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首页> 外文期刊>Journal of health communication >Interventions for individuals with low health literacy: a systematic review.
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Interventions for individuals with low health literacy: a systematic review.

机译：对健康素养低的个体的干预：系统评价。

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摘要

The U.S. Department of Health and Human Services recently called for action on health literacy. An important first step is defining the current state of the literature about interventions designed to mitigate the effects of low health literacy. We performed an updated systematic review examining the effects of interventions that authors reported were specifically designed to mitigate the effects of low health literacy. We searched MEDLINE(R), The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Educational Resources Information Center (ERIC), and the Cochrane Library databases (2003 forward for health literacy; 1966 forward for numeracy). Two reviewers independently reviewed titles, abstracts, and full-text articles for inclusion and included studies that examined outcomes by health literacy level and met other pre-specified criteria. One reviewer abstracted article information into evidence tables; a second checked accuracy. Two reviewers independently rated study quality using predefined criteria. Among 38 included studies, we found multiple discrete design features that improved comprehension in one or a few studies (e.g., presenting essential information by itself or first, presenting information so that the higher number is better, adding icon arrays to numerical information, adding video to verbal narratives). In a few studies, we also found consistent, direct, fair or good-quality evidence that intensive self-management interventions reduced emergency department visits and hospitalizations; and intensive self- and disease-management interventions reduced disease severity. Evidence for the effects of interventions on other outcomes was either limited or mixed. Multiple interventions show promise for mitigating the effects of low health literacy and could be considered for use in clinical practice.
机译：美国卫生与公共服务部最近呼吁对健康素养采取行动。重要的第一步是定义有关旨在减轻健康素养低下影响的干预措施的文献的当前状态。我们进行了更新的系统评价，以检查作者报告的干预措施的效果，这些干预措施是专门为减轻低健康素养的影响而设计的。我们搜索了MEDLINE（R），护理和相关健康文献的累积索引（CINAHL），PsycINFO，教育资源信息中心（ERIC）和Cochrane图书馆数据库（2003年健康素养向前; 1966年数字素养向前）。两名审稿人独立审阅了标题，摘要和全文文章以供纳入，并纳入了按健康素养水平检查结果并符合其他预先指定标准的研究。一位审稿人将文章信息提取到证据表中;第二个检查的准确性。两位审稿人使用预定义的标准对研究质量进行独立评估。在38项纳入研究中，我们发现了多项离散的设计功能，这些功能可以提高一项或多项研究的理解力（例如，本身或先呈现基本信息，呈现信息以使数量越多越好，向数字信息添加图标阵列，添加视频）。口头叙述）。在一些研究中，我们还发现了一致，直接，公平或高质量的证据，表明密集​​的自我管理干预措施减少了急诊科就诊和住院的机会。强化的自我和疾病管理干预措施可降低疾病的严重程度。干预措施对其他结果的影响的证据有限或混杂。多种干预措施有望减轻健康素养低下的影响，可以考虑用于临床实践。

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