Author Affiliations: H. Ben Taub Department of Physical Medicine & Rehabilitation, Baylor College of Medicine and Harris Health System, Houston, Texas (Dr Sander); Brain Injury Research Center, TIRR Memorial Herman, Houston, Texas (Drs Sander, Pappadis, and Juengst); Department of Population Health and Health Disparities, School of Public and Population Health, The University of Texas Medical Branch (UTMB) and Sealy Center on Aging, UTMB (Dr Pappadis), Galveston; Department of Physical Medicine and Rehabilitation, UTHealth, Houston, Texas (Dr Juengst); Department of Biostatistics and Data Science, School of Public Health, University of Texas Health Sciences Center at Houston (Dr Leon-Novelo); Department of Radiology, Baylor College of Medicine, Houston, Texas (Dr Ngan); Department of Physical Medicine & Rehabilitation, The Ohio State University, Columbus (Dr Corrigan); Department of Physical Medicine and Rehabilitation, Baylor Scott and White Institute for Rehabilitation, Dallas, Texas (Dr Driver); Baylor Scott and White Research Institute, Dallas, Texas (Dr Driver); Department of Physical Medicine & Rehabilitation, University of Alabama at Birmingham (Dr Dreer); Kessler Foundation, East Hanover, New Jersey; and Department of Physical Medicine and Rehabilitation, Rutgers-New Jersey Medical School, Newark (Dr Lequerica).
J Head Trauma Rehabil. 2024;39(2):95-102. doi: 10.1097/HTR.0000000000000913. Epub 2024 Mar 18.
To characterize health literacy among individuals with traumatic brain injury (TBI) at least a year postinjury and to explore its relationship to sociodemographic variables, injury severity, and cognition.
Community following discharge from inpatient rehabilitation.
In total, 205 individuals with complicated mild to severe TBI who completed follow-up as part of a national longitudinal study of TBI and completed a web-based health literacy measure.
Multicenter, cross-sectional, observational study.
Health Literacy Assessment Using Talking Touchscreen Technology.
Thirty-one percent of the sample demonstrated marginal/inadequate health literacy; 69% demonstrated adequate health literacy. A higher proportion of non-Hispanic White adults had adequate health literacy than non-Hispanic Black and Hispanic adults. Individuals with greater than a high school education were more likely to have adequate health literacy than those with a high school education or less. Better executive functioning performance was related to adequate health literacy. Better episodic memory performance was related to adequate health literacy, but only for those with complicated mild to moderate injury.
A substantial proportion of individuals with TBI have marginal/inadequate health literacy, which may impact their understanding, appreciation, and use of health-related information and recommendations. While low health literacy may be preexisting, directly related to TBI, or a combination of both, it should be screened and considered by professionals when communicating with persons with TBI. Healthcare providers should tailor their communication approaches and presentation of health information, particularly for those with low health literacy.
描述创伤性脑损伤（TBI）后至少 1 年个体的健康素养特征，并探讨其与社会人口学变量、损伤严重程度和认知的关系。
出院后在社区。
共有 205 名患有复杂轻度至重度 TBI 的个体完成了作为 TBI 全国纵向研究的一部分的随访，并完成了基于网络的健康素养测量。
多中心、横断面、观察性研究。
使用 Talking Touchscreen 技术进行健康素养评估。
样本中 31%表现出边缘/不足的健康素养；69%表现出足够的健康素养。非西班牙裔白种成年人中具有足够健康素养的比例高于非西班牙裔黑人和西班牙裔成年人。受过高中以上教育的个体比受过高中教育或以下教育的个体更有可能具有足够的健康素养。更好的执行功能表现与足够的健康素养相关。更好的情景记忆表现与足够的健康素养相关，但仅适用于复杂轻度至中度损伤的个体。
相当一部分 TBI 患者存在边缘/不足的健康素养，这可能会影响他们对健康相关信息和建议的理解、欣赏和使用。虽然低健康素养可能是预先存在的、直接与 TBI 相关，或者是两者的结合，但在与 TBI 患者沟通时，专业人员应该对其进行筛查和考虑。医疗保健提供者应根据健康素养低的患者调整他们的沟通方法和健康信息的呈现方式。
