Health literacy and beliefs among a community cohort with and without chronic low back pain
Health literacy and beliefs among a community cohort with and without chronic low back pain
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DOI：
10.1016/j.pain.2010.04.031
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发表时间：
2010-08-01
期刊：
影响因子：
7.4
通讯作者：
Straker, Leon M.
中科院分区：
文献类型：
--
作者：
Briggs, Andrew M.;Jordan, Joanne E.;Straker, Leon M.
健康素养，即寻求、理解和利用健康信息的能力，对健康很重要。在许多慢性疾病中，健康素养不佳与健康结果较差有关，尽管尚未在慢性腰痛（CLBP）中进行研究。我们使用混合方法研究了CLBP患者的健康素养。117名成年人参加了研究，其中61名无CLBP病史，56名CLBP患者（根据奥斯韦斯特里评分的中位数划分，分别有28名低残疾和高残疾）。关于疼痛的严重程度，LBP相关的残疾，恐惧回避，对LBP和疼痛灾难化的信念的数据收集使用问卷调查。健康素养的测量使用成人功能性健康素养简表测试（S-TOFHLA）。一个子样本的36名参与者与CLBP还参加了深入的访谈，定性探讨他们的信念LOP和经验，寻求，理解和使用相关的LBP信息。与LBP相关的信念和行为，而不是疼痛强度和健康素养技能，被发现是与LBP相关的残疾的重要相关因素。患有CLBP高残疾的个体的背痛信念较差，与体力活动相关的恐惧回避行为增加。健康素养（S-TOFHLA）与LBP的信念和态度无关。定性，CLBP高残疾的人采取了更被动的应对方式，并有一个病理解剖的观点，他们的疾病相比，CLBP低残疾的人。虽然所有CLBP参与者都有足够的健康素养评分（S-TOFHLA），但定性数据突出了寻求，理解和利用LBP信息的困难。(C)2010年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
Health literacy, the ability to seek, understand and utilise health information, is important for good health. Suboptimal health literacy has been associated with poorer health outcomes in many chronic conditions although this has not been studied in chronic low back pain (CLBP). We examined the health literacy of individuals with CLBP using a mixed methods approach. One-hundred and seventeen adults, comprising 61 with no history of CLBP and 56 with CLBP (28 with low and high disability, respectively, as determined by a median split in Oswestry scores) participated. Data regarding severity of pain, LBP-related disability, fear avoidance, beliefs about LBP and pain catastrophizing were collected using questionnaires. Health literacy was measured using the Short-form Test of Functional Health Literacy in Adults (S-TOFHLA). A sub-sample of 36 participants with CLBP also participated in in-depth interviews to qualitatively explore their beliefs about LOP and experiences in seeking, understanding and using information related to LBP. LBP-related beliefs and behaviours, rather than pain intensity and health literacy skills, were found to be important correlates of disability related to LBP. Individuals with CLBP-high disability had poorer back pain beliefs and increased fear avoidance behaviours relating to physical activity. Health literacy (S-TOFHLA) was not related to LBP beliefs and attitudes. Qualitatively, individuals with CLBP-high disability adopted a more passive coping style and had a pathoanatomic view of their disorder compared to individuals with CLBP-low disability. While all participants with CLBP had adequate health literacy scores (S-TOFHLA), qualitative data highlighted difficulties in seeking, understanding and utilising LBP information. (C) 2010 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.