Nutbeam Don, Muscat Danielle M
Sydney School of Public Health, The University of Sydney, Australia.
Sydney Health Literacy Lab, Sydney School of Public Health, The University of Sydney, Australia.
Stud Health Technol Inform. 2020 Jun 25;269:115-127. doi: 10.3233/SHTI200026.
The past 25 years has seen extraordinary growth in interest in health literacy among researchers, policy-makers and practitioners. This interest has been underpinned by academic debate about the concept, definition, and measurement of health literacy, and further strengthened by a growing volume of research that has investigated the relationship between health literacy and a wide range of health and social outcomes. A smaller but growing number of studies report on interventions to address the practical challenges of low health literacy in clinical settings - and describe approaches to improving health literacy in different clinical and community populations. This chapter examines the evolution of the concept of health literacy and its practical implications for health literacy interventions. The chapter, then, provides an updated overview of reported interventions and existing strengths and weaknesses. It concludes with recommendations on interventional research that provides practical and implementable solutions which can inform future policy, strategy, and priorities.
在过去25年里，研究人员、政策制定者和从业者对健康素养的兴趣急剧增长。这种兴趣源于关于健康素养的概念、定义和测量的学术辩论，并因越来越多的研究进一步得到加强，这些研究调查了健康素养与广泛的健康和社会结果之间的关系。越来越少但数量不断增加的研究报告了应对临床环境中低健康素养实际挑战的干预措施，并描述了提高不同临床和社区人群健康素养的方法。本章考察了健康素养概念的演变及其对健康素养干预措施的实际影响。然后，本章提供了已报告干预措施以及现有优势和劣势的最新概述。最后，本章提出了关于干预性研究的建议，这些研究提供了切实可行的解决方案，可为未来的政策、战略和优先事项提供参考。
