Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
J Surg Res. 2012 Jun 15;175(2):221-6. doi: 10.1016/j.jss.2011.04.036. Epub 2011 May 18.
Few, if any, instruments assess disease-specific health literacy in colon cancer patients. We aimed to validate the Assessment of Colon Cancer Literacy (ACCL) compared with a standard health literacy test, the Newest Vital Sign (NVS).
A convenience sample of screening colonoscopy patients was surveyed. General health literacy was assessed with the NVS and colon cancer literacy with the ACCL. Contingency table analysis was performed. Results are frequency (proportion) or mean.
Sixty-one subjects completed our survey, mean age 64 ± 9 y, 33 (54%) were women, 28 (46%) had a college degree, 38 (62%) had prior colonoscopy, and 19 (31%) worked in healthcare. The sensitivity and specificity of NVS to identify limited colon cancer literacy was 45.7% and 86.7%, respectively, while the sensitivity and specificity of ACCL to identify limited general health literacy was 91.3% and 34.2%, respectively.
The ACCL is a valid, sensitive measure of health literacy. Furthermore, given its focus on clinically relevant content, this instrument may facilitate discussion of diagnosis, treatment, and prognosis with colon cancer patients. ACCL is a novel, valid health literacy instrument that may aid gastroenterologists, colorectal surgeons, and medical oncologists in optimizing patient education.
很少有（如果有的话）工具可以评估结肠癌患者的特定疾病健康素养。我们旨在验证评估结肠癌素养（ACCL）与标准健康素养测试（新生命体征，NVS）相比的有效性。
对筛查结肠镜检查患者进行了便利抽样调查。使用 NVS 评估一般健康素养，使用 ACCL 评估结肠癌素养。进行了列联表分析。结果以频率（比例）或平均值表示。
61 名受试者完成了我们的调查，平均年龄 64 ± 9 岁，33 名（54%）为女性，28 名（46%）具有大学学历，38 名（62%）有过结肠镜检查史，19 名（31%）从事医疗保健工作。NVS 识别有限结肠癌素养的灵敏度和特异性分别为 45.7%和 86.7%，而 ACCL 识别有限一般健康素养的灵敏度和特异性分别为 91.3%和 34.2%。
ACCL 是一种有效的、敏感的健康素养衡量工具。此外，鉴于其对临床相关内容的关注，该工具可能有助于与结肠癌患者讨论诊断、治疗和预后。ACCL 是一种新颖有效的健康素养工具，可帮助胃肠病学家、结直肠外科医生和肿瘤内科医生优化患者教育。
