背景:健康素养降低会对寻求护理产生负面影响,对护理和整体健康结果的满意度。这些问题在寻求言语和语言治疗师(SLT)护理的沟通困难人群中尤其常见。因此,SLT必须在其临床实践中意识到并敏感于健康素养需求,积极调整材料和资源以满足患者的健康素养需求。尽管这需要核心能力,对于SLT在与成年患者一起工作时使用的健康素养干预措施知之甚少,因此,对执业临床医生的指导有限且不明确,导致潜在的次优护理服务。
目的:探讨文献中讨论的健康素养干预措施的特点,供成人SLT患者使用。
方法:PubMed,CINAHL,搜索了WebofScience和Cochrane系统评论数据库。还搜索了欧洲吞咽障碍学会和吞咽困难研究学会年度科学会议的会议记录。通过开放灰色数据库搜索灰色文献,两位作者对纳入研究的参考文献列表进行了手工检索.
方法:已发表和未发表的研究调查了由合格的SLT提供的健康素养干预措施,在任何情况下为成年患者提供任何语言和语言相关问题的护理。没有语言,地理,应用研究设计或发表日期限制。这些研究的合格参与者分为:(1)患者和(2)专业人员。
方法:数据是根据JoannaBriggs研究所的指南和PRISMAScR(系统评论的首选报告项目和范围审查的荟萃分析扩展)由两位作者独立绘制的。
结果:在最初的搜索中总共确定了1112项可能符合条件的研究,15项研究最终包括在合成中。研究设计和质量差异很大。大多数探索的基本功能健康素养或叙述描述的健康素养的核心组成部分,SLT应该理解,没有采用调查研究设计。
结论:关于在成人言语和语言治疗实践中使用健康素养干预措施的研究有限。这一发现意义重大,因为SLT经常与有沟通问题的人一起工作,因此,解决健康素养问题应该是提供服务的核心原则。
结论:需要有效的,对言语和语言治疗中的健康素养干预措施进行可靠和严格的调查,以最终改善未来患者获得所提供的护理并从中受益。
■患者公众参与审查研究是一个新兴领域。由于资源问题,不可能将这一要素纳入本研究.
BACKGROUND: Reduced health literacy can negatively impact care seeking, satisfaction with care and overall health outcomes. These issues are particularly common among people living with communication difficulties who are seeking care from speech and language therapists (SLTs). As such, the SLT must be aware of and sensitive to health literacy needs within their clinical practice, proactively adapting materials and resources to the health literacy needs of their patients. Despite this required core competency, little is known about the health literacy interventions used by SLTs when working with adult patients, and as such, there is limited and unclear guidance for the practicing clinician, leading to potentially suboptimal care delivery.
OBJECTIVE: To explore the characteristics of health literacy interventions discussed in the literature for use by SLTs with adult patients.
METHODS: PubMed, CINAHL, Web of Science and The Cochrane Database of Systematic Reviews were searched. Conference proceedings of the annual scientific meetings of the European Society for Swallowing Disorders and the Dysphagia Research Society were also searched. Grey literature was searched via the Open Grey database and, hand-searches of reference lists from included studies were conducted by both authors.
METHODS: Published and unpublished research investigating health literacy interventions provided by qualified SLTs providing care to adult patients in any setting for any speech and language related concerns. No language, geographic, study design or publication date limitations applied. Eligible participants in these studies were classified as: (1) patients and (2) professionals.
METHODS: Data were charted in accordance with guidelines from the Joanna Briggs Institute and the PRISMA ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) independently by both authors.
RESULTS: A total of 1112 potentially eligible studies were identified in the initial search, with 15 studies ultimately included in the synthesis. Study design and quality varied significantly. Most explored basic functional health literacy or narratively described core components of health literacy, which an SLT should understand, without employing an investigative research design.
CONCLUSIONS: Limited research has been conducted on the use of health literacy interventions within adult speech and language therapy practices. This finding is significant as SLTs regularly work with people living with communication problems, and therefore, addressing health literacy should be a core tenet of service delivery.
CONCLUSIONS: There is a need for valid, reliable and rigorous investigations of health literacy interventions within speech and language therapy to ultimately improve future patient access to and benefit from the care provided.
UNASSIGNED: Patient public involvement in
review studies is an emerging area. Due to resource issues, it was not possible to include this element in this study.