Development of the Verbal Exchange Health Literacy Measure

描述(由申请人提供)：口头交流健康素养测量项目的发展摘要/摘要拟议的研究旨在解决我们对功能性健康素养评估的理解上的差距。健康素养被定义为在知情的健康相关保健决策中获取、处理和使用健康相关信息的能力。医学研究所讨论了“印刷识字”、“口头识字”和“算术”作为健康识字的基本组成部分。“口语素养”指的是听和说，或我们所说的言语交流健康素养。这包括患者对口头医疗建议或治疗说明的理解，以及清楚地表达症状和问题。然而，在健康研究中，健康素养措施仅限于对患者阅读能力、单词识别和/或数字使用的分类。这项拟议研究的总体目标是开发一种评估功能性言语交流健康素养的多项目测量方法。虽然大多数健康接触是基于口头交流，但目前的健康素养衡量标准并没有涵盖功能性健康素养的这一具体结构。该项目旨在1)从患者的角度确定健康信息口头交流中突出的功能性健康素养问题，2)为言语交流制定功能性健康素养的多项目衡量标准。这项拟议的研究采用多步骤策略，在密歇根州东南部(底特律的安娜堡和密歇根州的伊普西兰蒂)和阿拉巴马州的伯明翰两个地点开发了言语交流健康素养测量工具。从社区诊所(包括FHQC)招募的代表成人寿命的患者将产生看法。此外，一个由沟通、语言学、测量设计和健康素养方面的专家组成的小组将在这一努力中提供专业知识。扩大对言语交流健康素养对健康结果影响的理解，对于解决高危人群的健康差距具有重要意义。 公共卫生相关性：患者和从业者之间的大部分健康交流是通过口头交流进行的。目前对功能性健康素养的衡量标准中缺少对通过语言交流交流的信息的理解和表达的评估。这项研究将制定一种评估功能性言语交流健康素养的措施，遵循严格的方法学程序，以确定患者与提供者之间的健康信息交流中突出的言语健康素养问题，并制定功能性言语交流健康素养的多项目测量。

DESCRIPTION (provided by applicant): Development of the Verbal Exchange Health Literacy Measure Project Summary/Abstract The proposed research addresses a gap in our understanding of functional health literacy assessment. Health literacy is defined as the ability to obtain, process, and use health related information in informed health related care decisions. The Institute of Medicine discusses "print literacy," "oral literacy" and "numeracy" as the basic components of health literacy. "Oral literacy" refers to listening and speaking or what we term verbal-exchange health literacy. This includes patient understanding of spoken medical advice or treatment directions as well as articulating symptoms and questions. Yet, in health research, health literacy measures are limited to the classification of patient reading ability, word recognition and/or number use. The overall objective of the proposed study is to develop a multi-item measure for the assessment of functional verbal-exchange health literacy. Although the majority of health encounters are based on spoken communication, current measures of health literacy do not capture this specific construct of functional health literacy. The project aims to 1) identify the salient functional health literacy issues in the verbal exchange of health information from the patient perspective and 2) develop a multi-item measure of functional health literacy for verbal communication. The proposed study utilizes a multi-step strategy to develop the Verbal Exchange Health Literacy Measure in two sites: southeast Michigan (Ann Arbor, Detroit and Ypsilanti, MI) and Birmingham, Alabama. Perceptions will be elicited from patients recruited from community clinics (including FHQCs) and representing the adult life span. As well, a panel of experts in communication, linguistics, measurement design, and health literacy will provide expertise in this endeavor. Expanding the understanding of verbal exchange health literacy's impact on health outcomes has important implications for addressing health disparities in high risk populations. PUBLIC HEALTH RELEVANCE: The majority of health communications between patient and practitioners are delivered by verbal communication - exchange. Missing from current measures of functional health literacy is the assessment of understanding and articulation of information exchanged through verbal communication. This study will develop a measure for the assessment of functional verbal-exchange health literacy following strict methodological procedures for the identification of salient verbal health literacy issues in the exchange of health information between patients and providers and the development of a multi-item measure of functional verbal-exchange health literacy.