Monash-Epworth Rehabilitation Research Centre, School of Psychological Sciences, Monash University, Melbourne, Vic, Australia.
Brain Injury Research Center, TIRR Memorial Hermann, Houston, TX, USA; and H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA.
Brain Impair. 2024 Oct;25. doi: 10.1071/IB23116.
Background Little is known about health literacy in traumatic brain injury (TBI) survivors. The aims of this study were to compare health literacy in individuals with TBI with that of a control group; to examine the association between health literacy in individuals with TBI and demographic, injury, and cognitive factors; and compare the relationship between health literacy and physical and mental health outcomes. Methods A cross-sectional observational study design was used. Adults (≥18years) were recruited from an outpatient research centre in Victoria, Australia. There were 209 participants with a complicated mild to severe TBI at least 1year previously (up to 30years 6months) and 206 control participants. Results Individuals with TBI did not have poorer health literacy than controls (IRR=1.31, P =0.102, CI95% [0.947, 1.812]). Further analysis could not be completed due to the highly skewed Health Literacy Assessment Using Talking Touchscreen Technology - Short Form (Health LiTT-SF) data. Conclusion Health literacy performance in individuals with TBI was not significantly different to controls. Premorbid education may provide a critical cognitive reserve upon which TBI survivors can draw to aid their health literacy. These findings are specific to the Health LiTT-SF measure only and require replication using more comprehensive health literacy measures in culturally diverse samples.
背景 关于创伤性脑损伤 (TBI) 幸存者的健康素养知之甚少。本研究的目的是比较 TBI 幸存者和对照组的健康素养；检查 TBI 幸存者的健康素养与人口统计学、损伤和认知因素之间的关系；并比较健康素养与身心健康结果之间的关系。
方法 采用横断面观察性研究设计。从澳大利亚维多利亚州的一个门诊研究中心招募了成年人（≥18 岁）。共有 209 名复杂轻度至重度 TBI 患者（至少 1 年，最长 30 年 6 个月）和 206 名对照组参与者。
结果 TBI 患者的健康素养并不比对照组差（IRR=1.31，P=0.102，95%CI [0.947, 1.812]）。由于 Health Literacy Assessment Using Talking Touchscreen Technology - Short Form（Health LiTT-SF）数据高度偏态，无法进一步分析。
结论 TBI 幸存者的健康素养表现与对照组无显著差异。发病前的教育可能为 TBI 幸存者提供了关键的认知储备，以帮助他们提高健康素养。这些发现仅适用于 Health LiTT-SF 测量，需要在具有文化多样性的样本中使用更全面的健康素养测量方法进行复制。
