Discipline of Nursing, College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Australia.
School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Australia.
Disabil Rehabil. 2022 Jun;44(11):2241-2257. doi: 10.1080/09638288.2020.1836044. Epub 2020 Nov 9.
High health literacy (HL) is important to optimise health outcomes, particularly for older people (who are substantial consumers of health services) and their adult caregivers. The aim of this systematic review was to evaluate measurement properties of HL instruments tested with these population groups.
Six databases (MEDLINE (OVID); CINAHL; EMBASE (OVID); PsycInfo; Scopus; Cochrane Library) were searched for studies evaluating eight measurement properties of HL tools administered to older people or their caregivers. Only studies evaluating multi-domain self-report HL tools were included in analyses, using the COSMIN methodology.
From 4261 unique papers located, 11 met inclusion criteria; six reported measurement properties of three HL self-report tools administered to older people (HLQ, eHEALS, and HeLMS) so are reported in this review, none involved caregiver samples. The HLQ and HeLMS were rated "moderate," and eHEALS "low" for tool development. The HLQ, examined in four included studies, had the highest ratings and quality of evidence across the three measurement properties investigated in included papers.
The HLQ was the most highly rated self-report HL tool of just three tested with older people. Further studies evaluating measurement properties of self-report HL tools used with older people and/or their caregivers are needed.Implications for rehabilitationHealth literacy is important to optimise health outcomes of interventions for older people and their adult caregivers.Few studies have evaluated measurement properties of self-report / multi-domain health literacy tools for this population.The Health Literacy Questionnaire (HLQ) had the highest ratings and quality of evidence across the three measurement properties investigated in included studies, and is recommended for use in rehabilitation settings.
较高的健康素养（HL）对于优化健康结果至关重要，尤其是对于老年人（他们是医疗服务的主要消费者）及其成年照顾者而言。本系统评价的目的是评估针对这些人群进行测试的 HL 工具的测量特性。
在六个数据库（MEDLINE（OVID）；CINAHL；EMBASE（OVID）；PsycInfo；Scopus；Cochrane Library）中检索了评估在老年人或其照顾者中使用的 HL 工具的八项测量特性的研究。仅包括使用 COSMIN 方法评估多领域自我报告 HL 工具的研究。
从 4261 篇独特的论文中，有 11 篇符合纳入标准；其中 6 篇报告了针对老年人使用的三种 HL 自我报告工具（HLQ、eHEALS 和 HeLMS）的测量特性，因此在本综述中进行了报告，没有涉及照顾者样本。HLQ 和 HeLMS 的工具开发被评为“中等”，eHEALS 则为“低”。HLQ 在四项纳入研究中进行了评估，在所纳入论文研究的三个测量特性中，其评分和证据质量均最高。
HLQ 是在针对老年人进行测试的三种自我报告 HL 工具中评分最高的。需要进一步研究评估针对老年人及其成年照顾者使用的自我报告 HL 工具的测量特性。
健康素养对于优化老年人及其成年照顾者的干预健康结果非常重要。很少有研究评估针对该人群的自我报告/多领域健康素养工具的测量特性。健康素养问卷（HLQ）在所纳入研究的三个测量特性中具有最高的评分和证据质量，建议在康复环境中使用。
