Effects of Active Learning on Health Literacy and Behavior in Older Adults: A Randomized Controlled Trial
Effects of Active Learning on Health Literacy and Behavior in Older Adults: A Randomized Controlled Trial
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DOI：
10.1111/jgs.15458
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发表时间：
2018-09-01
影响因子：
6.3
通讯作者：
Okamoto, Hiroshi
中科院分区：
文献类型：
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作者：
Uemura, Kazuki;Yamada, Minoru;Okamoto, Hiroshi
目的探讨主动学习教育对健康素养、认知功能、身体功能、身体活动、随机对照试验。研究地点：日本农村社区。年龄在65岁及以上的个人（N=84）被随机分配到健康教育干预组（n=42）或对照组（n=42）。干预措施干预组每周参加一次90分钟的关于运动、饮食和营养以及老年健康促进认知活动的主动学习计划，为期24周。主动学习包括探索性学习、小组活动和行为改变的自我计划，这些活动促进了健康的生活方式。使用健康素养量表-14（HLS-14）和16项欧洲健康素养调查问卷（HLS-EU-Q16）对综合健康素养进行评估。认知功能在4个领域进行评估：处理速度，语言流畅性，工作记忆和记忆。结论HLS-14、HLS-EU-Q16的疾病预防领域、类别语言流畅性测试、风景图片记忆测试和定时起床和行走测试分数、步态速度、每天的步数、身体活动水平、步行速度结果表明，通过主动学习进行健康教育，能有效地提高健康教育的效果，综合健康素养、语言流畅性、记忆力、步态速度、平衡能力、身体活动和饮食多样性。
OBJECTIVESDESIGNTo investigate the effects of active learning education on health literacy, cognitive and physical function, physical activity, and dietary habits in older adults.Randomized controlled trial.SETTINGPARTICIPANTSRural community in Japan.Individuals aged 65 and older (N=84) randomly assigned to a health education intervention group (n=42) or a control group (n=42).INTERVENTIONMEASUREMENTSThe intervention group attended a weekly 90-minute active learning program on exercise, diet and nutrition, and cognitive activity for health promotion in older age for 24 weeks. Active learning included exploratory learning, group work, and self-planning for behavioral change, which promoted a healthy lifestyle.Outcome measures were obtained at baseline before randomization and at 24 weeks. Comprehensive health literacy was assessed as the primary outcome using the Health Literacy Scale-14 (HLS-14) and the 16-item European Health Literacy Survey Questionnaire (HLS-EU-Q16). Cognitive function was evaluated in 4 domains: processing speed, verbal fluency, working memory, and memory. Physical function and amounts of physical activity were also objectively measured.RESULTSCONCLUSIONHLS-14, the disease prevention domain of the HLS-EU-Q16, category verbal fluency test, Scenery Picture Memory Test, and Timed Up and Go test scores; gait speed; number of steps per day; physical activity levels; and dietary variety scores were significantly improved in the intervention group than the control group.This study suggests that health education through active learning is effective in enhancing comprehensive health literacy, verbal fluency, memory, gait speed, balance ability, physical activity, and dietary variety in older adults.