与一种新的健康素养测量方法（FLIGHT/VIDAS）相关的生活质量、健康状况及医疗服务利用情况。
Quality of life, health status, and health service utilization related to a new measure of health literacy: FLIGHT/VIDAS.
作者信息
Ownby Raymond L, Acevedo Amarilis, Jacobs Robin J, Caballero Joshua, Waldrop-Valverde Drenna
机构信息
Department of Psychiatry and Behavioral Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, USA.
出版信息
Patient Educ Couns. 2014 Sep;96(3):404-10. doi: 10.1016/j.pec.2014.05.005. Epub 2014 May 14.
OBJECTIVE
Researchers have identified significant limitations in some currently used measures of health literacy. The purpose of this paper is to present data on the relation of health-related quality of life, health status, and health service utilization to performance on a new measure of health literacy in a nonpatient population.
METHODS
The new measure was administered to 475 English- and Spanish-speaking community-dwelling volunteers along with existing measures of health literacy and assessments of health-related quality of life, health status, and healthcare service utilization. Relations among measures were assessed via correlations and health status and utilization was tested across levels of health literacy using ANCOVA models.
RESULTS
The new health literacy measure is significantly related to existing measures of health literacy as well as to participants' health-related quality of life. Persons with lower levels of health literacy reported more health conditions, more frequent physical symptoms, and greater healthcare service utilization.
CONCLUSION
The new measure of health literacy is valid and shows relations to measures of conceptually related constructs such as quality of life and health behaviors.
PRACTICE IMPLICATIONS
FLIGHT/VIDAS may be useful to researchers and clinicians interested in a computer administered and scored measure of health literacy.
目的
研究人员已确定目前一些健康素养测量方法存在重大局限性。本文旨在呈现非患者人群中与健康相关的生活质量、健康状况及医疗服务利用情况与一种新的健康素养测量方法表现之间关系的数据。
方法
对475名说英语和西班牙语的社区居住志愿者进行了这种新的测量方法测试，同时还进行了现有的健康素养测量以及与健康相关的生活质量、健康状况和医疗服务利用情况的评估。通过相关性分析评估各项测量之间的关系，并使用协方差分析模型在不同健康素养水平上测试健康状况和医疗服务利用情况。
结果
新的健康素养测量方法与现有的健康素养测量方法以及参与者与健康相关的生活质量显著相关。健康素养水平较低的人报告有更多的健康问题、更频繁的身体症状以及更高的医疗服务利用率。
结论
新的健康素养测量方法是有效的，并且显示出与生活质量和健康行为等概念相关结构的测量方法之间的关系。
实践意义
对于对通过计算机进行管理和评分的健康素养测量方法感兴趣的研究人员和临床医生来说，FLIGHT/VIDAS可能会有所帮助。
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