Bailey A N, Porter K J, Hill J L, Chen Y, Estabrooks P A, Zoellner J M
Department of Health and Exercise Science, Rowan University, Glassboro, NJ 08028, USA
Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA 24061, USA.
Health Educ Res. 2016 Aug;31(4):492-508. doi: 10.1093/her/cyw024. Epub 2016 May 11.
SIPsmartER is a 6-month behavioral intervention designed using a health literacy universal precautions approach that has been found effective at reducing sugary beverage intake in rural, low socioeconomic adults. The purpose of this mixed-methods study is to determine if health literacy status influenced participants' satisfaction and perceptions of each intervention component: small group classes, interactive-voice response (IVR) calls, personal action plans and self-monitoring logs. Of the 155 participants enrolled in SIPsmartER, 105 (68%) completed an interview-administered summative evaluation including 68 high and 37 low health literate participants. The quantitative findings show participant satisfaction with each intervention component was high (i.e. classes = 9.6, IVR calls = 8.1, action plans = 8.9-9.1, logs = 8.7 on a 10-point scale) and similar across both health literacy groups. The majority of qualitative responses were positive (81.8%) and code counts were comparable between literacy groups with a few exceptions. As compared with high health literacy respondents, low health literacy respondents more frequently mentioned liking the content and length of IVR calls, liking the motivational aspects of the personal action plans, and identified numeracy issues with the self-monitoring logs. Overall, applying a health literacy universal precautions approach is an effective and acceptable strategy for both high and low health literacy groups.
SIPsmartER是一项为期6个月的行为干预措施，采用健康素养通用预防方法设计，已被证明能有效减少农村低收入社会经济地位成年人的含糖饮料摄入量。这项混合方法研究的目的是确定健康素养状况是否会影响参与者对每个干预组成部分的满意度和看法：小组课程、交互式语音应答（IVR）电话、个人行动计划和自我监测日志。在参与SIPsmartER的155名参与者中，105名（68%）完成了一项由访谈管理的总结性评估，其中包括68名健康素养高的参与者和37名健康素养低的参与者。定量研究结果表明，参与者对每个干预组成部分的满意度都很高（即课程=9.6，IVR电话=8.1，行动计划=8.9 - 9.1，日志=8.7，满分10分），并且在两个健康素养组中相似。大多数定性回答是积极的（81.8%），除了少数例外，识字组之间的编码计数相当。与健康素养高的受访者相比，健康素养低的受访者更频繁地提到喜欢IVR电话的内容和时长、喜欢个人行动计划的激励方面，并指出自我监测日志存在算术问题。总体而言，应用健康素养通用预防方法对健康素养高和低的群体都是一种有效且可接受的策略。
