Experiences and perspective on health literacy in stroke: A focus group study in stroke patients and healthcare professionals

Authors

  • Pornsawan Posawang Sirindhorn National Medical rehabilitation Institute
  • Pasitpon Vatcharavongvan Department of Community Medicine and Family Medicine, Faculty of Medicine, Thammasat University Corresponding: Miss Pornsawan Posawang, Email: pornsawan_p@hotmail.com

Keywords:

health literacy, stroke, focus group discussion

Abstract

Health literacy refers to an individual’s ability to access, comprehend, inquire, appraise, and apply health-related information for appropriate health management and the maintenance of good health. In stroke patients, health literacy is a crucial factor influencing treatment and rehabilitation outcomes. This research aimed to investigate the perspectives and experiences of patients with stroke and healthcare professionals regarding health literacy through focus group discussions. A total of 30 participants, comprising 15 stroke patients and 15 healthcare professionals, were involved. Participants were selected using purposive sampling. Each focus group discussion included five participants, resulting in a total of six focus group sessions. The results of the focus group discussions were categorized into five areas corresponding to the main components of health literacy: access, understand, inquiry, appraise, and apply. The study found that the most significant barrier to health literacy among stroke patients, and the component most in need of improvement, was inquiry, particularly the ability to engage in healthrelated discussions. These findings can be utilized to enhance healthcare services for stroke patients and to develop programs aimed at promoting health literacy among both patients and healthcare professionals. Additionally, the results serve as a valuable reference for those interested in further exploring this topic.

Downloads

Download data is not yet available.

References

Nutbeam D. The evolving concept of health literacy. Soc Sci Med 2008;67(12):2072-8.

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int 2000;15(3):259-67.

Manganello JA. Health literacy and adolescents: a framework and agenda for future research. Health Educ Res 2008;23(5):840-7.

นิพนธ์ พวงวรินทร์. โรคหลอดเลือดสมอง. กรุงเทพมหานคร: เรือนแก้วการพิมพ์; 2543.

Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: a global response is needed. Bull World Health Organ. 2016;94(9):634-A.

World Stroke Organization: Global stroke fact sheet 2022. [Internet]. 2022 [cited 2023 Feb 14]. Available from: https://www.world-stroke.org/publications-and-resources/ resources/global-stroke-fact-sheet.

กระทรวงสาธารณสุข. HDC service [อินเทอร์เน็ต]. 2565 [สืบค้นเมื่อ 26 มิ.ย. 2022]. แหล่งข้อมูล: https://hdcservice. moph.go.th/hdc/main/index.php

Rissardo JP, Caprara AL, Prado AL. Stroke literacy in a South Brazilian city: a community-based survey. J Stroke Cerebrovasc Dis 2018; 27(9):2513-8.

Hahn EA, Magasi SR, Carlozzi NE, Tulsky DS, Wong A, Garcia SF, et al. Health and functional literacy in physical rehabilitation patients. Health Lit Res Pract 2017; 1(2):e71-85.

Cruz-Flores S, Rabinstein A, Biller J, Elkind MS, Griffith P, Gorelick PB, et al. Racial-ethnic disparities in stroke care: the American experience: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011;42(7):2091-116.

Krueger RA, Casey MA. Focus groups: a practical guide for applied research. 5th ed. Thousand Oaks (CA): Sage Publications; 2014.

Krueger RA, Casey MA. Designing and conducting focus group interviews. 2nd ed. Newbury Park (CA): Sage Publications; 2002.

Rabiee F. Focus-group interview and data analysis. Proceedings of the Nutrition Society 2004;63(4):655-

Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 2012;12:80.

กรมอนามัย, กระทรวงสาธารณสุข. การขับเคลื่อนความรอบรู้ ด้านสุขภาพและการสื่อสารสุขภาพ [อินเทอร์เน็ต]. 2560 [สืบค้นเมื่อ 27 ธ.ค. 2565]; แหล่งข้อมูล: https://www. anamai.moph.go.th/ppf2017/Download/29/bai/32.pdf

Levasseur M, Carrier A. Do rehabilitation professionals need to consider their clients’ health literacy for effective practice? Clin Rehabil 2010;24(8):756-65.

Krahn GL, Walker DK, Correa-De-Araujo R. Persons with disabilities as an unrecognized health disparity population. Am J Public Health 2015;105(S2):S198- S206.

Hahn EA, Magasi SR, Carlozzi NE, Tulsky DS, Wong A, Garcia SF, et al. Health and functional literacy in physical rehabilitation patients. Health Lit Res Pract 2017;1(2):e71-85.

Sørensen K, Levin-Zamir D, Duong TV, Okan O, Brasil VV, Nutbeam D. Building health literacy system capacity: a framework for health literate systems. Health Promot Int 2021;36(Suppl 1):i13-i23.

Van Kessel R, Wong BLH, Clemens T, Brand H. Digital health literacy as a super determinant of health: more than simply the sum of its parts. Internet Interv 2022;27:100500.

Published

2025-10-28

How to Cite

โพธิ์สว่าง พ., & วัชรวงศ์วาน พ. . (2025). Experiences and perspective on health literacy in stroke: A focus group study in stroke patients and healthcare professionals. Journal of Health Science of Thailand, 34(5), 894–905. Retrieved from https://thaidj.org/index.php/JHS/article/view/15064

Issue

Section

Original Article (นิพนธ์ต้นฉบับ)