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The health literacy skills framework

机译：健康素养技能框架

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摘要

Although there are a variety of models and frameworks that describe factors that are associated with health literacy skills, few illustrate the full pathway from development and moderators of health literacy skills, their application, and the outcomes that result all in one framework or model. This article introduces the Health Literacy Skills conceptual framework that does encompass this full continuum. To develop the framework, the authors reviewed and built upon existing health literacy frameworks. The Health Literacy Skills framework hypothesizes the relations between health literacy and health-related outcomes and depicts how health literacy functions at the level of the individual. The framework also reflects how factors external to the individual (e.g., family, setting, community, culture, and media) influence the constructs and relations represented in the framework. The framework is organized into 4 primary components: (a) factors that influence the development and use of health literacy skills; (b) health-related stimuli; (c) health literacy skills needed to comprehend the stimulus and perform the task; and (d) mediators between health literacy and health outcomes. Previous theoretical frameworks lend support to the proposed causal pathways it illustrates. The authors hope this conceptual framework can serve as a springboard for further discussion and advancement in operationalizing this complex construct. The Health Literacy Skills framework could also be used to guide the development of interventions to improve health literacy. Future research should be conducted to fully test the relations in the framework.
机译：尽管存在多种模型和框架来描述与健康素养技能相关的因素，但很少有人能说明健康素养技能的发展和调节者，其应用和产生的全部路径，这些结果和结果全都形成一个框架或模型。本文介绍了包含完整内容的“健康素养技能”概念框架。为了开发该框架，作者回顾了现有的健康素养框架并以此为基础。健康素养技能框架假设健康素养与健康相关结果之间的关系，并描述了健康素养如何在个人层面发挥作用。该框架还反映了个人外部因素（例如家庭，环境，社区，文化和媒体）如何影响框架所代表的结构和关系。该框架分为四个主要部分：（a）影响健康素养技能发展和使用的因素; （b）与健康有关的刺激; （c）理解刺激和完成任务所需的健康素养技能; （d）在健康素养和健康成果之间进行调解。以前的理论框架为它说明的拟议的因果路径提供了支持。作者希望这个概念框架可以作为跳板，以进一步讨论和推进这种复杂结构的操作。健康素养技能框架还可用于指导制定干预措施以提高健康素养。应该进行进一步的研究以全面测试框架中的关系。

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