Measuring oral health literacy: a scoping review of existing tools.

Measuring oral health literacy: a scoping review of existing tools.
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DOI:
10.1186/1472-6831-14-148
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发表时间:
2014-12-04
期刊:
影响因子:
2.9
通讯作者:
Larkins S
Larkins S
中科院分区:
医学3区
文献类型:
--
作者:
Dickson-Swift V;Kenny A;Farmer J;Gussy M;Larkins S

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这篇文章介绍了对用于测量口腔健康素养的工具进行范围审查的结果。在国际上,人们对口腔健康知识的兴趣受到口腔健康差距的推动,特别是对弱势群体而言,龋齿和牙周病等疾病极大地加重了全球疾病负担。对衡量口腔健康素养的日益重视与衡量更广泛的健康素养的理由是一致的,即通过评估口腔健康素养,可以决定在政策和实践层面上采取干预措施,以改善个人和人口层面的口腔健康。有许多工具可以使用一系列指标来衡量口腔健康素养。一项范围审查旨在绘制现有工具的地图,这些工具旨在衡量口腔健康素养(OHL)。开发并绘制了关键搜索词。使用了选定的数据库,确定了32项相关研究,报告了一系列OHL工具。我们确定了32篇报告了一系列口腔健康素养工具的文章。许多研究使用了成人牙科素养快速评估(RealD)和/或牙科功能性健康素养测试(ToFHLiD),这些工具是从早期设计的工具发展而来的,旨在衡量更广泛的健康素养。这些工具受到广泛批评,因为它们只提供了主要基于单词识别的OHL的大致测量。一些较新的工具包括了包括算术和口腔健康概念性知识在内的口腔健康素养的新衡量标准,然而,衡量口腔健康素养重要指标的工具很少,例如服务导航。这次范围划分的结果证实了我们初步扫描的发现,即大多数工具严重偏向于单词识别、算术和阅读技能,而不是这在健康行为和服务利用方面意味着什么。最近的发展试图纳入其他被认为重要的方面,包括决策和服务导航。将这些方面纳入较新的工具将为口腔健康研究人员和政策制定者提供进一步的证据,证明在设计改善口腔健康的干预措施时口腔健康素养的重要性。
This article presents findings from a scoping review of tools used to measure oral health literacy. Internationally, interest in oral health literacy is driven by oral health disparities, particularly for disadvantaged groups, with conditions such as dental caries and periodontal disease contributing substantially to the global burden of disease. The increasing focus on measuring oral health literacy aligns with reasons for measuring broader health literacy, that is, by assessing oral health literacy, decisions can be made about instigating interventions at policy and practice level to improve individual and population level oral health. There are numerous tools available that measure oral health literacy using a range of indicators. A scoping review was designed to map the existing tools designed to measure oral health literacy (OHL). Key search terms were developed and mapped. Selected databases were used that identified 32 relevant studies reporting a range of OHL tools. We identified 32 articles that reported a range of oral health literacy tools. Many of the studies used the Rapid Estimate of Adult Literacy in Dentistry (REALD) and/or the Test of Functional Health Literacy in Dentistry (ToFHLiD) that were developed from earlier tools designed to measure broader health literacy. These tools have been widely criticised for providing only an approximate measure of OHL based mainly on word recognition. A number of newer tools have included new measures of oral health literacy including numeracy and oral health conceptual knowledge however tools that measure important indicators of oral health literacy such as service navigation are rare. Findings from this scoping exercise confirm our findings from preliminary scans that the majority of tools are heavily biased towards word recognition, numeracy and reading skills, rather than what this means in terms of health behaviours and service utilisation. More recent developments have attempted to incorporate other aspects considered important, including decision making and service navigation. The incorporation of these aspects into newer tools will provide oral health researchers and policy makers with further evidence of the importance of oral health literacy when designing interventions to improve oral health.
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