Guo Shuaijun, Davis Elise, Armstrong Rebecca, Yu Xiaoming, Naccarella Lucio
Centre for Community Child Health, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia.
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Health Promot J Austr. 2021 Feb;32 Suppl 1:128-132. doi: 10.1002/hpja.425. Epub 2020 Oct 19.
While adolescent health literacy research has gained momentum, there is little evidence regarding its implementation and data collection in school settings. This study explored the feasibility of collecting health literacy data from Australian secondary schools and piloted three health literacy instruments.
A cross-sectional study was designed to recruit four government secondary schools in Melbourne. Active, opt-in consent was obtained from parents and students in Years 7-9, and an online survey was conducted. Three health literacy instruments were used: the 8-item Health Literacy Assessment Tool (HLAT-8), the Newest Vital Sign (NVS), and the 47-item Health Literacy Survey (HLS-47).
A total of 120 students (age 12-15 years) were finally recruited from one school, whereas the other three schools declined due to busy educational commitment or no interest in research. Learnings and reflections on data collection included: a shared perspective of health literacy evaluation between school and researchers; the feasibility of online data collection; and the possibility of obtaining passive, opt-out consent. About one-quarter (23.7%-32.2%) of students were likely to have poor health literacy.
Although the recruitment was challenging, this pilot study indicates the feasibility of large-scale online health literacy survey in future school-based research. SO WHAT?: Measuring and monitoring adolescent health literacy is essential to achieve the aim of the Australian Curriculum of Health and Physical Education. More implementation research is needed with representative samples to validate health literacy instruments and examine the impact of health literacy on health promotion outcomes in Australian adolescents.
虽然青少年健康素养研究已渐趋活跃，但关于其在学校环境中的实施和数据收集的证据却很少。本研究探讨了从澳大利亚中学收集健康素养数据的可行性，并对三种健康素养工具进行了试点。
设计了一项横断面研究，以招募墨尔本的四所政府中学。获得了7至9年级学生家长和学生的主动选择加入同意书，并进行了在线调查。使用了三种健康素养工具：8项健康素养评估工具（HLAT - 8）、最新生命体征（NVS）和47项健康素养调查问卷（HLS - 47）。
最终从一所学校招募了120名学生（年龄在12 - 15岁之间），而其他三所学校因教育任务繁忙或对研究不感兴趣而拒绝。关于数据收集的经验和反思包括：学校和研究人员对健康素养评估的共同看法；在线数据收集的可行性；以及获得被动选择退出同意书的可能性。约四分之一（23.7% - 32.2%）的学生健康素养可能较差。
尽管招募工作具有挑战性，但这项试点研究表明了在未来基于学校的研究中进行大规模在线健康素养调查的可行性。那又如何？：测量和监测青少年健康素养对于实现澳大利亚健康与体育教育课程的目标至关重要。需要更多具有代表性样本的实施研究，以验证健康素养工具，并检验健康素养对澳大利亚青少年健康促进结果的影响。
