Abstract:
UNASSIGNED: The Informed Health Choices (IHC) Key Concepts is a framework that provides a basis for developing educational resources and evaluating people\'s ability to think critically about health actions. We developed the original Key Concepts framework by reviewing texts and checklists for the public, journalists, and health professionals and collecting structured feedback from an international advisory group. We revised the original 2015 framework yearly from 2016 to 2018 based on feedback and experience using the framework. The objectives of this paper are to describe the development of the framework since 2018 and summarise their basis.
UNASSIGNED: For the 2019 version, we responded to feedback on the 2018 version. For the current 2022 version, in addition to responding to feedback on the 2019 version, we reviewed the evidence base for each of the concepts. Whenever possible, we referenced systematic reviews that provide a basis for a concept. We screened all Cochrane methodology reviews and searched Epistemonikos, PubMed, and Google Scholar for methodology reviews and meta-epidemiological studies.
UNASSIGNED: The original framework included 32 concepts in six groups. The 2019 version and the current 2022 version include 49 concepts in the same three main groups that we have used since 2016. There are now 10 subgroups or higher-level concepts. For each concept, there is an explanation including one or more examples, the basis for the concept, and implications. Over 600 references are cited that support the concepts, and over half of the references are systematic reviews.
UNASSIGNED: There is a large body of evidence that supports the IHC key concepts and we have received few suggestions for changes since 2019.
摘要:
背景:知情健康选择(IHC)关键概念是一个框架,为开发教育资源和评估人们批判性地思考健康行动的能力提供了基础。我们通过审查公众的文本和清单,开发了原始的关键概念框架,记者,和卫生专业人员,并从国际咨询小组收集结构化反馈。我们根据使用该框架的反馈和经验,从2016年到2018年每年修订原2015年框架。本文的目标是描述自2018年以来框架的发展并总结其基础。方法:对于2019年版本,我们回应了2018版本的反馈。对于当前的2022版本,除了回应对2019年版本的反馈,我们回顾了每个概念的证据基础。只要有可能,我们参考了为概念提供基础的系统审查。我们筛选了所有Cochrane方法评论并搜索了Epidemonikos,PubMed,和谷歌学者进行方法审查和元流行病学研究。结果:原始框架包括6组32个概念。2019年版本和当前的2022年版本包括我们自2016年以来使用的三个主要组中的49个概念。现在有10个子组或更高级别的概念。对于每个概念,有一个解释,包括一个或多个例子,概念的基础,和影响。引用了600多篇支持这些概念的参考文献,超过一半的参考文献是系统综述。结论:有大量证据支持IHC关键概念,自2019年以来,我们收到的变化建议很少。