The Association of Race, Cultural Factors, and Health-Related Quality of Life in Persons With Spinal Cord Injury

Instrumentos de avaliação do letramento em saúde: revisão de literatura

“…Concerning design, the majority of the studies was observational and cross-sectional (n= 22; 81.5%) (11,12,(14)(15)(16)(17)(18)(20)(21)(22)(24)(25)(26)(27)(28)(29)(30)(31)(32)(35)(36)(37) , and some received additional specifications: 3 were pilot studies (11.1%) (20,24,25) , 4 were multi-center studies (14.8%) (11,16,17,30) , and 5 focused on validation of assessment instruments (18.5%) (22,26,31,32,37) . Randomized clinical trials -studies that present higher levels of scientific evidence -totaled only 4 occurrences (14.8%) (19,23,33,34) , and 2 of them were multi-center studies (7.4%) (33,34) .…”

“…In 14 articles (51.9%) (11,13,(17)(18)(19)(20)(21)23,24,28,30,33,34,36) , general and specific health literacy assessment instruments were used in an associated form, and the approached specialties were: Rheumatology (13,19) Endocrinology (21,36) , Surgery (33,34) (each area approached in 2 articles, 7.4%), Ophthalmology (11) , Pharmacy (17) , Cardiology (18) , Nutrition and Physical Education (20) , Pneumology (23) , Urology and Urogynecology (24) , Speech-Language Pathology and Audiology (28) , Orthopedics and Physiotherapy (30) (each area approached in 1 article, 3.7%). The main characteristics of the health literacy assessment instruments most frequently used in the selected articles are presented on Chart 2.…”

“…The other 6 instruments (46.2%) (13,14,21,30,36) were considered as indirect health literacy assessments and approached the following themes: patient's feeling of trust in the interaction with the physician (1 instrument related to communicative health literacy) (13) ; health-promoting behaviors in adults (14) ; patient's perception of their own participation in health assistance (36) ; patient's perception of the physician's explanation (36) ; patient's perception of the clarity of medical explanations (21) ; and individual's distrust of the healthcare system (30) (5 instruments related to functional, communicative and critical health literacy).…”

“…Five of these articles used the full version (18.6%) (11,25,(32)(33)(34) , 1 of them used the short version (3.7%) (12) , and 1 used the reviewed version (3.7%) (30) . Of these 8 studies, 1 (3.7%) used SAHLPA (Short Assessment of Health Literacy for Portuguese-speaking Adults) (26) , a version (13,21,29,36) in Japan and the Netherlands, and SBSQ (Set of Brief Screening Questions), in 2 articles (7.4%) (16,17) : a study that performed assessments in 15 European countries (16) and a study that involved countries in Europe, Oceania, North and South America (17) .…”

“…REALM, employed in the United States, Ireland and Brazil, was chosen in 8 articles (29.6%) (11,12,25,26,30,(32)(33)(34) . Five of these articles used the full version (18.6%) (11,25,(32)(33)(34) , 1 of them used the short version (3.7%) (12) , and 1 used the reviewed version (3.7%) (30) .…”