The Health Literacy Skills Framework
The Health Literacy Skills Framework
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DOI：
10.1080/10810730.2012.713442
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发表时间：
2012-01-01
影响因子：
4.4
通讯作者：
McCormack, Lauren
中科院分区：
文献类型：
--
作者：
Squiers, Linda;Peinado, Susana;McCormack, Lauren
虽然有各种各样的模型和框架，描述与健康素养技能相关的因素，很少有说明从健康素养技能的发展和主持人，其应用，并导致所有在一个框架或模型的结果的完整途径。本文介绍了健康素养技能的概念框架，包括这一完整的连续体。为了制定该框架，作者审查并建立在现有的健康素养框架之上。健康素养技能框架假设了健康素养和健康相关成果之间的关系，并描述了健康素养如何在个人层面发挥作用。该框架还反映了个人外部因素（例如，家庭、环境、社区、文化和媒体）影响着框架中所代表的结构和关系。该框架分为4个主要组成部分：（a）影响卫生知识技能的发展和使用的因素;（B）与卫生有关的刺激因素;（c）理解刺激因素和执行任务所需的卫生知识技能;（d）卫生知识与卫生成果之间的中介因素。先前的理论框架支持它所说明的因果路径。作者希望这个概念框架可以作为一个跳板，进一步讨论和推进这一复杂的结构。卫生知识技能框架也可用于指导制定干预措施，以提高卫生知识水平。未来的研究应进行充分的测试框架中的关系。
Although there are a variety of models and frameworks that describe factors that are associated with health literacy skills, few illustrate the full pathway from development and moderators of health literacy skills, their application, and the outcomes that result all in one framework or model. This article introduces the Health Literacy Skills conceptual framework that does encompass this full continuum. To develop the framework, the authors reviewed and built upon existing health literacy frameworks. The Health Literacy Skills framework hypothesizes the relations between health literacy and health-related outcomes and depicts how health literacy functions at the level of the individual. The framework also reflects how factors external to the individual (e.g., family, setting, community, culture, and media) influence the constructs and relations represented in the framework. The framework is organized into 4 primary components: (a) factors that influence the development and use of health literacy skills; (b) health-related stimuli; (c) health literacy skills needed to comprehend the stimulus and perform the task; and (d) mediators between health literacy and health outcomes. Previous theoretical frameworks lend support to the proposed causal pathways it illustrates. The authors hope this conceptual framework can serve as a springboard for further discussion and advancement in operationalizing this complex construct. The Health Literacy Skills framework could also be used to guide the development of interventions to improve health literacy. Future research should be conducted to fully test the relations in the framework.