A Social Ecological Conceptual Framework for Understanding Adolescent Health Literacy in the Health Education Classroom

In developing an effective Chidhood weight management, it needs to be based on a theory. The Social Cognitive theory (SCT) and Urie Bronfenbrenner model with integrated Kolb's model of Learning Styles and Experiential Learning is used in this study to modify and make changes to the personal factor influences such as knowledge, attitude and expectations, behavior modification and environmental influences among overweight and obese school children. The aim of this study is to provide a new model for the professional development role of the nurses in the School Health Program (SHP) and health education promotion towards obese school children to improve their quality of life. Furthermore, in this study SHP and future health education and promotion are integrated with the role of SHN to facilitate the effective management of childhood obesity. Keywords: obesity; school children; school nurses; conceptual framework;weight management eISSN 2514-7528 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/jabs.v4i13.331

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Development and validity testing of the Adolescent Health Literacy Questionnaire (AHLQ): Protocol for a mixed methods study within the Irish school setting

BMJ Open ◽

10.1136/bmjopen-2020-039920 ◽

2020 ◽

Vol 10 (11) ◽

pp. e039920

Author(s):

Ailbhe Spillane ◽

Sarahjane Belton ◽

Clare McDermott ◽

Johann Issartel ◽

Richard H Osborne ◽

...

Keyword(s):

Mixed Methods ◽

Health Literacy ◽

Young People ◽

Adolescent Health ◽

Pearson Correlation ◽

Adult Population ◽

School Setting ◽

Mixed Methods Study ◽

Advisory Panel ◽

Validity Testing

IntroductionHealth literacy research has focused predominantly on the adult population, and much less is understood about this concept from an adolescent perspective. The tools currently available to measure adolescent health literacy have been adapted from adult versions. This limits their applicability to young people because of the developmental characteristics that impact on adolescents’ behaviour, including impulse control and judgement skills. This protocol describes the intended development and validity testing of a questionnaire to measure health literacy in adolescents.Methods and analysisThis protocol describes this mixed methods study that has three phases: the first phase will involve grounded research with adolescents using qualitative group interviews, co-design and concept mapping workshops to understand what health and healthy behaviours mean to adolescents and to explore their health literacy needs and the potential domains for the questionnaire. The draft health literacy domains identified will be presented to the youth advisory panel, and the questionnaire will be altered based on their feedback. Cognitive pretesting of the questionnaire items will also be conducted. Phase 2 will involve piloting the questionnaire to a two-stage random sample of young people in five urban and rural schools in Ireland. Test–retest reliability will be conducted using Pearson correlation coefficient. Confirmatory factor analysis will also be conducted to analyse the psychometric properties of the questionnaire. Phase 3 will involve the questionnaire being rolled out to a nationally representative sample of adolescents (n=6052) in Ireland to assess their levels of health literacy.Ethics and disseminationEthical approval to conduct this study has been granted from the University College Dublin Human Research Ethics Committee – Sciences (LS-20–08). Informed assent from adolescents and informed consent from parents/guardians will be sought. The findings of this research will be disseminated at national and international conferences, as well as through publication in peer-reviewed journals.

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Community-based intervention to prevent the incidence of Non-Communicable Diseases in the migrant population: Pilot study in Valencia (Spain)

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1445 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Gil-Salmerón

Keyword(s):

Health Care ◽

Health Literacy ◽

Health Education ◽

Host Country ◽

Health Care Access ◽

Communicable Diseases ◽

Community Services ◽

Migrant Population ◽

Non Communicable Diseases ◽

Life Years

Abstract Non-Communicable Diseases (NCDs) are prevalent in the migrant population with increased years of residency in the host country. In this regard, health education and lifestyle interventions have proven to be cost-effective modifying risk factors. The Spanish pilot of the Mig-HealthCare project directly aims to reduce the prevalence of NCDs reducing the well-known “healthy migrant effect” by increasing the levels of health literacy and also turning the lifestyles of the participants into healthier habits in the host country. The Mig-HealthCare pilot in Spain is a one-month group-based Health Education and Lifestyle Intervention to prevent the incidence of non-communicable diseases in Migrant and refugee populations addressing their Acculturation Process (HELP-MAP). Consequently, the pilot intervention addressing 4 topics: health literacy, physical activity, dietary patterns and strategies for coping with stress. The implementation of the pilot will be carried out in two different community services (i) one NGO providing care and accommodation for asylum seekers and (ii) three social care units within primary health care centres. Furthermore, following the Mig-Healthcare study protocol evaluation will focus on acculturation strategies, level of health literacy, physical exercise, change in diet, use of health care access and Quality-Adjusted life-years (QALY)

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Defining Taiwanese children’s health literacy abilities from a health promotion perspective

Global Health Promotion ◽

10.1177/1757975915626114 ◽

2016 ◽

Vol 24 (4) ◽

pp. 69-80 ◽

Cited By ~ 3

Author(s):

Li-Ling Liao ◽

Chieh-Hsing Liu ◽

Chi-Chia Cheng ◽

Tzu-Chau Chang

Keyword(s):

Health Promotion ◽

Health Literacy ◽

Health Education ◽

Life Experiences ◽

Real Life ◽

Operational Definition ◽

Children's Health ◽

Functional Health ◽

Children’S Health ◽

Measurement Tool

Background: Health literacy is related to health inequality, health behaviors, and health status. Globally, health literacy has primarily focused on adults and has been based on the medical model. It is necessary to understand children’s life experiences as they relate to health; thus, this study attempted to evaluate and describe the health literacy abilities of sixth-graders in Taiwan. Methods: Interviews were conducted with 10 teachers and 11 caregivers, and focus groups were conducted with 32 children. Health literacy abilities corresponding to real-life situations were identified from life skills and the Taiwanese Curriculum Guidelines for health education. Three expert meetings were held to redefine children’s health literacy using a health promotion perspective and confirmed indicators. Results: An operational definition of three aspects of children’s health literacy and 25 abilities was proposed: 11 functional health literacy abilities (e.g. understands the connection between personal health care behaviors and health); seven interactive health literacy abilities (e.g. obtains and understands information from various channels); and seven critical health literacy abilities (e.g. analyzes the relationship between personal needs and diet choices for a balanced diet). These indicators cover 10 health education categories. Conclusions: These findings highlight the importance of understanding Taiwanese children’s health literacy, and the urgency of developing an appropriate measurement tool. The definition and indicators in this study were identified using a child-centered approach focusing on children’s real-life experiences. The result serves as a solid basis for the development of the Taiwan Children’s Health Literacy Scale, and provides information for the decision-making sector on health education.

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