Understanding the internal and external validity of health literacy interventions: a systematic literature review using the RE-AIM framework.
Understanding the internal and external validity of health literacy interventions: a systematic literature review using the RE-AIM framework.
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DOI：
10.1080/10810730.2011.604381
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发表时间：
2011
影响因子：
4.4
通讯作者：
Estabrooks PA
中科院分区：
文献类型：
--
作者：
Allen K;Zoellner J;Motley M;Estabrooks PA
我们使用 RE-AIM 框架进行了系统的文献综述，目的是确定哪些信息可以为研究提供信息，以实践转化为解决健康素养问题而制定的健康促进干预措施。反映 2000 年至 2010 年间发表的 25 项试验的 31 篇文章符合纳入标准。两名研究人员使用经过验证的 RE-AIM（范围、有效性/功效、采用、实施、维护）数据提取工具对每篇文章进行编码，并通过小组会议就差异达成共识。在所有研究中（14 项随机对照试验，11 项准实验；24 项基于临床，1 项基于社区），报告 RE-AIM 指标的平均水平因维度而异（达到 = 69%；功效/效果 = 58%；采用 = 36%；%；实施 = 35%；维持 = 11%）。在参加 25 项干预措施的参与者中，约 38% 的人被认为健康素养较低。只有八项研究检查了健康素养状况作为干预效果的调节因素。本综述表明，目前针对健康素养较低的参与者的健康促进研究提供了足够的信息来断定健康素养干预措施是否可以吸引目标人群、实现可持续的效果或在临床环境之外推广。提供了加强这些试验的设计和报告的建议。
We conducted a systematic literature review, using the RE-AIM framework, with the goal of determining what information is available to inform research to practice translation of health promotion interventions developed to address health literacy. Thirty-one articles reflecting 25 trials published between 2000 and 2010 met inclusion criteria. Two researchers coded each article, using a validated RE-AIM (reach, effectiveness/efficacy, adoption, implementation, maintenance) data extraction tool, and group meetings were used to gain consensus on discrepancies. Across all studies (14 randomized controlled trials, 11 quasi-experimental; 24 clinic-based, 1 community-based), the mean level of reporting RE-AIM indicators varied by dimension (reach = 69%; efficacy/effectiveness = 58%; adoption = 36%; %; implementation = 35%; maintenance = 11%). Among participants enrolled in the 25 interventions, approximately 38% were identified as low health literate. Only eight of the studies examined health literacy status as a moderator of intervention effectiveness. This review suggests that the current research on health promotion for participants with low health literacy provides insufficient information to conclude whether interventions for health literacy can attract the target population, achieve an effect that is sustainable, or be generalized outside of clinical settings. Recommendations for enhancing the design and reporting of these trials are provided.
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影响因子：
39.2
作者：
Bosworth HB;Olsen MK;Grubber JM;Neary AM;Orr MM;Powers BJ;Adams MB;Svetkey LP;Reed SD;Li Y;Dolor RJ;Oddone EZ
通讯作者：
Oddone EZ
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
5.5
作者：
Glasgow, RE;Nelson, CC;King, DK
通讯作者：
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影响因子：
45.3
作者：
Ferreira, MR;Dolan, NC;Bennett, CL
通讯作者：
Bennett, CL
影响因子：
4.2
作者：
Bull, SS;Gillette, C;Estabrooks, P
通讯作者：
Estabrooks, P