scholarly journals Instrumentos de avaliação do letramento em saúde: revisão de literatura

2017 ◽  
Vol 22 (0) ◽  
Author(s):  
Suzana Raquel Lopes Marques ◽  
Stela Maris Aguiar Lemos
Keyword(s):  
Health Literacy ◽  
Adult Literacy ◽  
Web Of Science ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Medical Subject Headings ◽  
Subject Headings

RESUMO Introdução Avaliar o letramento em saúde pode favorecer a prática clínica. Objetivo Revisar a literatura científica sobre os instrumentos e métodos para avaliação do letramento em saúde. Estratégia de pesquisa Foram realizadas pesquisas bibliográficas nas plataformas de busca PubMed, Web of Science e BVS – LILACS. Foram utilizados descritores DeCS (Descritores em Ciências da Saúde) e MeSH (Medical Subject Headings), combinados entre si por operadores booleanos. Critérios de seleção Artigos publicados entre 2009 e 2014, em português, inglês ou espanhol, que utilizaram instrumentos de avaliação do letramento em saúde geral, ou que possibilitaram este tipo de análise. Foram excluídos os artigos que não abordaram o letramento em saúde no título ou resumo, não citaram instrumentos e resultados da avaliação do letramento em saúde, artigos repetidos, revisões, casos e série de casos. A análise e a seleção dos artigos foram realizadas por dois revisores. Resultados Foram identificados diversos instrumentos de avaliação do letramento em saúde, sendo o Test of Functional Health Literacy in Adults e o Rapid Estimate of Adult Literacy os mais adotados. A maioria dos estudos utilizou delineamento observacional transversal e a maior produção científica deu-se nos Estados Unidos e na Europa. Prevaleceu a categorização do letramento em saúde em níveis e a exposição das respectivas distribuições de frequências. São escassos estudos fonoaudiológicos que abrangem a avaliação do letramento em saúde. Conclusão Os pesquisadores têm utilizado variados instrumentos e métodos de avaliação do letramento em saúde, com predominância dos testes de triagem clínica com enfoque no letramento em saúde funcional, utilizados no contexto de ambulatórios e hospitais.

scholarly journals Instruments used to evaluate functional health literacy in elderly persons with chronic kidney disease: Integrative review

2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Monique de Freitas Gonçalves Lima ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Anna Karla de Oliveira Tito Borba
Keyword(s):  
Chronic Kidney Disease ◽  
Health Literacy ◽  
Kidney Disease ◽  
Adult Literacy ◽  
The Elderly ◽  
Integrative Review ◽  
Functional Health ◽  
Elderly Persons ◽  
Functional Health Literacy ◽  
New Instruments

Abstract Objective: To identify the instruments used to evaluate the functional health literacy of elderly persons with chronic kidney disease, and to assess whether they are suitable for this population. Method: An integrative review of the Lilacs, PubMed, Ibecs, Scopus and Cochrane databases was carried out in July and August 2018, seeking original articles dealing with functional health literacy and chronic kidney disease in the elderly. Results: A total of 15 articles were evaluated and seven different instruments used in the research were identified, with the Rapid Estimate of Adult Literacy in Medicine (REALM) and Test of Functional Health Literacy in Adults (TOFHLA) the most prevalent. Conclusion: The instruments identified are applicable for the elderly, but are not specific for this population. The construction and/or adaptation of new instruments is suggested considering the specific characteristics of this age group.

Application of the Cloze Procedure to Evaluate Comprehension and Demonstrate Rewriting of Pharmacy Educational Materials

2009 ◽  
Vol 43 (4) ◽  
pp. 650-657 ◽  
Author(s):  
Michael J Miller ◽  
Jane E DeWitt ◽  
Erin M McCleeary ◽  
Kelly J O'keefe
Keyword(s):  
Reading Comprehension ◽  
Health Literacy ◽  
Adult Literacy ◽  
College Graduates ◽  
Relevant Information ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Educational Materials ◽  
Highly Educated ◽  
Cloze Procedure

Background: Written materials are commonly used to communicate pharmacy-relevant information to patients. However, they are often composed at a level that limits comprehension, mitigating a well-intended effect. Objective: To (1) use the cloze procedure (a test designed to assess reading comprehension) to evaluate an individual's understanding of a pharmacy-relevant educational pamphlet; (2) compare results of the cloze procedure with the reading comprehension component of the Short Test of Functional Health Literacy in Adults (S-TOFHLA); and (3) use results to demonstrate rewriting of the educational pamphlet. Methods: The cloze procedure was applied to a pharmacy-relevant educational pamphlet describing safe medication practices. A total of 162 subjects were recruited from university faculty, staff, and students; a local adult literacy center; and community senior centers. Subjects completed a background interview, the S-TOFHLA. and cloze procedure for the pharmacy-relevant educational pamphlet. S-TOFHLA and cloze procedure scores were described and compared. Cloze procedure responses were used to demonstrate revision of the pamphlet RESULTS: Of the 154 subjects analyzed, mean ± SD age was 56.5 ± 20.4 years. Subjects were predominantly white (93.5%), female (71.4%). and college graduates (42.2%). Mean score on the S-TOFHLA was 92.1%. A majority (95.5%, 147/154) of subjects demonstrated adequate functional health literacy. In contrast, mean score on the cloze procedure was 53.3%. Internal consistencies of the S-TOFHLA and the cloze procedure were 0.92 and 0.90, respectively. Scores on the cloze procedure and the S-TOFHLA were highly correlated (r = 0.71, p < 0.001), Performance on the cloze procedure indicated that 55.2% of subjects required supplemental teaching. Conclusions: In this highly educated, health-literate sample, a majority did not understand the pharmacy-relevant educational pamphlet despite adequate performance on a standard measure of health literacy. The cloze procedure can be used to assess comprehension of educational materials, solicit feedback from intended users, and guide the revision of educational materials.

scholarly journals Effects of an eHealth Intervention on Patient-Provider Interaction and Functional Health Literacy in Adults With Hypertension

2021 ◽  
Vol 7 ◽  
pp. 237796082110058
Author(s):  
Ronald L. Hickman ◽  
John M. Clochesy ◽  
Marym Alaamri
Keyword(s):  
Health Literacy ◽  
Community Dwelling ◽  
Attention Control ◽  
Functional Health ◽  
Self Management ◽  
Functional Health Literacy ◽  
Convenience Sample ◽  
Management Interventions ◽  
Modifiable Factors

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.

scholarly journals HEALTH LITERACY OF INDIVIDUALS UNDERGOING DIALYSIS THERAPY

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
Keyword(s):  
Health Literacy ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Functional Health ◽  
P Value ◽  
Functional Health Literacy ◽  
Cross Sectional ◽  
Exact Test ◽  
Independent Variables ◽  
Adequate Health Literacy

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.

Validation of the Test of Functional Health Literacy in Adults in a Danish population

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

Functional health literacy can affect patient perception for the need for liver imaging for HCC screening

2017 ◽  
Vol 66 (1) ◽  
pp. S448-S449
Author(s):  
J. Shaw ◽  
K. Patidar ◽  
N. Dharel ◽  
C. Driscoll ◽  
D. Heuman ◽  
...  
Keyword(s):  
Health Literacy ◽  
Patient Perception ◽  
Functional Health ◽  
Liver Imaging ◽  
Functional Health Literacy

scholarly journals Differential Item Functioning Related to Age in the Reading Subtest of the Test of Functional Health Literacy in Adults

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Raymond L. Ownby ◽  
Drenna Waldrop-Valverde
Keyword(s):  
Reading Comprehension ◽  
Health Literacy ◽  
Differential Item Functioning ◽  
Older Persons ◽  
The Elderly ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Response Format ◽  
Age Related ◽  
Item Functioning

Differential item functioning (DIF) occurs when items in a measure perform in ways that are different for members of a target group when the different performance is not related to the individual’s overall ability to be assessed. DIF may arise for a number of reasons but is often evaluated in order to ensure that tests and measures are fair evaluations of a group’s abilities. Based on observations when administering the test, we developed the hypothesis that some items on the reading comprehension subtest of the Test of Functional Health Literacy (TOFHLA) might be differentially more difficult for older adults and the elderly due to its use of the cloze response format, in which the participant is required to determine what word, when placed in a blank space in a sentence, will ensure that the sentence is intelligible. Others have suggested that the cloze response format may make demands on verbal fluency, an ability that is reduced with the increasing age. Our analyses show that age-related DIF may present in a nearly one-half of reading comprehension items of the TOFHLA. Results of this measure in older persons should be interpreted cautiously.

scholarly journals Functional Health Literacy of Asylum Seekers and Refugees – A Pilot Study in Italy

2018 ◽  
Vol 5 (2) ◽  
pp. 121-138
Author(s):  
Julia Marchetti ◽  
Milena Sorrentino ◽  
Anna Rita Marucci ◽  
Giovanni Galeoto ◽  
Maurizio Marceca ◽  
...  
Keyword(s):  
Health Literacy ◽  
Pilot Study ◽  
Asylum Seekers ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Asylum Seekers And Refugees

scholarly journals ASSOCIATION OF DELIRIUM AND FRAGILITY IN HOSPITALIZED ELDERLY: SYSTEMATIC REVIEW

2021 ◽  
Author(s):  
Clovis Cechinel ◽  
◽  
Joao Alberto Martins Rodrigues
Keyword(s):  
Elderly People ◽  
Search Strategy ◽  
Information Sources ◽  
Web Of Science ◽  
Medical Subject Headings ◽  
Hospitalized Elderly ◽  
Subject Headings ◽  
Review Question ◽  
The Relationship ◽  
Specific Search

Review question / Objective: What is the relationship between delirium and frailty in hospitalized elderly people? The objective of this research is to analyze the association between frailty and delirium in hospitalized elderly people, through a systematic literature review. Condition being studied: Frailty and delirium in hospitalized aged. Information sources: A specific search strategy for the language of each database was developed using, initially, the Medical Subject Headings (MEsH) descriptor and later translated to specific descriptors (Descriptors in Health Sciences (DeCS) and Embase Subject Headings (Emtree)). The search strategy will be applied by the researchers in the MEDLINE databases through the Pubmed Portal; Scielo; VHL; EMBASE, CINAHL, Scopus and Web of Science through the CAPES Journal Portal; CENTRAL via Cochrane.

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