Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
Int J Environ Res Public Health. 2019 Dec 19;17(1):58. doi: 10.3390/ijerph17010058.
This study assessed the impact of the Chronic Disease Self-Management Program (CDSMP) on different domains of health literacy using a pre-post study design. Participants aged over 16 years and with one or more self-reported chronic diseases were recruited for the CDSMP in western Sydney (a highly diverse area of New South Wales, Australia) between October 2014 and September 2018 Health literacy was assessed pre- and immediately post-intervention using the Health Literacy Questionnaire (HLQ), with differences in mean scores for each HLQ domain analysed using paired sample t-tests. A total of 486 participants were recruited into the CDSMP. Of those, 316 (65.0%) completed both pre- and post-intervention surveys and were included in the analysis. The median age of the participants was 68 years, the majority were female (62.5%), and most were born in a country other than Australia (80.6%). There were statistically significant ( < 0.001) improvements across all nine domains of the HLQ. This is the first study evaluating the potential impact of the CDSMP on improving different domains of health literacy amongst a diverse sample of participants with chronic diseases using a multi-dimensional instrument. The absence of a control population in this study warrants caution when interpreting the results.
本研究采用前后测设计，评估了慢性病自我管理计划（CDSMP）对健康素养不同领域的影响。参与者年龄在 16 岁以上，有一个或多个自我报告的慢性病，于 2014 年 10 月至 2018 年 9 月在澳大利亚新南威尔士州西部的悉尼（一个高度多样化的地区）参加 CDSMP。在干预前和干预后立即使用健康素养问卷（HLQ）评估健康素养，使用配对样本 t 检验分析每个 HLQ 领域的平均分数差异。共有 486 名参与者被纳入 CDSMP。其中，316 名（65.0%）完成了干预前后的调查，并纳入了分析。参与者的中位数年龄为 68 岁，大多数为女性（62.5%），大多数出生在澳大利亚以外的国家（80.6%）。HLQ 的九个领域均有统计学意义上的显著（<0.001）改善。这是第一项使用多维工具评估 CDSMP 对改善不同领域的健康素养的潜在影响的研究，该研究的参与者是来自不同文化背景的慢性病患者。本研究没有对照组，因此在解释结果时需要谨慎。
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