健康素养
自我管理
哮喘
焦点小组
慢性阻塞性肺病
认知
医学
人口
读写能力
健康信息
心理学
医疗保健
计算机科学
精神科
人工智能
免疫学
经济
营销
业务
环境卫生
经济增长
教育学
作者
Iraj Poureslami,Jessica Shum,Roger Goldstein,Samir Gupta,Shawn D. Aaron,Kim Lavoie,Claude Poirier,Saron Kassay,Kassie Starnes,Alizeh Akhtar,J. Mark FitzGerald
标识
DOI:10.1016/j.pec.2020.02.011
摘要
Health literacy (HL) is a person’s ability to practically apply a wide range of cognitive and non-cognitive skills, to make health-related decisions. Currently, no tool applies all HL core domains to capture necessary data to measures HL in adult asthma and COPD patients. We endeavored to develop a comprehensive, function-based tool that adequately and accurately measures HL skills of this patient population. We explored the perspectives of patients related to each core HL domain, with an emphasis on self-management practices. Sixteen focus groups were conducted (n = 93; 40 asthma and 53 COPD) across Canada. Data was analyzed using NVivo12. Thirteen subthemes were identified within five HL domains: (a) access: active access; passive access; lack of access; (b) understanding: how to improve understanding; (c) trustworthiness; relevancy and validity of information: pre- and post- application of information; (d) communication: barriers to proper communication; (e) application of information: making health decisions. Participants provided valuable insight in terms of disease management topics and corresponding items to include in our HL tool. Involvement of patients from initial stage allowed us to develop a tool that will serve as a first ever developed HL tool for asthma and COPD patient group.
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