A Scoping Review of Health Literacy Measurement Tools in the Context of Cardiovascular Health
A Scoping Review of Health Literacy Measurement Tools in the Context of Cardiovascular Health
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DOI：
10.1177/1090198119831754
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发表时间：
2019-08-01
影响因子：
4.2
通讯作者：
Kisa, Adnan
中科院分区：
文献类型：
--
作者：
Chan, Rita Wai Yu;Kisa, Adnan
背景资料。尽管健康素养与心血管健康结果之间存在密切联系，但健康素养的衡量标准仍然存在缺陷和支离破碎。在制定有效的衡量标准以涵盖健康素养的广泛概念时，在知识方面存在差距。衡量健康素养的各种工具的存在也阻碍了健康素养数据的提供。此外，关于心血管健康素养的有效测量工具的研究很少。目标。本研究旨在提供心血管健康背景下使用的健康素养测量工具的概述。方法。进行了范围审查。搜索两个电子数据库Medline和Embase，以确定描述在心血管健康背景下衡量健康素养的工具的研究。结果。在回顾了现有研究后，有53项研究符合纳入标准。研究中共确定了26种健康素养测量工具。在26个工具中，16个采用客观测量方法，9个采用主观方法，1个采用混合方法。此外，28项研究使用工具测量印刷素养，15项研究测量印刷素养和算术能力，5项研究测量印刷识字、口语识字和算术能力。结论。在选定的研究中，STOFHL、TOFHL和REALM是最常用的工具。大多数工具在很大程度上依赖于阅读技能和单词识别。研究人员应重点开发针对心血管健康的更全面、更可靠的健康素养测量工具(S)，以帮助医护人员更高效、更准确地识别健康素养不足的心血管问题患者。
Background. Despite the strong link between health literacy and cardiovascular health outcomes, health literacy measurements remain flawed and fragmented. There exists a gap in the knowledge when formulating a valid measurement to capture the broad concept of health literacy. The existence of various tools for health literacy measurement also hampers the availability of health literacy data. Additionally, little research is available on a valid measurement tool for cardiovascular health literacy. Objective. This study aims to provide an overview of the health literacy measurement tools used in the context of cardiovascular health. Method. A scoping review was conducted. Two electronic databases, Medline and Embase, were searched to identify studies that described a tool for the measurement of health literacy in the context of cardiovascular health. Results. After reviewing the available studies, 53 studies met the inclusion criteria. A total of 26 health literacy measurement tools were identified in the studies. Among the 26 tools, 16 used an objective measurement approach, 9 adopted a subjective approach, and 1 employed a mixed approach. Additionally, 28 studies used tools to measure print literacy, 15 studies measured print literacy and numeracy, and 5 studies measured print literacy, oral literacy, and numeracy. Conclusions. STOFHLA, TOFHLA, and REALM were the mostly commonly used tools in the selected studies. The majority of tools were based heavily on reading skills and word recognition. Researchers should focus on the development of more comprehensive and reliable health literacy measurement tool(s) specific to cardiovascular health to assist health care providers to more efficiently and accurately identify people with cardiovascular problems who have inadequate health literacy.