The process-knowledge model of health literacy: evidence from a componential analysis of two commonly used measures.
The process-knowledge model of health literacy: evidence from a componential analysis of two commonly used measures.
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DOI：
10.1080/10810730.2011.604702
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发表时间：
2011
影响因子：
4.4
通讯作者：
Murray MD
中科院分区：
文献类型：
--
作者：
Chin J;Morrow DG;Stine-Morrow EA;Conner-Garcia T;Graumlich JF;Murray MD
我们调查了领域一般处理能力（流体能力，如工作记忆），领域一般知识（结晶能力，如词汇），和特定领域的健康知识的两个最常用的健康素养的措施（S-TOFHLA和REALM）的影响。146名居住在社区的老年人参加了研究，其中103人被诊断患有高血压。结果表明，具有较高处理能力或知识水平（一般领域或健康）的老年人在这两项健康素养措施上表现更好。处理能力与知识相互作用：处理能力与健康素养的相关性较低，对于知识水平较低的参与者来说，这表明知识可能会抵消处理能力限制对健康素养的影响。此外，两个健康素养措施的表现似乎反映了三种能力的不同权重。S-TOFHLA的表现反映了处理能力以及一般知识，而REALM的表现更多地取决于一般和健康知识，而不是处理能力。研究结果支持了老年人健康素养的过程知识模型，并对在各种医疗保健环境中选择健康素养措施产生影响。
We investigated the effects of domain-general processing capacity (fluid ability such as working memory), domain-general knowledge (crystallized ability such as vocabulary), and domain-specific health knowledge for two of the most commonly used measures of health literacy (S-TOFHLA and REALM). One hundred forty six community-dwelling older adults participated; 103 had been diagnosed with hypertension. The results showed that older adults who had higher levels of processing capacity or knowledge (domain-general or health) performed better on both of the health literacy measures. Processing capacity interacted with knowledge: Processing capacity had a lower level of association with health literacy for participants with more knowledge than for those with lower levels of knowledge, suggesting that knowledge may offset the effects of processing capacity limitations on health literacy. Furthermore, performance on the two health literacy measures appeared to reflect a different weighting for the three types of abilities. S-TOFHLA performance reflected processing capacity as well as general knowledge, whereas performance on the REALM depended more on general and health knowledge than on processing capacity. The findings support a process-knowledge model of health literacy among older adults, and have implications for selecting health literacy measures in various health care contexts.
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影响因子：
8.3
作者：
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通讯作者：
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通讯作者：
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