Bilingual health literacy assessment using the Talking Touchscreen/la Pantalla Parlanchina: Development and pilot testing.
Bilingual health literacy assessment using the Talking Touchscreen/la Pantalla Parlanchina: Development and pilot testing.
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DOI：
10.1016/j.pec.2009.02.020
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发表时间：
2009-06
影响因子：
3.5
通讯作者：
Hahn, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Yost, Kathleen J.;Webster, Kimberly;Baker, David W.;Choi, Seung W.;Bode, Rita K.;Hahn, Elizabeth A.
目前的卫生知识普及措施太长，不精确，或有问题的英文和西班牙文版本的等效性。本文的目的是描述一个新的双语计算机为基础的健康素养评估工具的开发和试点测试。我们分析了三项大型研究的识字数据。使用健康素养的工作定义，我们开发了新的散文，文件和定量项目的英语和西班牙语。项目进行了试点测试97英语和134西班牙语的参与者，以评估项目的难度。项目涵盖与初级保健患者和提供者有关的主题。讲英语和西班牙语的参与者理解回答每类问题所涉及的任务。英语触摸屏很容易使用，英语和西班牙语项目提供了很好的覆盖面的难度连续体。定性和定量的结果提供了有用的信息，计算机的可接受性和初始项目的难度。在对600名讲英语（和600名讲西班牙语）的初级保健患者在会说话的触摸屏（la Pantalla Parlanchina）上进行项目管理后，我们将开发一个计算机自适应测试。这种健康素养工具将使临床医生和研究人员能够更准确地了解低健康素养对健康和医疗保健利用的不利影响。
Current health literacy measures are too long, imprecise, or have questionable equivalence of English and Spanish versions. The purpose of this paper is to describe the development and pilot testing of a new bilingual computer-based health literacy assessment tool. We analyzed literacy data from three large studies. Using a working definition of health literacy, we developed new prose, document and quantitative items in English and Spanish. Items were pilot tested on 97 English- and 134 Spanish-speaking participants to assess item difficulty. Items covered topics relevant to primary care patients and providers. English- and Spanish-speaking participants understood the tasks involved in answering each type of question. The English Talking Touchscreen was easy to use and the English and Spanish items provided good coverage of the difficulty continuum. Qualitative and quantitative results provided useful information on computer acceptability and initial item difficulty. After the items have been administered on the Talking Touchscreen (la Pantalla Parlanchina) to 600 English-speaking (and 600 Spanish-speaking) primary care patients, we will develop a computer adaptive test. This health literacy tool will enable clinicians and researchers to more precisely the level at which low health literacy adversely affects health and healthcare utilization.
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影响因子：
3.5
作者：
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通讯作者：
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