Child and Youth Health Literacy: A Conceptual Analysis and Proposed Target-Group-Centred Definition
Child and Youth Health Literacy: A Conceptual Analysis and Proposed Target-Group-Centred Definition
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DOI：
10.3390/ijerph16183417
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发表时间：
2019-09-02
影响因子：
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通讯作者：
Bauer, Ullrich
中科院分区：
文献类型：
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作者：
Broeder, Janine;Okan, Orkan;Bauer, Ullrich
(1)背景资料：本文采用跨学科的视角，分析，研究和反思突出的健康素养（HL）的理解在儿童和青年。(2)方法：概念分析结合Rodgers和Jabareen的八个阶段的概念分析方法。(3)结果如下：首先，我们提出了基于健康素养6D模型的六个维度来发展儿童特定HL理解的探索性切入点。其次，我们描述和反思五个元层面的层面，涵盖HL的定义和模型的儿童和青年的概念分析。第三，我们将我们的研究结果整合到以目标群体为中心的儿童和青少年HL定义中。(4)讨论/结论：本文提高了人们对当前概念性HL辩论异质性的认识。它提供了一个多学科的方法来推进现有的理解HL。从以下四项原则中推导出未来行动的四项建议，这些原则是拟议的以目标群体为中心的HL定义所固有的：（a）从基于资产的角度描述HL的特征，（B）将HL视为社会嵌入式和分布式的，（c）认识到HL是分阶段且以灵活的方式发展的，以及（d）考虑健康相关信息的多模态性质。需要进一步研究，以检验拟议定义和概念理解在研究和实践中的可行性和适用性。
(1) Background: This article adopts an interdisciplinary perspective to analyse, examine, and reflect upon prominent health literacy (HL) understandings in childhood and youth. (2) Method: The conceptual analysis combined Rodgers' and Jabareen's approaches to conceptual analysis in eight phases. (3) Results: First, we present exploratory entry points for developing a child-specific HL understanding based on the six dimensions of a health-literacy 6D model'. Second, we describe and reflect upon five meta-level dimensions covering the HL definitions and models for children and youth found in the conceptual analysis. Third, we integrate our findings into a target-group-centred HL definition for children and youth. (4) Discussion/Conclusion: This article raises awareness for the heterogeneity of the current conceptual HL debate. It offers a multidisciplinary approach for advancing the existing understanding of HL. Four recommendations for future actions are deduced from the following four principles, which are inherent to the proposed target-group-centred HL definition: (a) to characterize HL from an asset-based perspective, (b) to consider HL as socially embedded and distributed, (c) to recognize that HL develops both in phases and in flexible ways, and (d) to consider the multimodal nature of health-related information. Further research is necessary to test the feasibility and applicability of the proposed definition and conceptual understanding in both research and practice.