2012年7月14日 星期六

Health Literacy (健康識能)


Health Literacy 之定義為「對基本健康資訊及醫療服務的取得、理解、應用的能力」。
health literacy之翻譯包含:「健康知能」、「健康素養」、或「健康識能」等。
health literacy 跟病人之行為及健康狀態相關,當然也影響衛教之成效
國人已發展及應用健康識能評估表,或許我們團隊也需要跟進。

相關網站:中文健康識能評估表的發展 - 國家衛生研究院電子報
Health literacy 之組成可包含:knowing when to seek health information; knowing where to seek health information; verbal communication skills; assertiveness; literacy skills; capacity to process and retain information; application skills.

References:
1. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97-107.
2. Chinn D. Critical health literacy: a review and critical analysis. Soc Sci Med. 2011;73(1):60-7.
3. Jordan JE, Osborne RH, Buchbinder R. Critical appraisal of health literacy indices revealed variable underlying constructs, narrow content and psychometric weaknesses. J Clin Epidemiol. 2011;64(4):366-79.
4. Powers BJ, Trinh JV, Bosworth HB. Can this patient read and understand written health information? JAMA. 2010;304(1):76-84.
5. Levasseur M, Carrier A. Do rehabilitation professionals need to consider their clients' health literacy for 
effective practice? Clin Rehabil. 2010 Aug;24(8):756-65.
Note: 前4篇論文皆刊登於著名期刊!!第1&4篇刊登於 the Big 5 Medical Journals.


3 則留言:

  1. 最近查文獻時發現兩篇討論OT與health literacy的論文,分別於2011和2012發表在AJOT和Scandinavian Journal of Occupational Therapy。
    References:
    1. Smith, D. L., & Gutman, S. A. (2011). Health literacy in occupational therapy practice and research. Am J Occup Ther, 65(4), 367-369.
    2. Levasseur, M., & Carrier, A. (2012). Integrating health literacy into occupational therapy: Findings from a scoping review. Scand J Occup Ther, 19(4), 305-314. doi: 10.3109/11038128.2011.588724

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    1. Another reference from Taiwan:
      蔡慈儀,李守義,蔡憶文,郭耿南(2010).中文健康識能評估表的發展與測試:醫學教育,122-36,14(2).http://www.airitilibrary.com/searchdetail.aspx?DocIDs=10282424-201006-201010220041-201010220041-122-136

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  2. many thanks!
    OT 的文獻積極鼓勵OT投入相關研究並彙整[提升健康識能]於臨床 practice.
    郭教授發展的問卷類似「情境」問題,可能產生「練習效應」,不利重複施測。

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