scholarly journals „Hogy minden beteg megértse!” – Az egészségműveltség (health literacy) mérése Magyarországon

2016 ◽  
Vol 157 (23) ◽  
pp. 905-915 ◽  
Author(s):  
Orsolya Papp-Zipernovszky ◽  
Lilla Náfrádi ◽  
Peter J. Schulz ◽  
Márta Csabai

Inroduction: The efficiency of healing is determined by the ability of the patients to comprehend and to apply properly the information provided by the doctors. This ability is influenced by age, intelligence and social background, but above all by health literacy. Aim: The aim of the present study was to translate and adapt the Hungarian version of the Short-Test of Functional Health Literacy, which is a performance based measure and the perception-based Chew screening questions for health literacy in Hungary. Method: The sample consisted of 302 people, and it was closely representative for the Hungarian population. Results: The reliability of the reading part of the Short-Test of Functional Health Literacy was excellent, and it was also acceptable regarding the Chew screening questions, but it showed low internal consistency concerning the numeracy part of the Short-Test of Functional Health Literacy. Based on the Short-Test of Functional Health Literacy reading scores, participants were categorized into three groups: 8% had inadequate, 6% marginal and 86% adequate health literacy levels. Regarding participants without a chronic illness tended to possess higher health literacy levels based on all the three measurments. Conclusions: The availability of these measures of health literacy in Hungary can play a crucial role in doctor-patient communication as well as health promotion, that can contribute to develop health literacy policies leading to reduced health care costs in the future. Orv. Hetil., 2016, 157(23), 905–915.

2019 ◽  
Vol 28 ◽  
Author(s):  
Jéssica Naylla de Melo Bezerra ◽  
Sara Rebeca de Oliveira Lessa ◽  
Marcelo Francisco do Ó ◽  
Givaneide Oliveira de Andrade Luz ◽  
Anna Karla de Oliveira Tito Borba

ABSTRACT Objective: to assess the functional levels of health literacy in individuals undergoing dialysis. Method: a cross-sectional study with 42 patients of the Nephrology Unit of a public hospital in Recife, Brazil, from May to August 2016. Data were collected through scripted interviews and chart analysis. Functional health literacy was measured using the Brazilian version of the Short-Test of Functional Health Literacy in Adults questionnaire. Data analysis was performed using the Statistical Package for Social Sciences (SPSS®) software, version 18.0, with a univariate analysis to verify the association between independent variables and functional health literacy levels using Fisher's exact test. Results: 80.9% of the patients presented inadequate health literacy and 19.1% presented adequate health literacy. The number of correct answers remained between 0-18 in the reading comprehension and in the scheduling appointment card. Among the independent variables, only marital status (p-value=0.018) and personal income (p-value=0.009) were factors associated with the worst scores in the test, indicating that these variables influence the increase in inadequate literacy. Conclusion: the prevalence of inadequate functional literacy was high, reflecting difficulties in understanding and processing health information, which may interfere with therapeutic management and self-care.


2019 ◽  
Vol 27 (4) ◽  
pp. 320-325 ◽  
Author(s):  
Lilla Náfrádi ◽  
Orsolya Papp-Zipernovszky ◽  
Peter J. Schulz ◽  
Márta Csabai

Author(s):  
David W. Baker ◽  
Mark V. Williams ◽  
Ruth M. Parker ◽  
Julie A. Gazmararian ◽  
Joanne Nurss

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505103p1-7512505103p1
Author(s):  
Jennifer Fortuna

Abstract Date Presented 04/13/21 This study explored associations between health literacy and severity of visual impairment in older adults with age-related macular degeneration (AMD). The Short Test of Functional Health Literacy in Adults was used to assess health literacy for timed and untimed testing conditions. A one-way analysis of variance was used for analysis. Timed, 73% of participants had inadequate health literacy. Untimed, 100% of participants had adequate health literacy. All scores improved with the time limit removed. Time may be underrecognized factor of reading performance in older adults with AMD. Primary Author and Speaker: Jennifer Fortuna Contributing Authors: Tina Fletcher, Catherine Candler, and Karen Dunlap


2022 ◽  
Vol 11 (1) ◽  
pp. e3211124481
Author(s):  
Karen Miyamoto Moriya ◽  
Tatiana Ikeda Condo ◽  
José Maria Montiel ◽  
Gisele Garcia Zanca

Objetivo: Investigar possíveis diferenças na qualidade de vida, percepção de dificuldade de acesso a serviços de saúde e presença de doenças crônicas em idosos com letramento em saúde (LS) adequado e inadequado. Métodos: Foram avaliados 30 idosos e coletados dados de escolaridade, percepção de dificuldade de acesso a serviços de saúde, ter plano de saúde suplementar, relato de quedas e de doenças crônicas. O LS foi avaliado por meio do Short Test of Functional Health Literacy in Adults e a qualidade de vida por meio do 12-Item Short-Form Health Survey (SF-12). Os dados foram comparados entre grupos de idosos com LS adequado (n=15) e inadequado (n=15) utilizando testes t para amostras independentes, teste de Mann-Whitney e teste exato de Fisher, considerando significância de 5%. Resultados: Não houve diferença entre grupos quanto à escolaridade, escores físico e mental do SF-12. O grupo com LS inadequado apresentou percepção de menor limitação no trabalho ou outras atividades devido à saúde física; percepção de menor dificuldade de acesso a serviços de saúde; e maior proporção não sabia informar se apresentava doenças crônicas. Considerações finais: Não houve diferença na qualidade de vida, avaliada a partir das percepções de limitações e dificuldades devido à saúde física e mental, entre idosos com LS adequado e inadequado. No entanto, idosos com LS inadequado parecem apresentar percepção de menor dificuldade relacionada ao trabalho e acesso a serviços de saúde e menor conhecimento sobre a presença de doenças crônicas.


2020 ◽  
Vol 9 (3) ◽  
pp. e48932327
Author(s):  
Nidia Farias Fernandes Martins ◽  
Daiane Porto Gautério Abreu ◽  
Juliana Piveta de Lima ◽  
Eliel de Oliveira Bandeira ◽  
Aline Neutzling Brum ◽  
...  

Objetivou-se verificar se há relação entre adesão à medicação e letramento funcional em saúde em pessoas idosas atendidas na Estratégia Saúde da Família da zona oeste de um município no sul do Brasil. Estudo transversal, exploratório-descritivo, quantitativo, realizado em 17 equipes de saúde da família, com 350 pessoas idosas, aplicando-se uma versão em português da Morisky Medication Adherence Scale, que verificou o grau de adesão à medicação e uma versão traduzida do Short-Test of Functional Health Literacy in Adults, que verificou o grau de letramento funcional em saúde. Foi realizada análise estatística descritiva e inferencial. Verificou-se que 224 (64%) participantes foram considerados não aderentes à medicação, e 206 (58,9%) tiveram letramento inadequado, não havendo associação significativa entre essas variáveis. Os participantes relataram outras dificuldades no tratamento medicamentoso, entre elas, o esquecimento teve relação significativa com a adesão. A não compreensão de informações em saúde não influenciou a adesão ao tratamento medicamentoso dos participantes. Os profissionais devem atentar para outras dificuldades que podem surgir, principalmente o esquecimento, elencando estratégias voltadas à minimização do mesmo, como o acompanhamento e monitorização do tratamento medicamentoso.


2021 ◽  
Vol 7 ◽  
pp. 237796082110058
Author(s):  
Ronald L. Hickman ◽  
John M. Clochesy ◽  
Marym Alaamri

Introduction Hypertension is a life-limiting, chronic condition affecting millions of Americans. Modifiable factors, quality of the patient-provider interaction and functional health literacy, have been linked to effective hypertension self-management. However, there has been limited interventional research targeting these modifiable factors. Electronic hypertension self-management interventions, in particular those incorporating virtual simulation, may positively influence the quality of the patient-provider interaction and functional health literacy status of adults with hypertension. Yet there is a dearth of evidence examining the efficacy of eHealth interventions targeting these modifiable factors of hypertension self-management. Objective Evaluate the effects of two electronic hypertension self-management interventions on the quality of the patient-provider interaction and functional health literacy in adults with hypertension. Methods A convenience sample of community-dwelling adults (>18 years) with hypertension were recruited and randomized to an avatar-based simulation (eSMART-HTN) or a video presentation on hypertension self-management (attention control). Participants were administered questionnaires to capture demographic characteristics, the quality of the patient-provider interaction, and functional health literacy. Questionnaire data were collected at baseline, and then monthly across three months. Two separate repeated measures analysis of covariance models were conducted to assess the effects of the interventions across the time points. Results The sample included 109 participants who were predominately middle-aged and older, nonwhite, and female. Scores for the quality of the patient-provider interaction demonstrated significant within-group changes across time. However, there were no significant differences in the quality of the patient-provider interaction or functional health literacy scores between experimental conditions while adjusting for covariates. Conclusion An avatar-based simulation (eSMART-HTN) intervention proved to have a positive effect on patient-provider interaction compared to an attention control condition. Although the results are promising, future research is needed to optimize the effectiveness of eSMART-HTN and enhance its efficacy and scalability in a larger cohort of adults with hypertension.


2015 ◽  
Vol 29 (3) ◽  
pp. 573-581 ◽  
Author(s):  
Lisa Korsbakke Emtekaer Haesum ◽  
Lars Ehlers ◽  
Ole K. Hejlesen

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