Jessica Shum1, Iraj Poureslami2, Darrin Wiebe3, Mary M Doyle-Waters4, Laura Nimmon5, J Mark FitzGerald6. 1. Division of Respiratory Medicine, Department of Medicine, The University of British Columbia, Gordon and Leslie Diamond Health Care Centre, 7th floor, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada; Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, The University of British Columbia, 7th floor, 828 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada. Electronic address: jessica.shum@ubc.ca. 2. Division of Respiratory Medicine, Department of Medicine, The University of British Columbia, Gordon and Leslie Diamond Health Care Centre, 7th floor, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada; Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, The University of British Columbia, 7th floor, 828 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada. Electronic address: iraj.poureslami@ubc.ca. 3. Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, The University of British Columbia, 7th floor, 828 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada. Electronic address: darrin.wiebe@alumni.ubc.ca. 4. Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, The University of British Columbia, 7th floor, 828 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada. Electronic address: mimi.doyle-waters@ubc.ca. 5. Centre for Health Education Scholarship (CHES), Department of Occupational Science and Occupational Therapy, The University of British Columbia, P.A. Woodward Instructional Resources Centre (IRC), 429-2194 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada. Electronic address: laura.nimmon@ubc.ca. 6. Division of Respiratory Medicine, Department of Medicine, The University of British Columbia, Gordon and Leslie Diamond Health Care Centre, 7th floor, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada; Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, The University of British Columbia, 7th floor, 828 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada. Electronic address: mark.fitzgerald@vch.ca.
Abstract
OBJECTIVE: To identify and evaluate asthma/COPD measurement tools that assess any of the five health literacy (HL) domains: (1) access, (2) understand, (3) evaluate, (4) communicate, and (5) use, as well as numeracy. METHODS: MEDLINE/Embase (via Ovid) databases from 1974 to 2016 were searched and complimented by grey literature. Study selection and data extraction were conducted by two reviewers independently. RESULTS: We identified 65 tools including 40 asthma, 22 COPD, and 3 asthma/COPD focused tools. Thirty tools had been validated and two assessed all five domains. The 'understand' domain was captured in 49 tools, followed by 'access' in 29 tools, 'use' in 24 tools, 'evaluate' in 20 tools, and 'communicate' in 10 tools. Two tools assessed 'numeracy'. Tool content comprised disease physiology, triggers, symptoms, inhaler technique, self-management practices, and rehab programs. CONCLUSIONS: This review highlights paucity of HL tools that have been validated and/or assess the 'communicate' domain and makes a valuable contribution to filling an existing research gap in the field of HL by determining the deficiencies of such tools. PRACTICE IMPLICATIONS: Our review uncovers which HL domains are under-measured, justifying the need to develop an airways HL measurement tool which applies the 5-domain model for asthma/COPD management.
OBJECTIVE: To identify and evaluate asthma/COPD measurement tools that assess any of the five health literacy (HL) domains: (1) access, (2) understand, (3) evaluate, (4) communicate, and (5) use, as well as numeracy. METHODS: MEDLINE/Embase (via Ovid) databases from 1974 to 2016 were searched and complimented by grey literature. Study selection and data extraction were conducted by two reviewers independently. RESULTS: We identified 65 tools including 40 asthma, 22 COPD, and 3 asthma/COPD focused tools. Thirty tools had been validated and two assessed all five domains. The 'understand' domain was captured in 49 tools, followed by 'access' in 29 tools, 'use' in 24 tools, 'evaluate' in 20 tools, and 'communicate' in 10 tools. Two tools assessed 'numeracy'. Tool content comprised disease physiology, triggers, symptoms, inhaler technique, self-management practices, and rehab programs. CONCLUSIONS: This review highlights paucity of HL tools that have been validated and/or assess the 'communicate' domain and makes a valuable contribution to filling an existing research gap in the field of HL by determining the deficiencies of such tools. PRACTICE IMPLICATIONS: Our review uncovers which HL domains are under-measured, justifying the need to develop an airways HL measurement tool which applies the 5-domain model for asthma/COPD management.
Authors: Iraj Poureslami; Jacek Kopec; Noah Tregobov; Jessica Shum; Rick Sawatzky; Richard Hohn; J Mark FitzGerald Journal: Int J Environ Res Public Health Date: 2021-08-16 Impact factor: 3.390
Authors: Hongyan Liu; Huan Zeng; Yang Shen; Fan Zhang; Manoj Sharma; Weiyun Lai; Yu Zhao; Genhui Tao; Jun Yuan; Yong Zhao Journal: Int J Environ Res Public Health Date: 2018-08-10 Impact factor: 3.390