Institute for Resilient Regions, University of Southern Queensland, Sinnathamby Dr, Springfield, QLD, Australia.
Institute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, Australia.
Psychooncology. 2018 Oct;27(10):2374-2381. doi: 10.1002/pon.4834. Epub 2018 Jul 27.
To test the Health Literacy Questionnaire (HLQ) in a sample of men with prostate cancer and examine the components of health literacy that are most strongly associated with mental and physical health-related quality of life in men with prostate cancer.
Members (N = 565) of a state-wide prostate cancer support network in Queensland, Australia (M = 71.14, SD = 8.68) completed the HLQ along with the Medical Outcomes Study, 36-item short-form health survey (SF-36). Confirmatory factor analysis was employed to assess the internal structure of the HLQ. The effects (bs) of each of the nine health literacy factors on mental and physical health status were graphed and compared using Fishers exact test for comparing parameter estimates.
Fit indices including RMSEA (0.069, CI = 0.066-0.072), CFI (.853), and TLI (.839), alongside item loadings and internal consistency (Cronbach alphas >0.80) for the nine-factor model, supported the robustness of the HLQ for use in this prostate cancer sample. Health literacy factors reflecting social and health provider support, navigating health systems, finding and understanding health information, and active engagement with providers shared small to moderate associations with mental health status and little to no association with physical health status.
Findings provide support for the use of the HLQ as a valid and reliable measure of health literacy in men with prostate cancer. Although further research is required to establish causality, interventions that aim to improve skills in connecting and effectively communicating with health care services and providers might lead to better mental health related quality of life for men with prostate cancer.
在前列腺癌男性样本中测试健康素养问卷（HLQ），并研究与前列腺癌男性的身心健康相关的生活质量最密切相关的健康素养成分。
澳大利亚昆士兰州全州前列腺癌支持网络的成员（N=565，M=71.14，SD=8.68）完成了 HLQ 以及医疗结果研究 36 项简短健康调查（SF-36）。采用验证性因子分析评估 HLQ 的内部结构。使用 Fisher 精确检验比较参数估计值，对九个健康素养因素中的每一个对心理健康和身体健康状况的影响（bs）进行绘图和比较。
拟合指数，包括 RMSEA（0.069，CI=0.066-0.072），CFI（.853），和 TLI（.839），以及九个因素模型的项目负荷和内部一致性（Cronbach 阿尔法>0.80），支持 HLQ 在前列腺癌样本中的有效性和可靠性。反映社会和医疗服务提供者支持、导航健康系统、寻找和理解健康信息以及与提供者积极互动的健康素养因素与心理健康状况呈小到中度关联，与身体健康状况几乎没有关联。
研究结果支持将 HLQ 作为前列腺癌男性健康素养的有效且可靠的测量工具。尽管需要进一步研究来确定因果关系，但旨在提高与医疗保健服务和提供者建立联系和有效沟通技能的干预措施可能会提高前列腺癌男性的心理健康相关生活质量。
