Development of a Spanish Health Literacy Assessment Tool

西班牙健康素养评估工具的开发

• 批准号: 6548450
• 负责人: DANIEL S LEE
• 金额: $ 9.98万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2004-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6548450
• 关键词: Hispanic Americans; behavioral /social science research tag; clinical research; health behavior; health care policy; health care quality; health care service utilization; health services research tag; hospital utilization; human subject; interview; low socioeconomic status; medically underserved population; multilingualism; nonEnglish language; reading

DESCRIPTION: (Adapted from the Application) The purpose of the applicant is to develop a health literacy assessment tool for the Spanish-speaking population. Specifically, the applicant is intended to validate an assessment tool to be developed based on the Rapid Estimate of Adult Literacy in Medicine (REALM), which is known to be the most efficient and easily administered tool to assess health literacy in English. The validation of the new assessment tool, which we term the Spanish Rapid Estimate of Adult Literacy in Medicine (S-REALM), involves testing and comparing the tool with other health literacy assessment instruments in a sample of 200 Spanish-speaking and 200 English-speaking subjects to be recruited from the Ambulatory Care Center at the University of North Carolina Hospitals. The past several years have witnessed a growing societal concern with low health literacy and its health toll. Research has shown that low health literacy may be associated with low health status and increased rates of hospitalization. Given the rapid growth of Hispanic residents in our nation, the development of a reliable and easy-to-use health literacy assessment tool in Spanish cannot be overemphasized. We anticipate that the S-REALM will take about 5 minutes to administer. Therefore, health professionals can use it in clinics and public health settings to assess the health literacy level of Spanish-speaking patients. This will enhance health professionals? ability to communicate with, and, thus, deliver better medical services, to Spanish-speaking patients. Moverover, the S-REALM can be used as a health literacy screening tool in local Hispanic communities. The result will improve our understanding of the specific health and personal needs of Hispanic residents and help policy makers, researchers, and community groups design intervention and educational programs that suit the health literacy level of this under-served population.

描述：（改编自申请）申请人的目的是为西班牙语人群开发健康素养评估工具。具体来说，申请人打算验证基于成人医学素养快速评估（REALM）开发的评估工具，该工具被认为是评估英语健康素养最有效且易于管理的工具。我们将新的评估工具称为“西班牙成人医学素养快速评估”(S-REALM)，其验证包括在从北卡罗来纳大学医院门诊护理中心招募的 200 名西班牙语和 200 名英语受试者样本中对该工具与其他健康素养评估工具进行测试和比较。 过去几年，社会对健康素养低下及其造成的健康损失日益关注。研究表明，健康素养低可能与健康状况不佳和住院率增加有关。鉴于我国拉美裔居民的快速增长，开发可靠且易于使用的西班牙语健康素养评估工具怎么强调都不为过。我们预计 S-REALM 的管理时间大约需要 5 分钟。因此，卫生专业人员可以在诊所和公共卫生机构中使用它来评估西班牙语患者的健康素养水平。这会增强卫生专业人员的能力吗？与西班牙语患者沟通的能力，从而为他们提供更好的医疗服务。此外，S-REALM 可以用作当地西班牙裔社区的健康素养筛查工具。结果将提高我们对西班牙裔居民的具体健康和个人需求的了解，并帮助政策制定者、研究人员和社区团体设计适合这一服务不足人群的健康素养水平的干预和教育计划。