Interventions for improving health literacy in migrants

  • To assess the effectiveness of interventions for improving health literacy in migrants.
  • To assess whether female or male migrants may respond differently to the identified interventions.

Such interventions must address health literacy either as a comprehensive construct or at least one of its four health information processing steps (access, understand, appraise, apply). However, we do not aim to equate general health literacy interventions that include a range of activities targeted to all of the four health information processing steps with interventions that aim to improve only one step (e.g. understand). We aim instead to create a comprehensive picture of the effect of health literacy interventions by applying the integrated model as an umbrella framework for a deductive analysis of the four steps of health information processing.

We will not restrict this review to specific settings or diseases because we aim to provide an overview of all available interventions for improving health literacy addressing migrant populations.

Extending this review with a qualitative evidence synthesis

The author team of this effectiveness review will conduct a qualitative evidence synthesis (QES) in parallel: Gender differences in health literacy of migrants: a synthesis of qualitative evidence (Aldin 2019). Since we expect that relatively few studies will explicitly aim to explore if female and male migrants respond differently to a selected health literacy intervention, or even contain data on female and male migrants that can be extracted separately, the QES will supplement the effectiveness review in terms of gender-specific aspects that can affect the health information processing steps. Additionally, it will attempt to identify factors associated with gender and migration that may play a role in the design, delivery and effectiveness of health literacy interventions for female and male migrants, as it may be able to identify other relevant determinants that cannot be explored by quantitative methods. The QES will be linked to the effectiveness review by using the conceptual framework of health literacy developed by Sørensen 2012. The synthesised evidence from the effectiveness review and the linked QES will ultimately validate the applicability of the integrated model by Sørensen 2012 in interventions for improving health literacy in migrants. On the basis of the joint results, we will develop a logic model that includes the identified factors that must to be taken into account in the development and delivery of health literacy interventions for female and male migrants. The author teams will continuously exchange on methodological issues and support each other within the review process.

This is a protocol.