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Differential item functioning related to age in the reading subtest of the test of functional health literacy in adults.成人功能性健康素养测试阅读子测试中与年龄相关的项目功能差异。
J Aging Res. 2013;2013:654589. doi: 10.1155/2013/654589. Epub 2013 Sep 8.
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Development and initial validation of a computer-administered health literacy assessment in Spanish and English: FLIGHT/VIDAS.西班牙语和英语计算机管理健康素养评估工具的开发与初步验证：FLIGHT/VIDAS
Patient Relat Outcome Meas. 2013 Aug 19;4:21-35. doi: 10.2147/PROM.S48384. eCollection 2013.
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Baseline medication adherence and response to an electronically delivered health literacy intervention targeting adherence.基线药物依从性以及对针对依从性的电子健康素养干预措施的反应。
Neurobehav HIV Med. 2012 Oct 18;4:113-121. doi: 10.2147/NBHIV.S36549.
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Association between low functional health literacy and mortality in older adults: longitudinal cohort study.低功能性健康素养与老年人死亡率的关联：纵向队列研究。
BMJ. 2012 Mar 15;344:e1602. doi: 10.1136/bmj.e1602.
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Health literacy explains racial disparities in diabetes medication adherence.健康素养解释了糖尿病药物治疗依从性的种族差异。
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Interventions for individuals with low health literacy: a systematic review.健康素养低的个体干预措施：系统评价。
J Health Commun. 2011;16 Suppl 3:30-54. doi: 10.1080/10810730.2011.604391.
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Health literacy measurement: a proposed research agenda.健康素养测量：一个建议的研究议程。
J Health Commun. 2011;16 Suppl 3:11-21. doi: 10.1080/10810730.2011.604392.
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Low health literacy and health outcomes: an updated systematic review.低健康素养与健康结局：一项更新的系统评价。
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Coming to consensus on health literacy measurement: an online discussion and consensus-gauging process.达成健康素养测量共识：在线讨论和共识衡量过程。
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Tailored interactive multimedia computer programs to reduce health disparities: opportunities and challenges.定制化交互式多媒体计算机程序以减少健康差距：机遇与挑战。
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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.

DOI:10.1016/j.pec.2014.05.005
PMID:24856447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4700512/
Abstract

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.

摘要

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。