Everyday Health Information Literacy in Counselling on Healthy Eating. The Case of PrevMetSyn

  • Maija-Leena Huotari
  • Heidi Enwald
  • Noora Hirvonen
  • Anna-Maria Keränen
  • Terhi Jokelainen
  • Tuire Salonurmi
  • Raimo Niemelä
Conference paper
Part of the Communications in Computer and Information Science book series (CCIS, volume 552)


The use of a screening tool for assessing everyday health information literacy (EHIL) is examined in counselling on healthy eating and lifestyle in the intervention study Improved Methods of Lifestyle Modification for Patients at High Risk for Metabolic Syndrome (PrevMetSyn) ongoing in Finland from 2013 to 2016. A case study with quantitative methods is used. The participants in a controlled intervention trial (based on a population-based sample of 560 subjects) were randomized into three groups: (1) intensive face-to-face counselling, (2) low-intensive face-to-face counselling, and (3) a control group, and further into users or non-users of a web-based ICT-programme. All participants’ EHIL was screened at the beginning. The analyses indicated the distributions of the EHIL scores. Accordingly, one visit was targeted on the perceived ability to assess the quality of health information in intensive face-to-face counselling. Applying the EHIL tool together with cognitive behavioral therapy is a novel counselling approach.


Health information literacy Screening Medical intervention study Nutrition Lifestyle Counselling 


  1. 1.
    Niemelä, R., Ek, S., Eriksson-Backa, K., Huotari, M.-L.: A screening tool for assessing everyday health information literacy. Libri 62(2), 125–134 (2012)CrossRefGoogle Scholar
  2. 2.
    Pálsdóttir, Á: Information behaviour, health self-efficacy beliefs and health behaviour in Icelanders’ everyday life. Inf. Res. 13(1), paper 334 (2008).
  3. 3.
    Eriksson-Backa, K., Ek, S., Niemelä, R., Huotari, M.-L.: Health information literacy in everyday life: a study of Finns aged 65–79 years. Health Inf. J. 18(2), 83–94 (2012)CrossRefGoogle Scholar
  4. 4.
    Medical Library Assocation: The Medical Library Association Task Force on Health Information Literacy (2003).
  5. 5.
    Enwald, H.: Tailoring Health Communication: the Perspective of Information Users’ Health Information Behaviour in Relation to their Physical Health Status. Acta Universitatis Ouluensis. Series B, Humaniora 118. Oulu. Doctoral dissertation, Information Studies, University of Oulu, Finland (2013).
  6. 6.
    Nutbeam, D.: The evolving concept of health literacy. Soc. Sci. Med. 76(12), 2072–2078 (2008)CrossRefGoogle Scholar
  7. 7.
    Berkman, N.D., Davis, T.C., McCormack, L.: Health literacy: what is it? J. Health Commun. Int. Perspect. 15(Suppl. 2), 9–19 (2010)CrossRefGoogle Scholar
  8. 8.
    International Diabetes Federation: Global Guideline for Type 2 Diabetes (2012).
  9. 9.
    Van Dorsten, B., Lindley, E.M.: Cognitive and behavioral approaches in the treatment of obesity. Endocrinol. Metab. Clin. N. Am. 37, 905–922 (2008)CrossRefGoogle Scholar
  10. 10.
    Fabricatore, A.N.: Behavior therapy and cognitive-behavioral therapy of obesity: is there a difference? J. Am. Diet. Assoc. 107(1), 92–99 (2007)CrossRefGoogle Scholar
  11. 11.
    Niemelä, R., Ek, S., Huotari, M.-L.: Terveystiedon lukutaito lisää hyvinvointia. In: Reivinen, J., Vähäkylä, L. (eds.) Kansan Terveys, Yksilön Hyvinvointi, pp. 150–162. Gaudeamus, Helsinki (In Finnish) (2012)Google Scholar
  12. 12.
    Huotari, M.-L., Ek, S., Niemelä, R.: Terveystiedon lukutaito kansalaistaidoksi. Suomen Kuvalehti, Eri mieltä -Blogi. (In Finnish) (2013).
  13. 13.
    Redmond, N., Baer, H.J., Clark, C.R., Lipsitz, S., Hicks, L.S.: Sources of health information related to preventive health behaviors in a national study. Am. J. Prev. Med. 38(6), 620–627 (2010)CrossRefGoogle Scholar
  14. 14.
    Rice, R.E.: Influences, usage, and outcomes of internet health information searching: multivariate results from the pew surveys. Int. J. Med. Inf. 75, 8–28 (2006)CrossRefGoogle Scholar
  15. 15.
    Ek, S.: Gender differences in health information behaviour: a Finnish population-based survey. First published online, August 23, 2013. Health Promotion International (2013).
  16. 16.
    Wellstead, P.: Information behaviour of Australian men experiencing stressful life events: the role of social networks and confidants. Inf. Res. 16(2), paper 474 (2011).
  17. 17.
    Hirvonen, N.: Health Information Matters. Everyday Health Information Literacy and Behaviour in Relation to Health Behaviour and Physical Health among Young Men. Acta Universitatis Ouluensis. Series B, Humaniora 133. Oulu. Doctoral dissertation, Information Studies, University of Oulu, Finland (2015).
  18. 18.
    Sweeny, K., Melnyk, D., Miller, W., Shepperd, A.: Information avoidance: who, what, when, and why. Rev. Gen. Psychol. 14(4), 340–353 (2010)CrossRefGoogle Scholar
  19. 19.
    Ek, S., Heinström, J.: Monitoring or avoiding health information - the relation to inner inclination and health status. Health Inf. Libr. J. 28(3), 200–209 (2011)CrossRefGoogle Scholar
  20. 20.
    Jung, M., Ramanadhan, S., Viswanath, K.: Effect of information seeking and avoidance behaviors on self-rated health status among cancer survivors. Patient Educ. Couns. 92, 100–106 (2013)CrossRefGoogle Scholar
  21. 21.
    Smith, S.G., Curtis, L.M., Wardle J., von Wagner, C., Wolf, M.S.: Skill set or mind set? associations between health literacy, patient activation and health. PLoS ONE 8(9), e74373 (2013).

Copyright information

© Springer International Publishing Switzerland 2015

Open Access This chapter is distributed under the terms of the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  • Maija-Leena Huotari
    • 1
  • Heidi Enwald
    • 1
  • Noora Hirvonen
    • 1
  • Anna-Maria Keränen
    • 2
  • Terhi Jokelainen
    • 2
  • Tuire Salonurmi
    • 2
  • Raimo Niemelä
    • 3
  1. 1.Information Studies, Faculty of HumanitiesUniversity of OuluOuluFinland
  2. 2.Department of Internal MedicineUniversity of OuluOuluFinland
  3. 3.The City of Oulu Department of EducationKastelli Upper Secondary SchoolOuluFinland

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