PROJECT 4 - HEALTH LITERACY AND CANCER PREVENTION; DO PEOPLE UNDERSTAND WHAT THEY

项目 4——健康素养和癌症预防；

基本信息

批准号：
7817047
负责人：
KATHLEEN Michele MAZOR
金额：
$ 72.61万
依托单位：
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/7817047
关键词：
Adult Advocate Affect Age American Attention Award Behavior Cancer Control Cancer Research Network Characteristics Chronic Disease Clinic Clip Collection Communication Complex Comprehension Computers Costs and Benefits Cultural Backgrounds Data Decision Making Development Diet Dimensions Disease Eating Economics Education Ensure Ethnic Origin Evaluation Failure Foundations Funding Future Gender Geographic Locations Goals Group Identifications Guidelines Hawaii Health Health Communication Health Personnel Health Planning Health behavior Health behavior outcomes Healthcare Healthcare Systems Hearing Income Individual Intervention Intervention Studies Interview Language Length Malignant Neoplasms Massachusetts Measurement Measures Medical Methods Modeling Modification Morbidity - disease rate Oral Oral health Participant Patient Self-Report Patients Perception Phase Physical activity Physicians Population Prevalence Prevention Preventive Printing Procedures Process Provider Psychometrics Public Domains Qualitative Methods Race Randomized Reading Recommendation Records Recruitment Activity Relative (related person)Report (document)Research Research Infrastructure Research Personnel Resources Risk Risk Behaviors Risk Factors Risk Reduction Sampling Screening for cancer Screening procedure Secondary Prevention Series Simulate Site Smoking Smoking Status Socioeconomic Status Speed Sunscreening Agents Techniques Television Testing Text Tobacco United States Validity and Reliability Work Writing base behavior change burden of illness cancer prevention experience good diet health disparity health literacy improved instrument literacy member mortality oral cancer prevention oral communication racial and ethnic research study response risk perception skills sound theories virtual

项目摘要

This application proposes to develop a test to assess comprehension of oral (i.e., spoken) messages about cancer prevention and screening, to examine the relationship between health literacy and cancer prevention, and to test whether modifications to oral messages can improve comprehension. Findings will lay the foundation for future research into the prevalence of inadequate health literacy-oral; identification of groups and individuals with inadequate comprehension skills, identification of risk factors and causes of limited comprehension; and development and evaluation of interventions to improve comprehension of orally transmitted messages. .The specific aims are: 1) to develop and validate a psychometrically sound test of Health Literacy-Oral, 2) to investigate the relationship between health literacy-oral and cancer prevention behaviors and 3) to develop and test recommendations for improving oral communication about cancer prevention and screening. Test development will include identification of authentic health messages about cancer and cancer prevention. Item development will be iterative, with items generated and reviewed by a team of experts in psychometrics, physician-patient communication, health communication, language comprehension and cancer. An award-winning medical writer/producer will create high quality video- and audio-tapes of typical cancer prevention messages simulating actual messages encountered in the media and in health care settings. Comprehension questions will be written using the Sentence Verification Technique. To avoid potential contamination with print literacy, absolutely no reading will be required; all text will have accompanying voiceover. After extensive pretesting and piloting, items will be administered to a diverse sample of 900 health plan members, recruited from 3 health plans across the United States (from Massachusetts, Georgia, and Hawaii). Classical and modern test theory procedures will be used to examine item and test characteristics, and to estimate reliability. Validity studies will include assessment of dimensionality and differential item functioning, and correlations with external measures. The relationship between health literacy-oral and cancer prevention will be investigated through models predicting cancer prevention practices (self-reported) and participation in cancer screening utilization (self reported and documented in health plan records). Multivariate models will test for the relative contributions of health Jiteracy-print, demographic variables, physician recommendations, perceived risk/worry, and perceived costs and benefits of screening. Both quantitative and qualitative methods will be used to identify the factors that affect comprehensibility of oral messages about cancer prevention and screening. Recommendations for modifying oral messages so that they are easily comprehensible will be developed, and the impact of specific enhancements will be tested in a randomized experiment.

本申请建议开发一项测试，以评估对口头（即口语）信息的理解预防癌症和筛查，以检查健康素养与预防癌症之间的关系，并测试对口服消息的修改是否可以提高理解。调查结果将放置未来研究健康素养 - 口腔不足的研究基础；识别组和个人理解能力不足的人，识别风险因素和原因有限的原因理解;以及开发和评估干预措施以提高对口服的理解传输消息。。具体目的是：1）开发和验证一项对心理测试的测试健康素养 - 2）调查健康素养和预防癌症之间的关系行为和3）开发和测试建议改善有关癌症的口腔交流的建议预防和筛查。测试开发将包括识别有关的真实健康信息预防癌症和癌症。项目开发将是迭代的，并由A生成和审查的项目心理计量学专家团队理解和癌症。屡获殊荣的医学作家/制作人将创建高质量的视频和典型的预防癌症预防信息的音频录像，模拟媒体遇到的实际消息并在医疗保健环境中。理解问题将使用句子验证编写技术。为了避免对印刷素养的潜在污染，绝对不需要阅读；所有文字将随附配音。经过大规模的测试和试点后，将对一个物品进行管理从美国的3个健康计划中招募的900名健康计划成员的不同样本（来自马萨诸塞州，佐治亚州和夏威夷）。经典和现代的测试理论程序将用于检查项目和测试特征，并估计可靠性。有效性研究将包括评估维度和差异项目功能，以及与外部措施的相关性。关系在健康素养 - 口腔和预防癌症之间，将通过预测癌症进行研究预防实践（自我报告）和参与癌症筛查利用率（自我报告和记录在健康计划记录中）。多元模型将测试健康的相对贡献 Jiteracy-Print，人口统计学变量，医师建议，感知的风险/忧虑和感知成本和筛选的好处。定量和定性方法都将用于确定因素影响有关预防癌症和筛查的口腔信息的可理解性。建议修改口服消息，以便将它们易于理解，并将其影响在随机实验中将测试特定的增强功能。