Department of Business Administration, University of Oviedo.
Health Commun. 2022 May;37(5):648-655. doi: 10.1080/10410236.2020.1862398. Epub 2020 Dec 17.
The complexity of the current healthcare ecosystem justifies the convenience of targeting patients' companions in health communication strategies. Designing successful interventions requires taking into account which keys should be pressed in companions in order to generate positive outcomes in the accompanied patients. In particular, this paper explores how companion health empowerment and companion health literacy affect the well-being of chronically-ill elderly patients. Data for this research come from a cross-sectional quantitative study including 1,814 individuals (907 chronically-ill elderly patients and their 907 companions). Data were collected through two online questionnaires, one for patients and one for companions. The findings suggest that companion health empowerment is defined by the dimensions information search empowerment and knowledge development and decision participation empowerment. Furthermore, the distinction between functional, interactive and critical health literacy has revealed to be useful for comprehending companion health literacy. A structural equation model shows that critical health literacy sets the threshold above which companion health literacy improves accompanied patient well-being, even more so when it is backed up by companion information search empowerment and by companion knowledge development and decision participation empowerment.
当前医疗保健生态系统的复杂性使得针对患者同伴的健康沟通策略具有便利性。设计成功的干预措施需要考虑在同伴中按下哪些键，以便为陪伴的患者带来积极的结果。特别是，本文探讨了同伴健康赋权和同伴健康素养如何影响慢性疾病老年患者的幸福感。这项研究的数据来自一项包含 1814 人的横断面定量研究（907 名慢性疾病老年患者及其 907 名同伴）。数据通过两个在线问卷收集，一个针对患者，一个针对同伴。研究结果表明，同伴健康赋权由信息搜索赋权、知识发展和决策参与赋权这三个维度来定义。此外，功能性、互动性和批判性健康素养的区分对于理解同伴健康素养很有用。结构方程模型表明，批判性健康素养设定了一个门槛，超过这个门槛，同伴健康素养就会提高陪伴患者的幸福感，而当同伴的信息搜索赋权和知识发展与决策参与赋权支持批判性健康素养时，这种影响更为明显。
