Refining and Standardizing Health Literacy Assessment

细化和标准化健康素养评估

• 批准号: 6960112
• 负责人: ELIZABETH A HAHN
• 金额: $ 60.6万
• 依托单位: NORTHSHORE UNIVERSITY HEALTHSYSTEM
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6960112
• 关键词: Hispanic Americans; analytical method; behavior test; behavioral /social science research tag; cancer prevention; cardiovascular disorder prevention; clinical research; comprehension; computer system design /evaluation; educational resource design /development; health behavior; health disparity; health education; health services research tag; human subject; managed care; method development; multilingualism; outcomes research; psychological tests; questionnaires; reading disorder

DESCRIPTION (provided by applicant): Background: Low literacy is associated with health disparities in access to health information, understanding of illness / treatment, health status, understanding and use of preventive services, and hospitalizations. Better understanding of patients' health literacy would allow for targeted interventions to reduce identified disparities. However, due to assessment burden, scoring imprecision, and inadequate English and Spanish language equivalence, available health literacy measures are not optimal for use in clinical practice or research. Aims: The aims of this application are 1) to develop English and Spanish language item banks for measuring reading-related health literacy skills; 2) to evaluate the feasibility, validity and acceptability of computer-based methods for comprehensive assessment of health literacy; 3) to develop and pilot computerized adaptive testing (CAT) of health literacy in clinical settings; and 4) to use a theory-driven framework to evaluate the associations between health literacy, patient characteristics, enabling resources, needs, health behaviors related to prevention of cardiovascular disease and cancer, and health status. Methods: State-of-the-science analytical methods will be used to develop sets of health literacy questions ("item banks") to support brief, targeted assessment using CAT. A validated bilingual multimedia "Talking Touchscreen" will be adapted to administer CAT to measure health literacy in English and Spanish primary care patients. A cross-sectional study will use this tool to evaluate the associations between patient characteristics, behaviors, outcomes and health literacy. Significance: This project will advance measurement technique through the development of a state-of-the-science computer adaptive tool that will allow precise and rapid measurement of health literacy, enhance ability to distinguish between language and literacy barriers, and increase understanding of associations between health literacy, health behaviors and health outcomes.

描述（由申请人提供）：背景：识字率低与访问健康信息的健康差异有关，了解疾病 /治疗，健康状况，理解和使用预防服务以及住院治疗。更好地了解患者的健康素养将使有针对性的干预措施减少识别差异。但是，由于评估负担，不精确评分以及英语和西班牙语等效性不足，可用的健康素养措施并不是用于临床实践或研究的最佳选择。目的：本应用程序的目的是1）开发英语和西班牙语物品银行来衡量与阅读相关的健康素养技能； 2）评估基于计算机的方法的可行性，有效性和可接受性，以全面评估健康素养； 3）在临床环境中开发和试行健康素养的计算机化自适应测试（CAT）； 4）使用理论驱动的框架来评估健康素养，患者特征，能够提供资源，需求，与预防心血管疾病和癌症以及健康状况有关的健康行为之间的关联。方法：最先进的分析方法将用于开发一组健康素养问题（“项目库”），以支持使用CAT进行简短的针对性评估。经过验证的双语多媒体“谈话触摸屏”将适应用于管理CAT以衡量英语和西班牙初级保健患者的健康素养。一项横断面研究将使用此工具来评估患者特征，行为，结果和健康素养之间的关联。意义：该项目将通过开发最先进的计算机自适应工具来提高测量技术，该工具将允许精确，快速地衡量健康素养，增强区分语言和扫盲障碍的能力，并提高对关联之间的了解健康素养，健康行为和健康成果。