Griffeth Elaine, Sharif Iman, Caldwell Alexandria, Townsend Cooper M, Tyrrell Hollyce, Dunlap Marny
Health Lit Res Pract. 2022 Jan;6(1):e51-e60. doi: 10.3928/24748307-20220208-01. Epub 2022 Mar 8.
Low health literacy affects one-third of adults in the United States and can have a negative effect on health behavior and outcomes.
The goal of this study was to examine attitudes and knowledge of health literacy among pediatric residents and faculty in pediatric resident continuity clinics across the country.
An online mixed-methods survey was distributed to pediatric faculty and residents through the Academic Pediatric Association's Continuity Research Network. The 20-question survey included questions about the participants' health literacy knowledge and health literacy practices in continuity clinics, such as use of universal health literacy precautions. Categorical answer choices were dichotomized into positive and negative groupings and resident and faculty responses were compared using the Chi-squared test (significance < .05). Qualitative data were analyzed using emergent coding and grounded theory to determine themes.
Responses were received from 402 individuals at 24 pediatric residency programs. Most participants agreed or strongly agreed that they could correctly identify participants with low health literacy (76% residents vs. 53% faculty). Only 19% of residents and 26% of faculty were familiar with universal health literacy precautions. Many residents and faculty had received no training in health literacy (37% residents vs. 38% faculty). Barriers and challenges around health literacy included time, language, limited training or resources, low literacy, disease mismanagement, and fixed misconceptions.
Despite ample evidence in the literature to the contrary, most respondents believed they could correctly identify individuals with low health literacy. Additionally, most participants had not heard of universal health literacy precautions and were unaware of their usage in their practice setting. This is not consistent with current expert recommendations. These findings are troubling as they are from academic residency programs, indicating an educational deficit. These findings point toward a next step in health literacy education for pediatric residents. [] Plain Language Summary: Pediatric residents and faculty in continuity clinics were surveyed about their opinions, health literacy knowledge, ability, and practices in continuity clinics. Despite evidence to the contrary, most respondents believed they could correctly identify individuals with low health literacy and had not heard of universal health literacy precautions. These findings highlight the need for more health literacy education for pediatric residents.
健康素养低影响着美国三分之一的成年人，并可能对健康行为和结果产生负面影响。
本研究的目的是调查全国儿科住院医师连续性诊所的儿科住院医师和教员对健康素养的态度和知识。
通过学术儿科协会的连续性研究网络，向儿科教员和住院医师发放了一份在线混合方法调查问卷。这份包含20个问题的调查问卷包括了关于参与者在连续性诊所的健康素养知识和健康素养实践的问题，比如是否使用通用的健康素养预防措施。分类答案选项被二分法分为积极和消极两组，并使用卡方检验（显著性<0.05）比较住院医师和教员的回答。定性数据采用新兴编码和扎根理论进行分析以确定主题。
来自24个儿科住院医师培训项目的402人回复了问卷。大多数参与者同意或强烈同意他们能够正确识别健康素养低的参与者（76%的住院医师 vs. 53%的教员）。只有19%的住院医师和26% 的教员熟悉通用的健康素养预防措施。许多住院医师和教员没有接受过健康素养方面的培训（37%的住院医师 vs. 38%的教员）。健康素养方面的障碍和挑战包括时间、语言、培训或资源有限、识字能力低、疾病管理不善以及固定的误解。
尽管文献中有大量相反的证据，但大多数受访者认为他们能够正确识别健康素养低的个体。此外，大多数参与者没有听说过通用的健康素养预防措施，并且不知道在他们的实践环境中如何使用。这与当前的专家建议不一致。这些发现令人担忧，因为它们来自学术住院医师培训项目，表明存在教育缺陷。这些发现指出了儿科住院医师健康素养教育的下一步方向。[] 简明语言总结：对连续性诊所的儿科住院医师和教员进行了关于他们在连续性诊所的意见、健康素养知识、能力和实践的调查。尽管有相反的证据，但大多数受访者认为他们能够正确识别健康素养低的个体，并且没有听说过通用的健康素养预防措施。这些发现凸显了对儿科住院医师进行更多健康素养教育的必要性。
