Measuring functional, communicative, and critical health literacy among diabetic patients
Measuring functional, communicative, and critical health literacy among diabetic patients
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DOI：
10.2337/dc07-1932
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发表时间：
2008-05-01
期刊：
影响因子：
16.2
通讯作者：
Yano, Eiji
中科院分区：
文献类型：
--
作者：
Ishikawa, Hirono;Takeuchi, Takeaki;Yano, Eiji
健康素养（HL），个人获取，理解和使用健康信息，以做出明智和适当的健康相关决策的能力，已被公认为患者教育和疾病管理的一个重要概念。本研究检查了新开发的量表的心理测量学特性，用于测量三种不同水平的HL（即，研究设计和方法-在138例门诊2型糖尿病患者中评价了三个HL量表的可靠性和有效性。此外，社会人口统计学和临床特征，糖尿病知识，信息寻求行为和自我效能进行了评估，为每个病人通过自我报告问卷和审查电子病历。功能、沟通和关键HL量表的内部一致性足够高（分别为α = 0.84、α = 0.77和α = 0.65）。探索性因素分析确定了三个可解释的因素。HL量表和其他措施之间的相关性支持量表的结构效度。三个HL规模只有适度相互关联，这表明，每个代表不同的领域HL的能力和skills.CONCLUSIONS -我们新开发的HL规模是可靠的和有效的措施，三种类型的HL糖尿病患者。探索患者的HL水平可以更好地了解患者自我管理疾病和健康促进行为的潜在障碍。
OBJECTIVE - Health literacy (HL), the capacity of individuals to access, understand, and use health information to make informed and appropriate health-related decisions, has been recognized as an important concept in patient education and disease management. This study examined the psychometric properties of newly developed scales for measuring three different levels of HL (i.e., functional, communicative, and critical) in patients with diabetes.RESEARCH DESIGN AND METHODS - The reliability and validity of the three HL scales were evaluated in a sample of 138 outpatients with type 2 diabetes. In addition, socio-demographic and clinical characteristics, knowledge of diabetes, information-seeking behaviors, and self-efficacy were assessed for each patient through a self-report questionnaire and review of electronic medical records.RESULTS - Scale items were constructed to directly reflect the definition of HL. Internal consistency of functional, communicative, and critical HL scales was adequately high (alpha = 0.84, alpha = 0.77, and alpha = 0.65, respectively). Three interpretable factors were identified in exploratory factor analysis. Correlations between HL scales and other measures supported the construct validity of the scales. The three HL scales were only moderately correlated with each other, suggesting that each represents a different domain of HL abilities and skills.CONCLUSIONS - Our newly developed HL scales are reliable and valid measures of three types of HL in diabetic patients. Exploring a patient's HL levels may provide a better understanding of the patient's potential barriers to self-management of disease and health-promoting behaviors.