J Biomed Inform - Health literacy screening instruments for eHealth applications: a systematic review.

Tópicos

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{ compound(1573) activ(1297) structur(1058) }
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{ general(901) number(790) one(736) }
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{ medic(1828) order(1363) alert(1069) }
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{ cost(1906) reduc(1198) effect(832) }
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{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVE: To systematically review current health literacy (HL) instruments for use in consumer-facing and mobile health information technology screening and evaluation tools.DESIGN: The databases, PubMed, OVID, Google Scholar, Cochrane Library and Science Citation Index, were searched for health literacy assessment instruments using the terms "health", "literacy", "computer-based," and "psychometrics". All instruments identified by this method were critically appraised according to their reported psychometric properties and clinical feasibility.RESULTS: Eleven different health literacy instruments were found. Screening questions, such as asking a patient about his/her need for assistance in navigating health information, were evaluated in seven different studies and are promising for use as a valid, reliable, and feasible computer-based approach to identify patients that struggle with low health literacy. However, there was a lack of consistency in the types of screening questions proposed. There is also a lack of information regarding the psychometric properties of computer-based health literacy instruments.LIMITATIONS: Only English language health literacy assessment instruments were reviewed and analyzed.CONCLUSIONS: Current health literacy screening tools demonstrate varying benefits depending on the context of their use. In many cases, it seems that a single screening question may be a reliable, valid, and feasible means for establishing health literacy. A combination of screening questions that assess health literacy and technological literacy may enable tailoring eHealth applications to user needs. Further research should determine the best screening question(s) and the best synthesis of various instruments' content and methodologies for computer-based health literacy screening and assessment.

Resumo Limpo

jectiv systemat review current health literaci hl instrument use consumerfac mobil health inform technolog screen evalu toolsdesign databas pubm ovid googl scholar cochran librari scienc citat index search health literaci assess instrument use term health literaci computerbas psychometr instrument identifi method critic apprais accord report psychometr properti clinic feasibilityresult eleven differ health literaci instrument found screen question ask patient hisher need assist navig health inform evalu seven differ studi promis use valid reliabl feasibl computerbas approach identifi patient struggl low health literaci howev lack consist type screen question propos also lack inform regard psychometr properti computerbas health literaci instrumentslimit english languag health literaci assess instrument review analyzedconclus current health literaci screen tool demonstr vari benefit depend context use mani case seem singl screen question may reliabl valid feasibl mean establish health literaci combin screen question assess health literaci technolog literaci may enabl tailor ehealth applic user need research determin best screen question best synthesi various instrument content methodolog computerbas health literaci screen assess

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