Health Information Literacy Research Articles

Assessment of information literacy skills and information-seeking behavior of medical students in the age of technology: a study of Pakistan

Purpose Information literacy skills (ILSs) and information-seeking behavior (ISB) is a widespread topic that needs modern technologies to improve the technical skills of the students. The purpose of this study is to assess the usage of library resources for medical college students. To explore and understand the student’s level of satisfaction, learning and seeking behavior by efficient information retrieval systems. Design/methodology/approach The study is based on a quantitative research method and data was collected from the undergraduate students of medical colleges Islamabad Pakistan. The data were analyzed by Statistical Package for Social Science (SPSS) version 25 using Pearson correlation statistical test to identify the level of proficiency of correlation of variables and testing of the proposed hypothesis. Findings The finding of the study shows that the medical students can enhance their IT skills to seek the information in this technology era. The medical institutional administration can develop the education development policy, traditional health education policy, funds allocating policy, health information literacy and collaborate with library staff for enhancing the services and to meet the information need of medical students. Practical implications The conclusion of this study is very helpful to reduce the barriers between the students and the library staff. The findings of the study are also beneficial for the administration to improve and develop the strategies for enhancing the ILSs of medical students to achieve medical educational information in the age of technology. Therefore, all significant structures want to improve and to develop the environment of information seeking by medical students to achieve medical educational information. Social implications Medical college library administrative management must be design useful a durable policy to come up with the technology development for digital literacy. The study reduces the barriers between the students and the library staff. Originality/value The study is based on quantitative research method to find out ISB of medical students.

School Libraries

Health education is a major social, educational and political issue in today’s world and it is fundamentally tied to teacher-librarians and their important roles in promoting information literacy. Although this may be considered a new responsibility for schools, history shows that since the 19th century, schools have played vital roles in the prevention of diseases and in encouraging better health behaviors. This presentation presents some of the major current developments in health information literacy including guidelines suggested by the U.S. Centers for Disease Control through its CHSP program (Coordinated Health School Program). This program emphasizes the importance of schools serving all grades as important agents in promotion health information. UNESCO’s suggestions on how health information can be integrated in all curriculum areas are likewise highlighted in this discussion. Overall, the emphasis is practical and presents concrete suggestions about how teacher-librarians can and are assuming a leadership role in promoting health information literacy. Included are overviews of instructional strategies that have proven successful in promotion better health information in various communities. A major portion of the presentation highlights how health instruction can be integrated into curriculum areas that have not often been considered as venues for health information. These areas include literature, biography, art, music, and dance. For example, musicians, dancers, and artists, like athletes, have health issues that must be carefully considered in fulfilling their artistic goals. Likewise, biography offers examples of personalized models showing how a variety of persons have faced health crises. The presentation concludes with a review of how globalization is influencing health issues and how the teacher-librarian can better respond to those important developments now and in the future.

Information needs of breast cancer patients and how educational status influence their information needs in Ghana

Health information literacy plays a critical role in self-management practices among patients living with chronic health conditions. However, there are limited studies on information needs among breast cancer patients in Ghana. This paper therefore investigated the information needs of women living with breast cancer in Ghana and how educational status influenced their information needs. The study was conducted in two health facilities in Accra, Ghana (37 Military Hospital and Sweden Ghana Medical Centre). A total of 75 breast cancer patients were conveniently selected from the two health facilities for the study. The instrument used to elicit relevant data for this study was a questionnaire using the survey design. Data was analysed descriptively. The findings of the study revealed that the information needs of the breast cancer patients investigated were centred mainly around treatment and management information and less around preventive information. The patients also ranked diagnostic information as their highest need, followed by physical care information, treatment information, psychosocial information and disease-specific information in that order. Patients with higher education reported higher information need on all the five domains compared to those with lower education. The study therefore recommended that management of health facilities make health information literacy an integral component of their treatment and management of breast cancer.

Health Information behaviour during COVID-19 outbreak among Egyptian library and information science undergraduate students

Health information shared on the Internet has the potential to improve people’s quality of life. However, the level of health information literacy and informational skills determines the individuals’ ability to obtain credible health information useful for them. This study investigates the Egyptian LIS undergraduates’ health information behaviour during the COVID-19 pandemic. The study has adopted a quantitative approach using a questionnaire to explore library and information science undergraduates’ health information behaviour. A sample of 161 students answered a questionnaire. The data were analysed using SPSS software. The study results show that official health websites, social media, and family and friends are the primary sources for health information for the participants. The findings also revealed that the sample has adequate health information skills, though many of the participants still need to raise their information literacy skills. Information credibility and personal beliefs were found to affect the participants’ decision to share health information on the Internet. One of the limitations of the study is that the sample selected in this study was LIS students who are trained to find reliable information as part of their education. Findings may be different for the “average” student. Furthermore, the questionnaire was distributed in one university, which means that the results cannot be generalised in other LIS departments using different courses. Therefore, more studies need to be conducted in other LIS departments with different course plans as they may produce different results. This study explores the health information behaviour of LIS undergraduates during the COVID-19 pandemic. The current study results may help develop the course plan in many LIS departments in Egypt and the Middle East, which would help improve the students’ health information literacy.

Public libraries as health literate multi-purpose workspaces for improving health literacy.

Now more than ever, in this COVID-19 pandemic, our individual and collective ability to access, understand and apply information to inform our health care and broader lifestyle decisions ie, to be health literate - has life or death consequences. This paper reflects upon the proposition of public libraries as health literate multi-purpose workspaces for improving health literacy. We draw upon our combined experiences as evaluators of organizational health literacy initiatives, and library sector development, engagement and advocacy. Key ideas were presented as part of the 2020 State Library Victoria seminar series on 'Libraries: The Heart of a Healthy Community'. Key messages included: Public libraries are well positioned to contribute to the health literacy movement, as they provide the general public with: universal free access to information and services; extensive in-house and outreach educational collaborative learning opportunities; and health and wellbeing support by being welcoming, safe, and trusted community spaces. To date, limited discussion exists about conceptualizing public libraries as health literate multi-purpose workspaces for supporting and sustaining public library health literacy efforts. A health literate organizational framework is suggested to support libraries simply supporting health information literacy to being recognised as health literate organizations. Five workspace principles (empowerment, equitable, inclusive, collaborative and integrated) are suggested to provide directions for public libraries as health literate multi-purpose workspaces for improving the health literacy of individuals, communities, organizations and indeed systems. To inform the design, implementation and evaluation of public libraries as workspaces for improving health literacy, key principles-focused evaluation questions are suggested for consideration. SO WHAT?: Public Libraries as welcoming, safe, and trusted community organizations are well placed to be health literate multipurpose workspaces for improving health literacy.

Association of Individual Health Literacy with Preventive Behaviours and Family Well-Being during COVID-19 Pandemic: Mediating Role of Family Information Sharing.

Objective: We tested a model of individual health literacy information sharing with family members, personal preventive behaviours and family well-being during the Coronavirus Disease 2019 (COVID-19) pandemic in Hong Kong. Methods: We analysed data of 1501 randomly selected Chinese adults from a cross-sectional survey in Hong Kong from 9 to 23 April, 2020. Individual health literacy about COVID-19 with the items extracted from the questionnaire in World Health Organization Risk Communication and Community Engagement (RCCE) Action Plan Guidance for COVID-19 preparedness and response, COVID-19 information sharing with family members, preventive behaviours against COVID-19 and family well-being were measured. Structural equation modelling analysis tested the proposed model. Findings: COVID-19 information sharing with family members partially mediated the association between individual health literacy and personal preventive behaviours. The direct effect of 0.24 was shown, and the indirect effect through COVID-19 information sharing with family members was small at 0.03 (Z = 3.66, p < 0.001). Family well-being was associated with personal preventive behaviours against COVID-19. The model was adjusted for sex, age, and socioeconomic status factors and had good fit with RMSEA = 0.04, CFI = 0.98, TLI = 0.96, and SRMR = 0.02. Conclusion: COVID-19 information sharing with family members was a partial mediator between individual health literacy and personal preventive behaviours against COVID-19. Strategies for enhancing health literacy and preventive measures against COVID-19 are needed to promote family well-being in the pandemic.

Cyberchondria in the time of the COVID ‐19 pandemic

Cyberchondria is an excessive or repeated online health information seeking that is associated with increasing levels of health anxiety or distress. This article presents a model of cyberchondria during public health crises such as the COVID‐19 pandemic. The factors that contribute to cyberchondria at this time include (a) a heightened perception of threat and fear of a newly identified and poorly understood disease; (b) difficulty in coping with uncertainty associated with the pandemic; (c) lack of authoritative and trustworthy sources of relevant health information; (d) difficulty in coping with abundance of information that is often confusing, conflicting, unverified and constantly updated, along with a decreased ability to filter out unnecessary information; and (e) inability of excessive online health information seeking to provide the necessary information and deliver reassurance. These factors amplify fear and distress, which increases the perception of threat and uncertainty and perpetuates further online health searches. Cyberchondria has significant public health implications because of the associated distress or functional impairment and effects on health behaviors. Cyberchondria should be addressed by targeting a heightened perception of threat, improving management of uncertainty and online health information and promoting an ability to critically appraise the results of online health searches. This should contribute to a better online health information literacy. The model of cyberchondria during the COVID‐19 pandemic explains the hypothesized rise in cyberchondria during public health emergencies and helps to formulate a framework for prevention of cyberchondria and its effective management.

The Quality, Readability, Completeness, and Accuracy of PTSD Websites for Firefighters.

Firefighters appear at an increased risk for post-traumatic stress disorder (PTSD). Because of PTSD-related stigma, firefighters may search for information online. The current study evaluated the quality, readability, and completeness of PTSD online resources, and to determine how the online treatment recommendations align with current evidence. Google.ca (Canada) searches were performed using four phrases: ‘firefighter PTSD’, ‘firefighter operational stress’, ‘PTSD symptoms’, and ‘PTSD treatment’. The 75 websites identified were assessed using quality criteria for consumer health information (DISCERN), readability and health literacy statistics, content analysis, and a comparison of treatments mentioned to the current best evidence. The average DISCERN score was 43.8 out of 75 (indicating ‘fair’ quality), with 9 ‘poor’ websites (16–30), 31 ‘fair’ websites (31–45), 26 “good” websites (46–60), and nine excellent websites (61–75). The average grade level required to understand the health-related content was 10.6. The most mentioned content was PTSD symptoms (48/75 websites) and PTSD treatments (60/75 websites). The most frequently mentioned treatments were medications (41/75 websites) and cognitive behavioural therapy (40/75 websites). Cognitive behavioural therapy is supported by strong evidence, but evidence for medications appears inconsistent in current systematic reviews. Online PTSD resources exist for firefighters, but the information is challenging to read and lacks evidence-based treatment recommendations.

Post-operative discharge education for parent caregivers of children with congenital heart disease: a needs assessment.

Children with congenital heart disease (CHD) have complex unique post-operative care needs. Limited data assess parents' hospital discharge preparedness and education quality following cardiac surgery. The goals were to identify knowledge gaps in discharge preparedness after congenital heart surgery and to assess the acceptability of an educational mobile application to improve discharge preparedness. Telephonic interviews with parents of children with two-ventricle physiology who underwent cardiac surgery 5-7 days post-discharge and in-person interviews with clinicians were conducted. We collected parent and clinician demographics, parent health literacy information and patient clinical data. We analysed interview transcripts using summative content analysis. We interviewed 26 parents and 6 clinicians. Twenty-two of the 26 (85%) parents felt ready for discharge; 4 of the 6 (67%) clinicians did not feel most parents were ready for discharge. Fifteen of the 26 parents (58%) reported receiving the majority of discharge teaching on the day of discharge. Eight parents did not feel like all of their questions were answered. Most parents (14/26, 54%) preferred visual educational learning aids and could accurately describe important aspects of care. Most parents (23/26, 88%) and all 6 clinicians felt a mobile application for post-operative care education would be helpful. Most parents received education on the day of discharge and could describe the information they received prior to discharge, although there were some preparedness gaps identified after discharge. Clinicians and parents varied in their perceptions of the readiness for discharge. Most responses suggest that a mobile application for discharge education may be helpful for transition to home.

The Atrial Fibrillation Health Literacy Information Technology Trial: Pilot Trial of a Mobile Health App for Atrial Fibrillation.

BackgroundAtrial fibrillation (AF) is a common arrhythmia that adversely affects health-related quality of life (HRQoL). We conducted a pilot trial of individuals with AF using a smartphone to provide a relational agent as well as rhythm monitoring. We employed our pilot to measure acceptability and adherence and to assess its effectiveness in improving HRQoL and adherence.ObjectiveThis study aims to measure acceptability and adherence and to assess its effectiveness to improve HRQoL and adherence.MethodsParticipants were recruited from ambulatory clinics and randomized to a 30-day intervention or usual care. We collected baseline characteristics and conducted baseline and 30-day assessments of HRQoL using the Atrial Fibrillation Effect on Quality of Life (AFEQT) measure and self-reported adherence to anticoagulation. The intervention consisted of a smartphone-based relational agent, which simulates face-to-face counseling and delivered content on AF education, adherence, and symptom monitoring with prompted rhythm monitoring. We compared differences in AFEQT and adherence at 30 days, adjusted for baseline values. We quantified participants’ use and acceptability of the intervention.ResultsA total of 120 participants were recruited and randomized (59 to control and 61 to intervention) to the pilot trial (mean age 72.1 years, SD 9.10; 62/120, 51.7% women). The control group had a 95% follow-up, and the intervention group had a 93% follow-up. The intervention group demonstrated significantly higher improvement in total AFEQT scores (adjusted mean difference 4.5; 95% CI 0.6-8.3; P=.03) and in daily activity (adjusted mean difference 7.1; 95% CI 1.8-12.4; P=.009) compared with the control between baseline and 30 days. The intervention group showed significantly improved self-reported adherence to anticoagulation therapy at 30 days (intervention 3.5%; control 23.2%; adjusted difference 16.6%; 95% CI 2.8%-30.4%; P<.001). Qualitative assessments of acceptability identified that participants found the relational agent useful, informative, and trustworthy.ConclusionsIndividuals randomized to a 30-day smartphone intervention with a relational agent and rhythm monitoring showed significant improvement in HRQoL and adherence. Participants had favorable acceptability of the intervention with both objective use and qualitative assessments of acceptability.

Breast Cancer Awareness Based on Health Information Literacy and Influential Factors among Female Nursing Students in China.

This investigation aimed to study breast cancer awareness based on health information literacy and influential factors of breast cancer awareness among female nursing students in Changchun city in China. A four-part self-report questionnaire including the participants' general demographic characteristics, the participants' specialized characteristics concerning breast cancer screening, the Chinese version of the Breast Cancer Awareness Measurement (C-BCAM), and the Chinese version of the Health Information Literacy Self-rating Scale (HILSS) was designed to investigate breast cancer awareness and health information literacy and influential factors of breast cancer awareness among 205 female nursing students in Year 1-Year 3 using convenience sampling. The data were analyzed with SPSS 26.0 using descriptive statistics, nonparametric tests, and multiple regression analysis. The nursing students had an average level of HIL (median = 101.00, (93.00, 107.00)) and a good level of breast cancer awareness (median = 82.00, (76.00, 88.00)). A significant positive correlation was found between the HILSS and total C-BCAM score (r = 0.439, P < 0.01). Multivariate logistic regression analysis demonstrated that grades (P < 0.001), training in BSE (P = 0.025), and intention of undergoing breast cancer screening (P = 0.028) were three predictive factors for breast cancer awareness among female nursing students. The female nursing students' HIL was at an average level, and breast cancer awareness was at a good level. Health information literacy and breast cancer awareness among female nursing students in Changchun were significantly positively correlation, as demonstrated by this survey. Therefore, nursing education has the responsibility to improve female nursing students' awareness of breast cancer at different grades and to cultivate health information literacy. More training in BSE is needed. Greater efforts may be needed to develop targeted nursing education to strengthen female nursing students' awareness of breast cancer and HIL.

Examining strategies for addressing high levels of ‘I don’t know’ responding to risk perception questions for colorectal cancer and diabetes: an experimental investigation

Objective Many people say they ‘don’t know’ their risk for common diseases (DK responders). Inadequate health literacy and higher disease information avoidance may suppress risk knowledge and thereby increase DK responding. Study goals were to examine two plausible interventions to address the health education needs of DK responders. Design: Participants were identified in a pre-screener as DK responders for either diabetes or colorectal cancer (CRC) risk perception questions (N = 1276; 35% non-white; 49% inadequate health literacy). They were randomly assigned to read either standard or low literacy risk information about diabetes or CRC, and to undergo a self-affirmation intervention or not. Main outcome measure: DK responding following reading the risk information. Results: Neither intervention reduced DK responding. Multivariable analyses showed that health literacy, information avoidance and believing the disease is unpredictable – but not risk factor knowledge and need for cognition – best predicted participants’ conversion from a DK response to a non-DK scale point response. Conclusion: Results confirm that both inadequate health literacy and higher information avoidance are associated with DK responding. DK responders are also disproportionately underserved and less adherent to health behaviors. Because galvanising risk perceptions are central to public health, addressing their information needs is a priority.

Risk factors for distress during online health information seeking behavior in parents

BackgroundParents use the Internet commonly for themselves and to search for information about their children's health. However, health-related information from the web has the potential to trigger anxiety and stress. The understanding of contributing factors for distress during health-related information search processes and which factors could be targeted for prevention is still limited.MethodsParents living in Austria with a child between 0 and 6 years were randomly assigned to search the web for current somatic health issues related to self- or child-symptoms. The task was performed on a desktop computer with a timeframe of 15 minutes. The stress level was assessed immediately before and after the search task with the State-Trait Anxiety-Inventory (STAI). Recruitment was terminated early due to the coronavirus disease 2019 pandemic outbreak (sample size prior to COVID-19, N = 53).ResultsMultiple linear regression was used to predict parents' stress change during the search task based on health anxiety, attitude towards online health information, eHealth literacy, couple satisfaction and parental burden. Health anxiety, attitude towards online health information and eHealth literacy did not significantly contribute to predict parents' stress change (STAI state anxiety change), however couple satisfaction (β = -.393, t = -2.46, p = .018) and parental burden (β = -.388, t = -2.30, p = .026) did. Higher parents' baseline level of stress immediately before the search task was only associated with higher levels of parental burden (β = .882, t = 4.00, p < .001).ConclusionsThe results of this study indicate the importance of the relational level, rather than the individual level, in understanding stress during online health information seeking among parents. Future research should incorporate relational variables like parental burden and couple satisfaction into theoretical models and test their influence on online health distress in larger samples.Key messages Family and relational variables should be considered in future research investigating distress during online health information seeking for oneself or by proxy.Fostering parents' couple satisfaction and reducing parental burden may can contribute to lower stress levels after symptom-related online searches.

Abstract 5737: Development of a new theoretical model on health literacy and informed decision-making about lung cancer screening

Abstract Aims: Recent advances in screening technologies have reduced mortality and increased early stage detection of lung cancer, yet only 3.9% of 6.8 million eligible US adults were screened in 2015. Older adult long-term smokers experience dynamic health literacy and communication issues when faced with making an informed decision about lung cancer screening. Yet, there remains limited research on the impact of health literacy and the process of informed decision-making about lung cancer screening, which may be due to the paucity of a theoretical framework available to direct this research. To address this critical gap in the cancer prevention literature, this study developed a new theoretical model on health literacy and informed decision-making about lung cancer screening. Methods: This grounded theory study was guided by the following research question: “How does health literacy relate to intentions and behaviors to screen for lung cancer?” Eligible participants were 55 to 80 years old, had a 30-pack year smoking history, any form of health insurance, and a healthcare provider seen in the past two years. Participants were recruited via Craigslist until saturation was reached. Participants completed an in-person audio-recorded intensive interview in a private location, then were asked to complete the Short Test of Functional Health Literacy in Adults. Data were transcribed verbatim, cleaned, and analyzed using constructivist grounded theory methods, proceeding through four stages of coding: 1) open; 2) focused; 3) axial; and 4) theoretical. Results: Saturation was reached at 12 participants and mean interview time was 58 minutes. Participants were female (58.3%), black (83.3%), and a current smoker (75%) with a mean 41.8 pack-year history and mean age of 61.9. Most participants (91.7%) had adequate health literacy. Analysis of interviews informed the development of a new theoretical model underpinned by a core category: Making an Informed Decision about Lung Cancer Screening. The core category is supported by eight categories characterizing how health literacy relates to lung cancer screening among older adult long-term smokers, including Health Information Seeking Behaviors, Trusted Sources, Knowledge, Trusted Provider, Advocacy, Perceived Risk, Patient-Provider Communication, and Shared Decision-Making. Conclusions: The analysis produced the “Health Literacy Theoretical Model of Informed Decision-Making about Lung Cancer Screening.” This theoretical model highlights the complexities of the decision-making process for lung cancer screening among older adult long-term smokers, which is highly influenced by health literacy, patient-provider communication, and health information seeking behaviors. This new theoretical model can be used by implementation scientists to develop theoretically informed interventions to facilitate the informed decision-making process with long-term smokers considering lung cancer screening. Citation Format: Heather Nicole Platter. Development of a new theoretical model on health literacy and informed decision-making about lung cancer screening [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 5737.

Factors influencing breast cancer awareness: a cross-sectional study in China.

Aim: This study aimed to explore the factors that influence breast cancer awareness. Materials & methods: A community-based cross-sectional study was conducted between January and April 2019 in Changchun, Jilin Province, China. Results: A total of 274 women were recruited for this cross-sectional study. Participants had a moderate level of breast cancer awareness (median=76.50 [68.75, 84.00]). Women in the action/maintenance stages reported higher breast cancer awareness (p = 0.044). Women's breast cancer awareness was positively associated with high health information literacy level, husbands' higher educational degrees, seeing doctors after detecting abnormal breast changes and living within a short distance from the nearest hospital. Conclusion: History of screening and higher health information literacy levels are important positive factors linked to higher breast cancer awareness.

Introducing a health information literacy competencies map: connecting the Association of American Medical Colleges Core Entrustable Professional Activities and Accreditation Council for Graduate Medical Education Common Program Requirements to the Association of College & Research Libraries Framework.

Background:Librarians teach evidence-based medicine (EBM) and information-seeking principles in undergraduate, graduate, and post-graduate medical education. These curricula are informed by medical education standards, medical education competencies, information literacy frameworks, and background literature on EBM and teaching. As this multidimensional body of knowledge evolves, librarians must adapt their teaching and involvement with medical education. Identifying explicit connections between the information literacy discipline and the field of medical education requires ongoing attention to multiple guideposts but offers the potential to leverage information literacy skills in the larger health sciences education sphere.Methods:A subgroup of the Association of Academic Health Sciences Libraries Competency-Based Medical Education Task Force cross-referenced medical education documents (Core Entrustable Professional Activities and 2017–2018 Liaison Committee on Medical Education Functions and Structures of a Medical School) with the Association of College & Research Libraries Framework for Information Literacy for Higher Education using nominal group technique.Results:In addition to serving as a vocabulary, the map can also be used to identify gaps between and opportunities for enhancing the scholarly expectations of undergraduate and graduate medical education standards and the building blocks of information literacy education.

COVID-19 (Coronavirus) Pandemic: Information Sources Channels for the Public Health Awareness.

The main purpose of this paper is to highlight the important information sources of the Public Health awareness used by the library and information sources in this Pandemic situation. Social distancing phase Information professional used a different medium to connect with their patron and try to serve the best manner. The role of the information professional in health information and health literacy is very vital. Information professional public health awareness information with the library patrons and the general public. In this paper, the researchers provide a brief introduction to different information channel support in information dissemination.

Investigating Health Information Literacy Assessments and Efforts for Students taking Health Care, Nursing and Medical Courses: An Abbreviated Review of the Extant Literature

Health information literacy is a skill set that is being formally evaluated and included in the curriculum ofhealth care, nursing and medical students. While health information literacy is referenced in many differenttypes of articles, the assessments and interventions related to it vary greatly when considering the academicor public landscape. The aim of this paper is to review and summarize the existing literature related to healthinformation literacy measurement tools and efforts to valuate and or improve the skill sets of students inthe institutional environment. The review will also consider how health information literacy is defined andevaluated in the academic environment in comparison to how it is defined and measured when consideringthe general public.

HASTA GÜÇLENDİRME VE YAŞAM KALİTESİ İLİŞKİSİ

Amaç: Bu çalışmada hasta güçlendirme ve yaşam kalitesi arasındaki ilişkinin ve hastaların yaşam kalitesini etkileyen faktörlerin belirlenmesi amaçlanmıştır.Yöntem: Araştırmaya bir üniversite hastanesinde 5 Şubat-25 Mayıs 2018 tarihleri arasında dâhiliye, göğüs hastalıkları, kardiyoloji ve genel cerrahi birimlerinde poliklinik başvurusu yapan kronik hastalar dâhil edilmiştir. Astım, diyabet, kronik obstrüktif akciğer hastalığı (koah), tiroid ve kalp rahatsızlığı bulunan hastaların dâhil edildiği bu çalışmada Small (2012) tarafından geliştirilen, Kaya ve Işık (2018) tarafından Türkçe geçerlilik ve güvenilirliği yapılan hasta güçlendirme ölçeği kullanılmıştır. Hastaların yaşam kalitesi ise The Euro Qol Group tarafından geliştirilmiş olan EQ-5D 5L ölçeğinin Hollanda ağırlıkları ile uygulanması ile değerlendirilmiştir. Rastgele örnekleme yöntemi kullanılmıştır ve 515 hasta araştırmaya dâhil edilmiştir. Araştırmanın verileri SPSS 23 programı ile analiz edilmiştir. Bulgular: Uygulanan hasta güçlendirme ölçeğine ilişkin ortalama skor 130,18 olarak gerçekleşmiştir. Hasta güçlendirme ile yaşam kalitesi arasında orta düzeye yakın pozitif yönlü bir ilişki bulunmuştur. Ayrıca yaş grubu ve kronik hastalık türünün hasta güçlendirme ve yaşam kalitesi skoru üzerinde değişikliğe yol açtığı belirlenmiştir.Sonuç: Bu çalışmada hasta güçlendirme ile yaşam kalitesi arasında ilişki olduğu ve hasta güçlendirmenin yaşam kalitesini artırdığı sonucuna ulaşılmıştır. Bu yüzden hastaların güçlendirilmesine yönelik uygulamalara önem verilmesi, hastanın tedavisine aktif katılımının sağlanması ve uygulanacak politikaların bu doğrultuda planlanması önerilmektedir.

Health Behavior Prediction Model Based on Health Literacy among Mothers with Obesity Children

INTRODUCTION: Mothers have an important role in childhood obesity. The role of the mother is influenced by self-care, self-efficacy, child health status, and health information obtained by mothers who form health literacy in the prevention of obesity in children.&#x0D; AIM: The aim of this study was to determine the health behavior prediction model based on health literacy among mothers with obesity children.&#x0D; METHODS: This study used a cross-sectional study design. The study sample was all mothers who had school children aged 7–15 years in Jakarta Province, Indonesia, in 2018, with a sample of 301 people. The sampling technique used proportional random sampling. Data were collected by health literacy questionnaire, self-care, self-efficacy, health status, health information, and maternal health behavior in the prevention of childhood obesity that has been validated. Data were analyzed using the structural equation model using Stata version 14.2 (Stata Corporation) software.&#x0D; RESULTS: The results of this study found that determinant variables associated with obese children’s behavior prevention in mothers were health literacy, self-care, self-efficacy, health status, and health information (p &lt; 0.05). The model of maternal health behavior to prevent childhood obesity based on health literacy, health information, and health status explained 40% of maternal health behavior variances. In addition, health information, self-care, self-efficacy, and health status associated with health literacy described 34%.&#x0D; CONCLUSION: This study confirmed maternal health behavior based on health literacy to prevent childhood obesity. These results will help health professionals promoting effective childhood obesity prevention among mothers.