Competence Framework

Introduction Competence Framework Health Literacy

Based on the outcomes from the performed scoping review and stakeholder/expert meetings, competencies for physiotherapists in health literacy (HL) are developed as part of the Health Literacy Framework. These competencies form the basis for the elaboration of seven HL courses in physiotherapy education. The competencies are in alignment with Learning outcomes, assessments and learning activities.

For the description of the competencies three levels are assumed:

MICRO-LEVEL
Focusses on the direct interaction between the health care provider and clients.
MESO-LEVEL
Addresses the organization of care, with a particular focus on optimizing existing structures and processes.
MACRO-LEVEL
Involves the general preconditions for implementing good care into practice. This includes, in particular, policy and related activities at the organizational or national level.

For each level, different tasks are identified and for the tasks, key competences are formulated together with enabling competencies.

Overview of the tasks related to Health Literacy

MICRO LEVEL (A)

A1. Perform and adjust effective communication to clients with limited HL
A2. Investigate lifestyle conditions and risk factors with respect to the health status of clients with limited HL
A3. Apply health-related educational skills to clients with limited HL
A4. Support behavioral change and self-management of clients with limited HL
A5. Apply and adjust digital technologies to clients‘ level of HL to enable self-management

MESO LEVEL (B)

B1. Improve organizational structures related to HL
B2. Improve communicational management related to HL

MACRO LEVEL (C)

C1. Contribute to the transition towards HL systems in society
C2. Contribute to better health outcomes for people with limited HL

The description of the competencies differentiates between bachelor and master degree and and follow the European Qualifications Framework (EQF) -descriptors (https://europa.eu/europass/en/description-eight-eqf-levels).

Guideline of Health Literacy for Physiotherapy un Higher Education

The guideline of Health Literacy (HL) for physiotherapy education focused on three dimensions:

1. A description of Guiding Principles for the integration of Health Literacy in the physiotherapy curriculum.

2. The learning scope for HL. This is based on an adapted version of Miller’s framework for clinical assessments (https://books.macpfd.ca/etmp-vol4/chapter/chapter-6-millers-pyramid/). Miller’s framework – better known as Miller’s pyramid – shows at the base the knowledge (knows) and its progressing competence (knows how). The performance (shows how) and does (action) represents the application level of the profession. The learning scopes on each level are formulated.

3. The transfer to the operational tasks at the micro- and meso-level.

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