{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T16:43:56Z","timestamp":1783183436507,"version":"3.54.6"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T00:00:00Z","timestamp":1522368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["16H05211"],"award-info":[{"award-number":["16H05211"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Although a growing number of interventional studies on health literacy have been conducted recently, the majority were designed in clinical settings, focusing mainly on functional health literacy. This study evaluated a programme designed to improve health literacy in a community population, with a scope of going beyond functional health literacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In collaboration with an Approved Specified Nonprofit organization (<jats:styled-content style=\"fixed-case\">NPO<\/jats:styled-content>), we evaluated a five\u2010session programme designed to provide basic knowledge on health\u2010care policy and systems, current issues in health care in Japan, patient roles and relationships with health\u2010care providers and interpersonal skills. In total, 67 of 81 programme participants agreed to participate in the study, and 54 returned the completed questionnaires at baseline and at follow\u2010up. Health literacy and trust in the medical profession were measured at baseline and at follow\u2010up. Participants\u2019 learning through the programme was qualitatively analysed by thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Quantitative examinations of the changes in health literacy and degree of trust in medical professionals between the baseline and follow\u2010up suggested that health literacy significantly improved after implementing the programme. The thematic analysis of participants\u2019 learning throughout the programme suggested that they not only acquired knowledge and skills but also experienced a shift in their beliefs and behaviours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Providing individuals who are motivated to learn about health\u2010care systems and collaborate with health\u2010care providers with the necessary knowledge and skills may improve their health literacy, which could enable them to maintain and promote their health and that of their family and other people around them.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.12678","type":"journal-article","created":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T23:41:23Z","timestamp":1522453283000},"page":"814-821","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Improving health literacy in a Japanese community population\u2014A pilot study to develop an educational programme"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1458-6957","authenticated-orcid":false,"given":"Hirono","family":"Ishikawa","sequence":"first","affiliation":[{"name":"Department of Health Communication School of Public Health The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ikuko","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Approved Specified Nonprofit Organization COML  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don","family":"Nutbeam","sequence":"additional","affiliation":[{"name":"School of Public Health University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mio","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Health Communication School of Public Health The University of Tokyo  Tokyo 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