PROJECT 4 - HEALTH LITERACY AND CANCER PREVENTION; DO PEOPLE UNDERSTAND WHAT THEY

项目 4——健康素养和癌症预防；

• 批准号: 8092667
• 负责人: KATHLEEN Michele MAZOR
• 金额: $ 62.12万
• 依托单位: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8092667
• 关键词: Affect; Award; Behavior; Characteristics; Communication; Comprehension; Costs and Benefits; Development; Evaluation; Foundations; Future; Group Identifications; Hawaii; Health; Health Communication; Health Planning; Healthcare; Individual; Intervention; Language; Malignant Neoplasms; Massachusetts; Measures; Medical; Modeling; Modification; Oral; Patient Self-Report; Patients; Physicians; Prevalence; Printing; Procedures; Psychometrics; Qualitative Methods; Randomized; Reading; Recommendation; Records; Recruitment Activity; Relative (related person); Report (document); Research; Risk; Risk Factors; Sampling; Screening for cancer; Screening procedure; Simulate; Techniques; Testing; Text; United States; Writing; cancer prevention; health literacy; improved; literacy; member; oral cancer prevention; oral communication; research study; skills; sound; theories

This application proposes to develop a test to assess comprehension of oral (i.e., spoken) messages about cancer prevention and screening, to examine the relationship between health literacy and cancer prevention, and to test whether modifications to oral messages can improve comprehension. Findings will lay the foundation for future research into the prevalence of inadequate health literacy-oral; identification of groups and individuals with inadequate comprehension skills, identification of risk factors and causes of limited comprehension; and development and evaluation of interventions to improve comprehension of orally transmitted messages. .The specific aims are: 1) to develop and validate a psychometrically sound test of Health Literacy-Oral, 2) to investigate the relationship between health literacy-oral and cancer prevention behaviors and 3) to develop and test recommendations for improving oral communication about cancer prevention and screening. Test development will include identification of authentic health messages about cancer and cancer prevention. Item development will be iterative, with items generated and reviewed by a team of experts in psychometrics, physician-patient communication, health communication, language comprehension and cancer. An award-winning medical writer/producer will create high quality video- and audio-tapes of typical cancer prevention messages simulating actual messages encountered in the media and in health care settings. Comprehension questions will be written using the Sentence Verification Technique. To avoid potential contamination with print literacy, absolutely no reading will be required; all text will have accompanying voiceover. After extensive pretesting and piloting, items will be administered to a diverse sample of 900 health plan members, recruited from 3 health plans across the United States (from Massachusetts, Georgia, and Hawaii). Classical and modern test theory procedures will be used to examine item and test characteristics, and to estimate reliability. Validity studies will include assessment of dimensionality and differential item functioning, and correlations with external measures. The relationship between health literacy-oral and cancer prevention will be investigated through models predicting cancer prevention practices (self-reported) and participation in cancer screening utilization (self reported and documented in health plan records). Multivariate models will test for the relative contributions of health Jiteracy-print, demographic variables, physician recommendations, perceived risk/worry, and perceived costs and benefits of screening. Both quantitative and qualitative methods will be used to identify the factors that affect comprehensibility of oral messages about cancer prevention and screening. Recommendations for modifying oral messages so that they are easily comprehensible will be developed, and the impact of specific enhancements will be tested in a randomized experiment.

该应用程序建议开发一个测试来评估对以下内容的口头（即口头）消息的理解： 癌症预防和筛查，检查健康素养和癌症预防之间的关系， 并测试对口头信息的修改是否可以提高理解能力。调查结果将奠定 为未来研究口头健康素养不足的普遍情况奠定基础；群体的识别 以及理解能力不足、识别风险因素和有限原因的个人 理解;制定和评估干预措施以提高口语理解能力 发送的消息。具体目标是： 1) 开发并验证心理测量学上的合理测试 口腔健康素养，2）探讨口腔健康素养与癌症预防的关系 行为，3) 制定和测试改善癌症口头交流的建议 预防和筛查。测试开发将包括识别真实的健康信息 癌症和癌症预防。项目开发将是迭代的，由项目生成和审核 心理测量学、医患沟通、健康沟通、语言专家团队 理解力和癌症。屡获殊荣的医学作家/制片人将创作高质量的视频和 典型癌症预防信息的录音带，模拟媒体中遇到的实际信息 以及在医疗保健环境中。理解问题将使用句子验证来编写 技术。为了避免印刷文字的潜在污染，绝对不需要阅读；所有文字 会有配音。经过广泛的预测试和试点后，项目将被管理到 900 名健康计划成员的不同样本，从美国各地的 3 个健康计划中招募（来自 马萨诸塞州、佐治亚州和夏威夷）。将使用古典和现代测试理论程序来检验 项目和测试特征，并估计可靠性。有效性研究将包括评估 维度和差异项目功能，以及与外部措施的相关性。关系 将通过预测癌症的模型来研究口腔健康素养与癌症预防之间的关系 预防实践（自我报告）和参与癌症筛查利用（自我报告和 记录在健康计划记录中）。多变量模型将测试健康的相对贡献 Jiteracy-print、人口统计变量、医生建议、感知风险/担忧和感知成本 以及筛查的好处。将使用定量和定性方法来确定影响因素 影响有关癌症预防和筛查的口头信息的可理解性。建议： 将开发修改口头信息，使其易于理解，并且将产生影响 具体的增强功能将在随机实验中进行测试。