先前的研究表明,将健康素养视为一组“分布式能力”是有用的,可以发现分散在个人的社交网络中,而不是唯一的个人属性。然而,到目前为止,还没有重点探索如何定义分布式健康素养,在同行评审的文献中概念化或评估。
本系统综述旨在探索:(1)可从同行评审文献中获得的分布式健康素养的定义和概念模型;(2)如何在实证研究中测量分布式健康素养。
我们搜索了MEDLINE,Embase,CINAHL,PsycInfo,Scopus,ERIC和WebofScience使用关键字\'literation\'和\'distributed\'的截断版本(在五个单词\'距离内)。我们整理了分布式健康素养的定义和概念模型,并报告如何在实证研究中衡量健康素养。使用主题综合法综合了与所包含手稿中的分布式健康素养有关的发现。
在筛选的642项研究中,本系统综述中包括10个。大多数是五个国家中的一个报告定性研究的经验手稿,有两个评论,一个概念分析和一个定量研究。爱德华兹对分布式健康素养的定义,强调健康素养能力,有助于个人健康素养水平的其他人的技能和实践在各种临床和地理环境中被广泛应用。然而,我们没有发现任何直接测量分布式健康素养的定量工具.用于定性探索概念的问题存在显著差异,以及关于(a)什么构成分布式健康素养和什么不构成分布式健康素养(例如,一般社会支持),和(B)分布式健康素养与其他结构之间的关系(例如,公共卫生素养)。
尽管分布式健康素养的定义得到了广泛的应用,我们的审查表明,研究空间将受益于概念的发展,从理论上讲,例如通过分布式健康素养和其他类型的社会支持之间的概念区分,并根据经验,例如通过开发定量测量工具。
本文为系统综述,未涉及患者或公众。
Previous research suggests that it would be useful to view health literacy as a set of \'distributed competencies\', which can be found dispersed through the individual\'s social network, rather than an exclusively individual attribute. However, to date there is no focused exploration of how distributed health literacy has been defined, conceptualized or assessed in the peer-reviewed literature.
This systematic
review aimed to explore: (1) definitions and conceptual models of distributed health literacy that are available from the peer-reviewed literature; and (2) how distributed health literacy has been measured in empirical research.
We searched MEDLINE, Embase, CINAHL, PsycInfo, Scopus, ERIC and Web of Science using truncated versions of the keywords \'literacy\' and \'distributed\' (within five words\' distance). We collated the definitions and conceptual models of distributed health literacy, and report on how health literacy has been measured in empirical research studies. Findings related to distributed health literacy from included manuscripts were synthesized using thematic synthesis.
Of the 642 studies screened, 10 were included in this systematic
review. The majority were empirical manuscripts reporting on qualitative research in one of five countries, with two reviews, one conceptual analysis and one quantitative study. Edwards\' definition of distributed health literacy, which emphasizes the health literacy abilities, skills and practices of others that contribute to an individual\'s level of health literacy was widely applied in a variety of clinical and geographical settings. However, we did not identify any quantitative instruments which directly measured distributed health literacy. There was significant variability in questions used to explore the concept qualitatively, and discrepancies across studies in regard to (a) what constitutes distributed health literacy and what does not (e.g., general social support), and (b) the relationship between distributed health literacy and other constructs (e.g., public health literacy).
Although there is a widely applied definition of distributed health literacy, our
review revealed that the research space would benefit from the development of the concept, both theoretically for example via conceptual distinctions between distributed health literacy and other types of social support, and empirically for example through the development of a quantitative measurement instrument.
This paper is a systematic
review and did not involve patients or the public.