Development of the Verbal Exchange Health Literacy Measure

描述（由申请人提供）：语言交流健康素养测量项目的发展摘要/摘要拟议的研究解决了我们对功能性健康素养评估的理解空白。健康素养被定义为在知情的健康护理决策中获取、处理和使用健康相关信息的能力。医学研究所讨论了“文字素养”、“口头素养”和“算术素养”作为卫生素养的基本组成部分。“口头素养”指的是听和说，或者我们所说的语言交流健康素养。这包括病人对口头医疗建议或治疗指示的理解，以及清楚表达症状和问题。然而，在卫生研究中，卫生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。本研究的总体目标是发展一种多功能的评估功能语言交流健康素养的方法。虽然大多数健康接触是基于口头交流，但目前的健康素养措施并没有捕捉到功能性健康素养的这一特定结构。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健康素养问题；2)开发一种语言交流功能健康素养的多项目测量方法。本研究采用多步骤策略，在密歇根州东南部（安阿伯，底特律和伊普斯兰蒂，密歇根州）和阿拉巴马州伯明翰两个地点开发语言交流健康素养测量。将从从社区诊所（包括fhqc）招募的患者中获得看法，并代表成人寿命。此外，一个由传播学、语言学、测量设计和卫生知识方面的专家组成的小组将为这一努力提供专业知识。扩大对语言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异具有重要意义。

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.