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Table 6 Provider drivers and barriers to interventions directed at improving SNAPW and health literacy

From: Which providers can bridge the health literacy gap in lifestyle risk factor modification education: a systematic review and narrative synthesis

Barriers and Drivers (Number of Papers citing) Driver Barrier
Provider Factors€   
Time (16)  
Preventive medicine skills (12)  
Knowledge of guidelines / information (11)  
Attitudes and beliefs (10)  
Teamwork / working with other providers (6)  
Knowledge of referral services (3)  
Confidence (2)  
Communication skills (2)  
Outcome expectations (2)  
Provider Service Context   
Training (duration, MI, communication), CPD, funding time, organization) (7)  
Funding for health education (4)  
Community links / community oriented services (2)  
Availability of referral services/networks (2)
Information systems (2)  
Availability of space (1)  
Supportive public health policy (1)  
Patient provider interface   
Access of health education / lifestyle modification   
· Cost (6)  
· Transport (1)  
· Availability (3)  
· Physical access (1)  
Trust of information (6)  
Continuity of care (7)  
Patient provider relationship (6)  
Proactive follow up (4)  
Aids (e.g. Pedometer ) (4)  
Reading age of materials (3)  
Patient education materials tailored (2)  
Cultural materials / translation (2)  
Individualised format (2)  
Health seeking behaviour (2)  
Group format (1)  
Goal setting (1)  
Decision support (1)  
Standardised assessment questions/protocols (1)