Journal of Education and Health Promotion 2277-9531 12 10 2022 11 01 A modified Delphi study to identify strategies to promote health literacy in parents of children with cancer 1 6 29477 EN . Somaye Sayahi . Masoud Bahrami Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran . Ahmad Ali Eslami Department of Health Education and Promotion, Isfahan University of Medical Sciences, Isfahan, Iran . Alireza Moafi Department of Pediatric Hematology and Oncology, Isfahan University of Medical Sciences, Isfahan, Iran Journal Article 2023 03 08 BACKGROUND: Parents play a key role in the care, monitoring, management of symptoms<br />experienced in children with cancer, the support, and follow‑up of treatment. However, there is a<br />paucity of research as how to improve the health literacy of parents with cancer. The aim of this<br />study was to identify the best and most important strategies to promote health literacy in parents of<br />children with cancer.<br />MATERIALS AND METHODS: A two‑step modified Delphi method was used to establish consensus<br />in Iran in 2021. Fourteen experts representing oncology, clinical nursing, and faculty members of<br />nursing were selected by purposive sampling. In round one, 90 strategies to promote health literacy<br />obtained in the qualitative study were distributed to the experts, which were scored from 1 to 5. In<br />order to discuss statements without consensus in the first round, round two was held in a face‑to‑face<br />meeting. Descriptive statistics such as mean, standard deviation, and percentage of response<br />frequency were used to calculate agreement levels between experts.<br />RESULTS: In round one, 57 statements reached a consensus. In round two, 21 statements reached a<br />consensus. Finally, 78 statements reached consensus representing four domains including functional<br />health literacy, interactive health literacy, critical health literacy, and care health literacy.<br />CONCLUSION: Delphi method helps to identify the best and most important strategies to use in<br />health literacy promotion programs for parents of children with cancer. Identifying these strategies<br />will help health officials, planners, and policymakers.<br /><br /> https://jehp.mui.ac.ir/article_29477_39ec84a99221f244f1eb7e01c2231d38.pdf