Development of the Verbal Exchange Health Literacy Measure

描述（由申请人提供）：发展的口头交流健康素养措施项目摘要/摘要拟议的研究解决了我们的理解功能性健康素养评估的差距。健康素养的定义是获得，处理和使用健康相关信息的能力，在知情的健康相关的护理决策。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，或者我们所说的语言交流健康素养。这包括患者对口头医疗建议或治疗方向的理解，以及明确的症状和问题。然而，在健康研究中，健康素养的措施仅限于病人的阅读能力，单词识别和/或数字使用的分类。拟议的研究的总体目标是制定一个多项目的功能性言语交流健康素养的评估措施。虽然大多数的健康接触是基于口头沟通，目前的健康素养的措施不捕捉功能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的突出功能性健康素养问题，2）开发一个多项目的功能性健康素养口头交流测量。拟议中的研究采用多步骤的战略，制定口头交流健康素养措施在两个地点：密歇根州东南部（安阿伯，底特律和伊普西兰蒂，MI）和伯明翰，亚拉巴马。将从社区诊所（包括FHQC）招募的患者中获得感知，并代表成人寿命。此外，一个由沟通、语言学、测量设计和健康素养专家组成的小组将为这一奋进提供专业知识。扩大对口头交流健康素养对健康结果的影响的理解，对解决高危人群的健康差距具有重要意义。 公共卫生相关性：患者和医生之间的大多数健康沟通是通过口头交流进行的。目前的功能性健康素养措施中缺少对通过口头交流交流的信息的理解和表达的评估。本研究将制定一项措施，功能性语言交流健康素养的评估后，严格的方法程序，确定突出的口头健康素养的问题，在病人和供应商之间的健康信息交流和发展的功能性语言交流健康素养的多项措施。

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.