Department of Physiotherapy, The University of Melbourne, Parkville, VIC 3010, Australia.
Allied Health - Physiotherapy, The Royal Melbourne Hospital, Parkville, VIC 3052, Australia.
Health Promot Int. 2023 Aug 1;38(4). doi: 10.1093/heapro/daad046.
Health service waiting areas commonly provide health information, resources and supports for consumers; however, the effect on health literacy and related outcomes remains unclear. This scoping review of the literature aimed to explore the use of waiting areas as a place to contribute to the health literacy and related outcomes of consumers attending health appointments. Articles were included if they focussed on health literacy or health literacy responsiveness (concept) in outpatient or primary care health service waiting areas (context) for adult consumers (population) and were published after 2010. Ten bibliographic databases, one full-text archive, dissertation repositories and web sources were searched. The search yielded 5095 records. After duplicate removal, 3942 title/abstract records were screened and 360 full-text records assessed. Data were charted into a standardized data extraction tool. A total of 116 unique articles (published empirical and grey literature) were included. Most articles were set in primary and community care (49%) waiting areas. A diverse range of health topics and resource types were available, but results demonstrated they were not always used by consumers. Outcomes measured in intervention studies were health knowledge, intentions and other psychological factors, self-reported and observed behaviours, clinical outcomes and health service utilization. Intervention studies overall demonstrated positive trends in health literacy-related outcomes, although the benefit declined after 3-6 months. Research on using waiting areas for health literacy purposes is increasing globally. Future research investigating the needs of consumers to inform optimal intervention design is needed.
医疗服务等候区通常为消费者提供健康信息、资源和支持；然而，其对健康素养和相关结果的影响仍不清楚。本文献范围综述旨在探讨将等候区作为一个场所，以促进参加健康预约的消费者的健康素养和相关结果。如果文章侧重于门诊或初级保健医疗服务等候区（背景）中成年消费者（人群）的健康素养或健康素养响应性（概念），并且是在 2010 年后发表的，则将其纳入。共搜索了 10 个书目数据库、1 个全文档案、论文存储库和网络资源。搜索产生了 5095 条记录。去除重复项后，筛选了 3942 篇标题/摘要记录，并评估了 360 篇全文记录。数据被记录到一个标准化的数据提取工具中。共纳入 116 篇独特的文章（已发表的实证和灰色文献）。大多数文章都是在初级和社区护理（49%）等候区进行的。有各种各样的健康主题和资源类型可供选择，但结果表明，消费者并不总是使用它们。干预研究中测量的结果是健康知识、意图和其他心理因素、自我报告和观察到的行为、临床结果和卫生服务利用。总体而言，干预研究显示出与健康素养相关的结果呈积极趋势，尽管这种益处在 3-6 个月后下降。关于利用等候区提高健康素养的研究在全球范围内正在增加。需要研究消费者的需求，以告知最佳干预设计。
