Bastas Denise, Mancini Athena, Wong Gina, Brandão Leonardo R, Mukaj Sindi, Vincelli Jennifer, Rollan Diandra, Avila Laura
Child Health Evaluative Sciences Research Program, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
Division of Haematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Res Pract Thromb Haemost. 2024 Dec 9;9(1):102653. doi: 10.1016/j.rpth.2024.102653. eCollection 2025 Jan.
Health literacy can influence self-management, leading to improved health outcomes in pediatric patients with venous thrombotic events (VTEs).
To assess general health literacy in adolescents and parents/caregivers of children diagnosed with VTE, and their perception and satisfaction with overall thrombosis-related knowledge, thrombosis knowledge compared to that of other conditions, and beliefs regarding thrombosis knowledge importance.
Patients aged 10 to 18 years with VTE history and parents/caregivers of patients aged 0 to 18 years with VTE attending clinic were recruited in this cross-sectional study. Health literacy was measured using the Rapid Estimate of Literacy in Medicine Short Forms (Adolescent and Adult), the Health Literacy Assessment Scale for Adolescents, and the e-Health Literacy Scale. Self-reported perception, satisfaction, comparative knowledge, and beliefs regarding thrombosis knowledge were assessed using researcher-generated questions.
In total, 101 participants (50 adolescents, 51 parents/caregivers) were recruited at a median of 27 months (25th-75th percentile; 12-62 months) post-VTE diagnosis. Overall, 74% of adolescents and 59% of parents/caregivers had ≥1 measure indicating low general health literacy. Only half the participants thought their thrombosis knowledge was similar to that of other diseases. Satisfaction with thrombosis-related knowledge was 44%; 96% agreed that learning about thrombosis was important. Adolescents reported higher satisfaction with their knowledge than parents/caregivers, but satisfaction was not associated with demonstrated thrombosis knowledge.
Most participants had low general health literacy levels, and more than half were not satisfied with their thrombosis-related knowledge. Adolescents tended to overestimate their knowledge. Effective strategies to support health literacy in this population are needed.
健康素养会影响自我管理，从而改善患有静脉血栓形成事件（VTE）的儿科患者的健康结局。
评估被诊断为VTE的青少年及其父母/照顾者的一般健康素养，以及他们对整体血栓形成相关知识的认知和满意度、与其他疾病相比的血栓形成知识，以及对血栓形成知识重要性的看法。
在这项横断面研究中，招募了有VTE病史的10至18岁患者以及到门诊就诊的0至18岁VTE患者的父母/照顾者。使用医学素养快速评估简表（青少年和成人版）、青少年健康素养评估量表和电子健康素养量表来测量健康素养。使用研究人员提出的问题评估关于血栓形成知识的自我报告的认知、满意度、比较知识和看法。
总共招募了101名参与者（50名青少年，51名父母/照顾者），VTE诊断后的中位时间为27个月（第25至75百分位数；12至62个月）。总体而言，74%的青少年和59%的父母/照顾者有≥1项指标表明一般健康素养较低。只有一半的参与者认为他们的血栓形成知识与其他疾病相似。对血栓形成相关知识的满意度为44%；96%的人同意了解血栓形成很重要。青少年报告对自己知识的满意度高于父母/照顾者，但满意度与所展示的血栓形成知识无关。
大多数参与者的一般健康素养水平较低，超过一半的人对他们的血栓形成相关知识不满意。青少年往往高估自己的知识。需要有效的策略来支持该人群的健康素养。
