Adolescent health literacy and health behaviors: A systematic review

2018 ◽  
Vol 62 ◽  
pp. 116-127 ◽  
Author(s):  
Sasha A. Fleary ◽  
Patrece Joseph ◽  
Jessica E. Pappagianopoulos
Keyword(s):  
Systematic Review ◽  
Health Literacy ◽  
Health Behaviors ◽  
Adolescent Health

scholarly journals Optimizing Adolescent Health Behavior Programs

2020 ◽  
Vol 15 (3) ◽  
pp. 74-85
Author(s):  
Nicole F. Kahn
Keyword(s):  
Systematic Review ◽  
Health Behavior ◽  
Health Behaviors ◽  
Adolescent Health ◽  
21St Century ◽  
Final Section ◽  
The Core ◽  
Core Components ◽  
Adolescent Health Behaviors

This article summarizes the key messages and recommendations from the recent National Academies report, Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. The first section outlines important definitions and frameworks that guided the committee’s process. Next, the article describes the results of the committee’s systematic review, which aimed to identify the core components of programs and interventions that are effective across a variety of adolescent health behaviors and outcomes. The final section of this article presents a subset of the committee’s recommendations and promising approaches that can be useful to the diverse readership of this journal.

scholarly journals Realist-informed review of motivational interviewing for adolescent health behaviors

2021 ◽  
Author(s):  
Christina Mutschler ◽  
Erica Naccarato ◽  
Jen Rouse ◽  
Caitlin Davey ◽  
Kelly McShane
Keyword(s):  
Systematic Review ◽  
Health Behavior ◽  
Behavior Change ◽  
Health Behaviors ◽  
Motivational Interviewing ◽  
Adolescent Health ◽  
School Setting ◽  
Health Behavior Change ◽  
Effective Intervention ◽  
Future Research

Background Clinical research investigating effective intervention strategies for adolescents to improve health behaviors has shifted to the application of motivational interviewing (MI). Evidence indicates that MI is an effective intervention for improving health behaviors as related to diet, exercise, and diabetes among adolescents. However, there is a lack of understanding about the mechanisms through which MI works and the contextual factors impacting MI effectiveness. The purpose of this review was to understand how, for whom, and under what circumstances MI works for adolescent health behavior change, which will inform future implementation of this intervention. To provide this in-depth understanding, a realist-informed systematic review was conducted in order to synthesize the evidence on the use of MI for health behaviors. Self-determination theory (SDT) was chosen as the candidate theory for testing in the present review. Methods Databases including PsycINFO, Healthstar, Cochrane, and PubMed were searched for articles published until March 2017. The search strategy included studies that examined or reviewed the effectiveness or efficacy of MI to change health behaviors among adolescent populations. The search identified 185 abstracts, of which 28 were included in the review. The literature was synthesized qualitatively (immersion/crystallization) and tested SDT as the candidate theory. Results Based on SDT, three mechanisms were found within reviewed studies, including competence, relatedness, and autonomy. The following contexts were found to impact mechanisms: school setting, clinician MI proficiency, parental involvement, and peer involvement. Conclusions This realist-informed systematic review provides advances in understanding the mechanisms involved in MI for adolescent health behavior change. Additionally, it provides important practical information as to which contexts create the conditions for these mechanisms to occur, leading to health behavior change. The results can inform future MI interventions for adolescent health behavior change. Future research should continue to test this realist theory and also examine mechanism variables not extensively documented in order to improve our understanding of MI in this population.

Association of oral health literacy with oral health behaviors, perception, knowledge, and dental treatment related outcomes: a systematic review and meta-analysis

2018 ◽  
Vol 78 (3) ◽  
pp. 231-245 ◽  
Author(s):  
Ramon Targino Firmino ◽  
Carolina Castro Martins ◽  
Larissa dos Santos Faria ◽  
Saul Martins Paiva ◽  
Ana Flávia Granville-Garcia ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Health Literacy ◽  
Health Behaviors ◽  
Dental Treatment ◽  
Meta Analysis ◽  
Oral Health Literacy ◽  
Oral Health Behaviors

scholarly journals Peer social network processes and adolescent health behaviors: A systematic review

2020 ◽  
Vol 130 ◽  
pp. 105900 ◽  
Author(s):  
Shannon C. Montgomery ◽  
Michael Donnelly ◽  
Prachi Bhatnagar ◽  
Angela Carlin ◽  
Frank Kee ◽  
...  
Keyword(s):  
Systematic Review ◽  
Social Network ◽  
Health Behaviors ◽  
Adolescent Health ◽  
Adolescent Health Behaviors

scholarly journals Realist-informed review of motivational interviewing for adolescent health behaviors

2021 ◽  
Author(s):  
Christina Mutschler ◽  
Erica Naccarato ◽  
Jen Rouse ◽  
Caitlin Davey ◽  
Kelly McShane
Keyword(s):  
Systematic Review ◽  
Health Behavior ◽  
Behavior Change ◽  
Health Behaviors ◽  
Motivational Interviewing ◽  
Adolescent Health ◽  
School Setting ◽  
Health Behavior Change ◽  
Effective Intervention ◽  
Future Research

Background Clinical research investigating effective intervention strategies for adolescents to improve health behaviors has shifted to the application of motivational interviewing (MI). Evidence indicates that MI is an effective intervention for improving health behaviors as related to diet, exercise, and diabetes among adolescents. However, there is a lack of understanding about the mechanisms through which MI works and the contextual factors impacting MI effectiveness. The purpose of this review was to understand how, for whom, and under what circumstances MI works for adolescent health behavior change, which will inform future implementation of this intervention. To provide this in-depth understanding, a realist-informed systematic review was conducted in order to synthesize the evidence on the use of MI for health behaviors. Self-determination theory (SDT) was chosen as the candidate theory for testing in the present review. Methods Databases including PsycINFO, Healthstar, Cochrane, and PubMed were searched for articles published until March 2017. The search strategy included studies that examined or reviewed the effectiveness or efficacy of MI to change health behaviors among adolescent populations. The search identified 185 abstracts, of which 28 were included in the review. The literature was synthesized qualitatively (immersion/crystallization) and tested SDT as the candidate theory. Results Based on SDT, three mechanisms were found within reviewed studies, including competence, relatedness, and autonomy. The following contexts were found to impact mechanisms: school setting, clinician MI proficiency, parental involvement, and peer involvement. Conclusions This realist-informed systematic review provides advances in understanding the mechanisms involved in MI for adolescent health behavior change. Additionally, it provides important practical information as to which contexts create the conditions for these mechanisms to occur, leading to health behavior change. The results can inform future MI interventions for adolescent health behavior change. Future research should continue to test this realist theory and also examine mechanism variables not extensively documented in order to improve our understanding of MI in this population.

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

BMJ Open ◽  
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.

scholarly journals Health literacy, health status and health behaviors of German students– study protocol for the “Healthy Habits” cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Martin Lange ◽  
Alexandra Löwe ◽  
Gerrit Stassen ◽  
Andrea Schaller
Keyword(s):  
Cohort Study ◽  
Health Status ◽  
Health Literacy ◽  
Health Behavior ◽  
Health Behaviors ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
The State ◽  
The Impact ◽  
Study Format

Abstract Background The emerging adulthood is traditionally viewed as a time of optimal health, but also as a critical life span, characterized by changing life circumstances and the establishment of an individual lifestyle. Especially university life seems to hold several challenges impeding the manifestation of a health supporting manner, as many students tend to show a poorer health behavior and a higher amount of health-related problems than comparable age groups. This, along with a steady growth of the higher education sector, brings increased attention to the university setting in the context of prevention. To date, there are few empirical longitudinal and coherent cross-sectional data on the status of students’ health literacy, health status, and health behaviors, and on the impact of the study format on students’ health. The aim of this prospective cohort study is to reduce this research gap. Methods Starting during winter semester 2020/21, the prospective cohort study collects data on health literacy, health status and health behavior on a semester-by-semester basis. All enrolled students of the IST University of Applied Sciences, regardless of study format and discipline, can participate in the study at the beginning of their first semester. The data are collected digitally via a specifically programmed app. A total of 103 items assess the subjectively perceived health status, life and study satisfaction, sleep quality, perceived stress, physical activity, diet, smoking, alcohol consumption, drug addiction and health literacy. Statistical analysis uses (1) multivariate methods to look at changes within the three health dimensions over time and (2) the association between the three health dimensions using multiple regression methods and correlations. Discussion This cohort study collects comprehensive health data from students on the course of study. It is assumed that gathered data will provide information on how the state of health develops over the study period. Also, different degrees of correlations of health behavior and health literacy will reveal different impacts on the state of students’ health. Furthermore, this study will contribute to empirically justified development of target group-specific interventions. Trial registration German Clinical Trials Register: DRKS00023397 (registered on October 26, 2020).

Health Literacy and Its Mediating Role in Predicting Health Behaviors Among Chinese Secondary Students

2020 ◽  
pp. 101053952098092
Author(s):  
Shuaijun Guo ◽  
Lucio Naccarella ◽  
Xiaoming Yu ◽  
Rebecca Armstrong ◽  
Geoffrey Browne ◽  
...  
Keyword(s):  
Health Literacy ◽  
Health Behaviors ◽  
Secondary Students ◽  
School Environment ◽  
Mainland China ◽  
Holistic Approach ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mediating Role ◽  
Chinese School

While health literacy research in mainland China has gained increasing attention, most studies focus on adults. This study aimed to examine the mediating role of health literacy in the relationship between a range of upstream factors and health behaviors among Chinese secondary students. A cross-sectional study was conducted with 650 students in Years 7 to 9 from 4 secondary schools in Beijing. Based on an adapted health literacy framework from Manganello, a self-administered questionnaire was designed to collect information on upstream factors, health literacy, and health behaviors. Path analysis results showed that the proposed framework was mostly supported by empirical data after modification indices were examined and 3 direct paths were added. Students’ self-efficacy, social support, and school environment were associated with health literacy, which in turn predicted health behaviors. A holistic approach is needed to improve both adolescent health literacy and health behaviors for Chinese school-aged adolescents.

scholarly journals The Impact of COVID-19 School Closure on Child and Adolescent Health: A Rapid Systematic Review

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 415
Author(s):  
Sonia Chaabane ◽  
Sathyanarayanan Doraiswamy ◽  
Karima Chaabna ◽  
Ravinder Mamtani ◽  
Sohaila Cheema
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Adolescent Health ◽  
Children With Disabilities ◽  
Child And Adolescent ◽  
Emergency Department Visits ◽  
School Closure ◽  
School Closures ◽  
Child And Adolescent Health ◽  
The Impact

School closures during pandemics raise important concerns for children and adolescents. Our aim is synthesizing available data on the impact of school closure during the coronavirus disease 2019 (COVID-19) pandemic on child and adolescent health globally. We conducted a rapid systematic review by searching PubMed, Embase, and Google Scholar for any study published between January and September 2020. We included a total of ten primary studies. COVID-19-related school closure was associated with a significant decline in the number of hospital admissions and pediatric emergency department visits. However, a number of children and adolescents lost access to school-based healthcare services, special services for children with disabilities, and nutrition programs. A greater risk of widening educational disparities due to lack of support and resources for remote learning were also reported among poorer families and children with disabilities. School closure also contributed to increased anxiety and loneliness in young people and child stress, sadness, frustration, indiscipline, and hyperactivity. The longer the duration of school closure and reduction of daily physical activity, the higher was the predicted increase of Body Mass Index and childhood obesity prevalence. There is a need to identify children and adolescents at higher risk of learning and mental health impairments and support them during school closures.

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