Structural modelling and assessment of health literacy in allergy prevention of new parents (Measurement)

新父母过敏预防健康素养的结构建模和评估（测量）

• 批准号: 427399523
• 负责人: Professor Dr. Markus Antonius Wirtz
• 金额: --
• 依托单位: Abteilung Forschungsmethoden
• 依托单位国家: 德国
• 项目类别: Research Units
• 资助国家: 德国
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/427399523?language=en
• 关键词: Structural; modelling; assessment; health; literacy

Parents of newborn children need appropriate health literacy (HL) to act responsible and adjuvant concerning preventive action for themselves and their families. This includes both preventing the development of allergies in newborns and preventing COVID-19 infections within the family. For diagnostic and evaluative assessment purposes there is a need to define the construct HL for the application fields of early childhood allergy prevention (ECAP) as well as COVID-19 prevention and its structural facets. Based on this conceptual foundation a comprehensive multidimensional assessment instrument will be developed, which allows measuring and analyzing parents’ facet levels of ECAP-HL and COVID-19-HL. The construct HL in the fields of ECAP and COVID-19 prevention will be investigated according to existing models of the more general construct HL. HL can be defined as the ability to purposefully access, comprehend, and reflect health related information as well as to apply the resulting conclusions to problems with respect to health-related decisions to maintain or improve quality of life during the life course. Health literate people are able to find and process health related information and to decide and act purposively to achieve beneficial health goals. ECAP-HL is a more specific construct addressing parent’s perspective on their child’s allergy. ECAP-HL is closely related to allergy specific knowledge, skills and capacities. The COVID-19-GK construct, on the other hand, focuses on the perspective of parents of newborns on the challenges arising from a pandemic situation. The COVID-19-related GK is closely linked to domain-specific knowledge aspects and parental attitudes towards pandemic-related interventions. Parents must be able to assess the child’s health state and risk factors, to pose answerable questions, to search relevant health information, to critically appraise evidence, to evaluate, and to apply the resulting conclusions in ECAP and COVID-19 prevention behavior. In modelling GK, attitudes, beliefs and behaviours of parents have to be taken into account, which are subject to adaptation processes in the phase of early parenthood and seem particularly relevant in times of pandemic. A comprehensive literature search on HL and ECAP as well as HL and COVID-19 and comparable pandemic situations as also interviews with new parents and experts will serve as basis for the conceptual and empirical research. To ensure a valid assessment, scenarios will be defined reflecting everyday life situations which are typical in the life of new parents. A comprehensive item pool will be developed and answered by N = 600 parents. Multidimensional construct properties and facet-specific item scales will be analyzed using Item-Response models. The finalized assessment will be validated in a second data collection phase (N = 300 parents). Within the HELICAP network WP6 organizes the communication on the development of a common understanding and a comprehensive definition of the multifaceted constructs ECAP-HL and COVID-19-HL. The ECAP-HL and COVID-19-HL assessment will provide an instrument which allows linking conceptualizations, design and results of HELICAP projects in the second funding phase. Thus, the HELICAP data of several projects can be evaluated in a comprehensive and integrated way, because the same assessments will be applied in different populations as well as scientific scopes and practice contexts investigating ECAP-HL and COVID-19-HL.

新生儿的父母需要适当的健康素养（HL），为自己和家人采取负责任的预防行动。这包括预防新生儿过敏和预防家庭内的COVID-19感染。出于诊断和评价评估的目的，有必要为儿童早期过敏预防（ECAP）以及COVID-19预防及其结构方面的应用领域定义HL结构。基于这一概念基础，将开发一个全面的多维评估工具，可以测量和分析父母的ECAP-HL和COVID-19-HL方面的水平。ECAP和COVID-19预防领域的HL结构将根据更一般的HL结构的现有模型进行研究。HL可以定义为有目的地访问，理解和反映健康相关信息的能力，以及将所得结论应用于与健康相关决策有关的问题，以维持或改善生命过程中的生活质量。有健康素养的人能够找到和处理与健康有关的信息，并有目的地做出决定和采取行动，以实现有益的健康目标。ECAP-HL是一个更具体的结构，解决父母对孩子过敏的看法。ECAP-HL与过敏特异性知识、技能和能力密切相关。另一方面，COVID-19-GK结构侧重于新生儿父母对大流行形势所带来挑战的看法。与COVID-19相关的GK与特定领域的知识方面和父母对流行病相关干预措施的态度密切相关。父母必须能够评估孩子的健康状况和风险因素，提出可回答的问题，搜索相关的健康信息，批判性地评估证据，评估并将得出的结论应用于ECAP和COVID-19预防行为。在建立GK模型时，必须考虑父母的态度、信仰和行为，这些在早期为人父母阶段会受到适应过程的影响，并且在大流行时期似乎特别相关。对HL和ECAP以及HL和COVID-19和可比流行情况的全面文献检索以及对新父母和专家的采访将作为概念和实证研究的基础。为了确保有效的评估，将定义反映新父母生活中典型的日常生活情况的情景。将开发一个综合项目库，并由N = 600名家长回答。将使用项目反应模型分析多维结构属性和特定方面的项目量表。最终评估将在第二个数据收集阶段进行验证（N = 300名家长）。在HELICAP网络内，WP 6组织了关于建立共同理解和全面定义ECAP-HL和COVID-19-HL多方面结构的交流。ECAP-HL和COVID-19-HL评估将提供一种工具，允许在第二资助阶段将HELICAP项目的概念化、设计和结果联系起来。因此，几个项目的HELICAP数据可以以全面和综合的方式进行评估，因为相同的评估将应用于不同的人群以及研究ECAP-HL和COVID-19-HL的科学范围和实践背景。