adjusted for participant educational level while further clarification on restating information, and extended time for dialogue, is recommended.
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