气道疾病与健康素养（HL）测量工具：一项系统评价，为呼吸研究和实践提供信息。
Airway diseases and health literacy (HL) measurement tools: A systematic review to inform respiratory research and practice.
机构信息
Division of Respiratory Medicine, Department of Medicine, The University of British Columbia, Gordon and Leslie Diamond Health Care Centre, 7th floor, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada; Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, The University of British Columbia, 7th floor, 828 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada.
Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, The University of British Columbia, 7th floor, 828 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada.
出版信息
Patient Educ Couns. 2018 Apr;101(4):596-618. doi: 10.1016/j.pec.2017.10.011. Epub 2017 Oct 27.
OBJECTIVE
To identify and evaluate asthma/COPD measurement tools that assess any of the five health literacy (HL) domains: (1) access, (2) understand, (3) evaluate, (4) communicate, and (5) use, as well as numeracy.
METHODS
MEDLINE/Embase (via Ovid) databases from 1974 to 2016 were searched and complimented by grey literature. Study selection and data extraction were conducted by two reviewers independently.
RESULTS
We identified 65 tools including 40 asthma, 22 COPD, and 3 asthma/COPD focused tools. Thirty tools had been validated and two assessed all five domains. The 'understand' domain was captured in 49 tools, followed by 'access' in 29 tools, 'use' in 24 tools, 'evaluate' in 20 tools, and 'communicate' in 10 tools. Two tools assessed 'numeracy'. Tool content comprised disease physiology, triggers, symptoms, inhaler technique, self-management practices, and rehab programs.
CONCLUSIONS
This review highlights paucity of HL tools that have been validated and/or assess the 'communicate' domain and makes a valuable contribution to filling an existing research gap in the field of HL by determining the deficiencies of such tools.
PRACTICE IMPLICATIONS
Our review uncovers which HL domains are under-measured, justifying the need to develop an airways HL measurement tool which applies the 5-domain model for asthma/COPD management.
目的
识别和评估评估以下五个健康素养（HL）领域中任何一个领域的哮喘/COPD 测量工具：（1）获取，（2）理解，（3）评估，（4）沟通，（5）使用以及计算能力。
方法
通过 Ovid 对 1974 年至 2016 年的 MEDLINE/Embase 数据库进行检索，并补充了灰色文献。两名审查员独立进行研究选择和数据提取。
结果
我们确定了 65 种工具，包括 40 种哮喘工具、22 种 COPD 工具和 3 种哮喘/COPD 重点工具。其中 30 种工具已得到验证，两种工具评估了所有五个领域。49 种工具捕获了“理解”领域，其次是 29 种工具的“获取”、24 种工具的“使用”、20 种工具的“评估”和 10 种工具的“沟通”。两种工具评估了“计算能力”。工具内容包括疾病生理学、诱因、症状、吸入器技术、自我管理实践和康复计划。
结论
本综述强调了经过验证和/或评估“沟通”领域的 HL 工具的缺乏，并通过确定这些工具的不足之处，为填补 HL 领域的现有研究空白做出了宝贵贡献。
实践意义
我们的综述揭示了哪些 HL 领域被低估了，这证明了开发一种适用于哮喘/COPD 管理的气道 HL 测量工具的必要性，该工具应用 5 领域模型。
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