Promotion Of Literacy Research Articles

Rethinking literacy from a lifelong learning perspective in the context of the Sustainable Development Goals and the International Conference on Adult Education.

Despite general agreement that a 21st-century learning society must also be a literate society, there is still a long way to go to achieve a broad consensus on how to achieve this within an explicit lifelong learning vision. The Seventh International Conference on Adult Education (CONFINTEA VII – June 2022) is an excellent opportunity to rethink literacy from a lifelong learning perspective in order to fully tap its transformative potential in the achievement of the United Nations Sustainable Development Goals (SDGs). By using a theoretical framework of lifelong literacy, this article analyses the main challenges associated with applying the lifelong learning principle to literacy, in particular in the context of aligning CONFINTEA’s review and improvement of adult learning and education (ALE) strategies with SDG processes. The authors demonstrate that a limited understanding of literacy as part of lifelong learning still prevails, and that literacy promotion suffers from ambiguity and dissonances. They also provide analyses of literacy policies, strategies and programmes that have been successful in adopting a lifelong learning approach, drawing out some important lessons on how this can be achieved. In particular, the authors argue, more attention needs to be paid to the demand side of a literate environment and to motivation, enabling continuity of learning by making literacy part of people’s broader learning purposes. To contribute to the ongoing discussion on reframing literacy from a lifelong learning perspective in the context of the 2030 Agenda for Sustainable Development and the potential development of a new “framework for action” during CONFINTEA VII, this article offers three fundamental considerations that should inform policy and strategic planning with regard to conceptual orientation, programmatic responses and institutional connections.

Visual forms of mediating artefacts: A research-intervention in engineering education

This paper describes a research-intervention to change technology-enhanced learning (TEL), in a setting of engineering education. It examines how participants used visual forms of mediating artefacts, that is, the means by which the group came together, examined and changed their own TEL activity. Engineering education, an arena that is highly dependent on visualisation and the promotion of visual literacy, largely constrains visual representations to instrumentalist and work-related applications, for the mental rehearsal of engineering solutions. This paper instead describes an activity theoretical perspective, where visual representations of social activity became mediating artefacts, sitting between a collective subject (of learners, lecturers and managers in engineering education) and the object of their activity (to change their TEL activity). In the study described, participants identified, curated and engaged with visual forms of mediating artefacts: stimulating their need and potential for change; assisting their questioning of social conditions and knowledge; and mitigating the reversal and regression of their endeavours. The research-intervention used the Change Laboratory methodology, engaging them in collaborative and agentic double-stimulation tasks through a process of expansive learning. The core claim is that visual forms of mediating artefacts played a crucial role in the group’s qualitatively meaningful change to TEL, and in engendering their transformative agency.Keywords: Visualisation; TEL; engineering; Change Laboratory; transformative agency; expansive learningPart of the Special Issue Visual literacies and visual technologies for teaching, learning and inclusion <https://doi.org/10.21428/8c225f6e.bf2afe2e>

How Social Support Impact Teachers' Mental Health Literacy: A Chain Mediation Model.

Teachers have an important social role, and their mental health literacy is very important to their own abilities as educators and to the growth and development of those they educate. This study explored the mechanism underlying the influence of social support on teachers’ mental health literacy by conducting a questionnaire survey of 573 teachers. The results showed that social support can influence teachers’ mental health literacy not only through the separate effects of life satisfaction and coping tendency but also through the chain mediation effect of life satisfaction and coping tendency; however, the direct effect of social support on the teachers’ mental health literacy is not significant. This study is conducive to understanding the internal mechanism underlying the relationship between social support and mental health literacy. It reminded us that when formulating mental health literacy promotion programs for teachers, we should not only provide adequate social support to improve but also should pay attention to improvements in their coping tendencies and life satisfaction.

Determinants of maternal literacy and nutritional status among children under 5 years in Umunneochi L.G.A, Abia State, Nigeria

Purpose: The purpose of the study was to analyze the determinants of maternal literacy and nutritional status of children 0-5 years in Umunneochi LGA, Abia state, Nigeria.&#x0D; Methodology: Random and convenience sample techniques were used to collect data from 210 respondents with the use of a well-structured questionnaire. The study employed descriptive statistics and adopted the Likert scale to assess the child feeding practices of mothers, the level of nutritional knowledge of the mothers and the nutritional status of children under five years.&#x0D; Findings: The findings revealed that the acceptable practices for child feeding were giving colostrum, prelacteal feeding, late introduction of optimal complementary foods, initiation of solid and semi-solid foods, late initiation of breast feeding and continuing to breastfeed for two years. The study also discovered that as common practice, mothers initiated exclusive breastfeeding as soon as the baby was born, rarely gave water to children under the age of six months and introduced complementary food once the baby developed teeth. At a 5% level of probability, the correlation analysis discovered a strong positive (r = 0.2034) correlation between education and nutritional status of mothers in the study which calls for promotion of maternal literacy and policy intervention to young mothers, particularly on child nutrition improvement.&#x0D; Unique contribution to theory, practice and policy: In addition, the health and community services sectors can promote the use of community-based food and utilization forms for ease of acceptability among mothers. Future interventions should focus on improving food access and availability for enhanced diet diversification for the rising population.

Nutrition Literacy of Middle School Students and Its Influencing Factors: A Cross-Sectional Study in Chongqing, China.

Nutrition literacy plays an important role in children's dietary habits and nutrition. This study aimed to analyse the status of nutrition literacy and its influencing factors amongst middle school students in Chongqing, China. “Nutrition literacy scale for middle school students in Chongqing” was used in 29 districts of Chongqing in September 2020. The scores of nutrition literacy and its' three sub-domains (functional, interactive and critical nutrition literacy) were divided into low and high groups based on their median scores. Binary logistic regression was used to measure the influencing factors of nutrition literacy. A total of 18,660 middle school students were included in this study. The median of nutrition literacy of middle school students was 61.68 (IQR = 14.37). Interactive nutrition literacy had the highest score (median = 70.00, IQR = 20.00), followed by functional nutrition literacy (median = 68.69, IQR = 14.14) and critical nutrition literacy (median = 45.83, IQR = 25.00). Students who were the minority (OR = 0.71, 95% CI = 0.637–0.785), in senior high school (OR = 0.51, 95% CI = 0.477–0.548), in rural areas (OR = 0.85, 95% CI = 0.790–0.911), receiving school meal support from the government (OR = 0.63, 95% CI = 0.591–0.664), with other caregivers' parenting (OR = 0.86, 95% CI = 0.805–0.914), with parents having a low level of education and with an abnormal BMI [thin (OR = 0.91, 95% CI = 0.837–0.990), overweight (OR = 0.87, 95% CI = 0.785–0.968), and obese (OR = 0.83, 95% CI = 0.767–0.902)] presented less probability of being a high level of nutrition literacy. Our results could assist public health authorities in developing strategies of nutrition literacy promotion for references and theoretical foundations.

Financial Literacy Among Millennials

Financial literacy aids the investor in devising rational financial decisions which in turn provides financial stability to an individual and has emerged as a key to economic development in this rapidly changing financial and investing landscape. A financially illiterate person will make poor financial and investment choices which will have a detrimental effect on their financial wellbeing. The present study aims at assessing the level of basic and advanced financial literacy as well as its association with the demographic profile of millennial investors in the Delhi-NCR Region. A Chi-square test was used to analyse the data collected for the study. The findings revealed that millennials' financial literacy is low and they have poor knowledge about the time value of the money concept and find bond prices by the interest rate concept hard to comprehend. The study concludes that financial illiteracy is acute in females. The common belief that higher education qualification is an indicator of higher financial literacy holds for the study. The millennials with a lower level of income have a lower level of basic and advanced financial literacy. These conclusions were found to be statistically significant. This paper fills the research gap of millennials' financial literacy in India.

Health Literacy, Numeracy, and Health Promotion: A Secondary Analysis of the Choosewell 365 Workplace Trial

Health literacy and numeracy are linked to obesity and dietary behaviors. This study investigates whether the effect of a workplace behavioral intervention to prevent weight gain and improve diet differed by employee health literacy and numeracy. ChooseWell 365 was an RCT of hospital employees testing a 12-month intervention using nudges and feedback to promote healthier choices, building on existing cafeteria traffic light labels (e.g., green=healthy, red=unhealthy). Health literacy and numeracy were measured with the Newest Vital Sign (range=0-6) and General Numeracy Scale (range=0-3). Mixed-effects linear models examined if intervention effects on cafeteria purchases, diet quality (Healthy Eating Index 2015, range=0-100), and weight change over 24 months differed by higher versus lower health literacy or numeracy. Data were collected in 2016-2020 and analyzed in 2020-2021. In 12 months, 510 participants completed the Newest Vital Sign and General Numerancy Scale; 36.7% had Newest Vital Sign<6 (lower health literacy) and 31.6% had General Numerancy Scale<2 (lower numeracy). Intervention participants increased healthy purchases over 24 months compared with controls in both higher and lower health literacy and numeracy groups. At 12 months, Healthy Eating Index 2015 scores increased in intervention versus control participants with lower health literacy (5.5 points, 95% CI=1.51, 9.54) but not in those with higher health literacy (p-interaction=0.040). BMI did not differ by health literacy or numeracy. A behavioral intervention improved cafeteria food choices of hospital employees of varying health literacy and numeracy levels and improved diet quality among employees with lower health literacy, suggesting this group also improved food choices outside of work.

CORRELATION BETWEEN ADULT LITERACY AND HEALTH PROMOTION BEHAVIOR AMONG ADULTS IN RURAL COMMUNITIES IN ENUGU STATE, NIGERIA

Health-promoting behaviors are an essential component of illness prevention and healthy living. The concept of health promotion behavior and educational literacy skills describes the multidimensional potentialities of literacy for healthy well-being. The present work examines the association between adult literacy and health promotion behavior in rural adults. A convenience sample of two hundred and eleven adults residing in the rural communities of Enugu State, Nigeria, participated in the study. The respondents comprising males and females aged 30 to 65, completed a self-report measure of the adult literacy questionnaire and the Health Promotion Lifestyle Profile II scale. The finding revealed a significant positive association between the variables.

Research on the Cognition Degree of Logical Reasoning Literacy by Pre-Service High School Mathematics Teachers

At Present, Logical Reasoning Literacy Has Generated Extensive Attention From All Walks Of Life, Many Questions About It Have Been Studied Except That The Cognition Of Pre-Service High School Mathematics Teachers On Logical Reasoning Literacy. To Address This Gap, This Study Analyzed The Cognition Degree Of Logical Reasoning Literacy Of 51 Pre-Service High School Mathematics Teachers With An Open-Ended Questionnaire Self-Designed. After Analyzing, It Could Be Found That A. The Cognitive Scope of Them about Logical Reasoning Literacy Is Not Extensive, More Than Half of the Content of Logical Reasoning Literacy Is Not Recognized; B. Their Cognition Is Not Deep, Their Cognitive Level Of Them Mainly Stays At Level 1, And Their Cognition Is Not Continuous And Linear; C. Many Pre-Service High School Mathematics Teachers’ Cognition For Most Aspects Of Logical Reasoning Literacy Is Not Very Clear. The Content They Can Fully Understand Is Mainly The Definition And Manifestation Of Logical Reasoning Literacy. Therefore, It Is Suggested That: A. Experts And Teachers In Charge Of Certification Work Should Expand Mathematics Advanced Literacy Courses And Pay More Attention To Them; B. Pre-Service Teachers Should Fully Understand The Related Contents Of Logical Reasoning Literacy, Go Deep Into Each Level, And Clarify The Expression Of Logical Reasoning Literacy.

The conceptual framework for a combined food literacy and physical activity intervention to optimize metabolic health among women of reproductive age in urban Uganda

BackgroundMetabolic health of urban Ugandans, mostly women, has increasingly become sub-optimal. As women are strategic for family behavioral change and do not meet WHO recommendations regarding dietary and physical activity (PA), there is an urgent need for science-based interventions to tackle unhealthy dietary and PA behaviors.ObjectiveTo develop a food literacy and PA promotion intervention to optimise metabolic health among women of reproductive age in urban Uganda.MethodologySteps 1- 6 of the Intervention Mapping protocol were used to design the intervention.ResultsNotable determinants from Step 1 were health/beauty paradox, nonfactual nutrition information, socio-cultural misconceptions around moderate PA, fruits, and vegetables. Others included gaps in food/PA knowledge, skills, and self-efficacy. We hypothesised that changing the overall existing behaviours in one intervention may meet strong resistance. Thus, we decided to go for gradual stepwise changes. Hence in step 2, three behavioural intervention objectives were formulated; (1) women evaluate the accuracy of nutrition and PA information., (2) engage in moderate intensity PA for at least 150 min a week, and (3) consume at least one portion of vegetables and one portion of fruit every day. Based on the food literacy model, intervention objectives were formulated into performance objectives and matrices of change objectives. In step 3 a combination of eleven behavioural change techniques were selected and translated into practical strategies to effect changes in determinants. In step 4, intervention components and materials were developed. The intervention consists of five interactive group sessions, 150 min each. Infographics on benefits/recommendations, vegetable recipes, and practical tips to eat more fruits, vegetables, and to engage more in PA are included. Personalised goals and action plans tailored to personal metabolic health and lifestyle needs, and environmental opportunities form the basis of the intervention. A randomized controlled trial is being conducted to evaluate the intervention (https://clinicaltrials.gov/ct2/show/NCT04635332).ConclusionsThe intervention is novel, based on a holistic food literacy model. The intervention is built on determinants specific to urban Uganda, evidence based behavioural change theoretical models and techniques, detailing the hypothesised behavioural change mechanism. If effective, an evidence-based intervention will become available for reference in urban Uganda.

In the Midst of Madness: Mental Health Literacy as Null to Explicit Curriculum in Public Spaces

In the wake of school closings due to COVID-19, public agencies and media have been increasingly relegated to the role of educator across publics. The promotion of mental health literacy has moved from null curriculum to explicit, as public agencies have pushed the narrative of an unprecedented mental health crisis, despite the crisis having been evident pre-pandemic. This text questions the motivations of increased mental health literacy campaigns across agencies and publics, recognizing that those with vested interests in keeping the neoliberal system intact lend little help to the most vulnerable populations.

Explaining Middle School Students’ Mathematical Literacy with Sources of Self-Efficacy, Achievement Expectation from Family, Peers and Teachers

The promotion of mathematical literacy depends on understanding the variables associated with mathematics learning. The purpose of the current research was to explore relationships between mathematics achievement with sources of mathematics self-efficacy and perceived mathematics achievement expectations of parents, teachers, and friends in middle school students. Participants of the research were 332 8th grade middle school students. The research findings showed that mastery experience, social persuasions, and family expectations significantly predicted mathematics achievement. Furthermore, the most powerful predictor of mathematics achievement was the mastery experience. In conclusion, mastery experience and social persuasions dimensions of sources of self-efficacy and mathematics achievement expectations from parents have associated effects on mathematics achievement.

Associations of COVID-19 Risk Perception, eHealth Literacy, and Protective Behaviors Among Chinese College Students Following Vaccination: A Cross-Sectional Study.

BackgroundIn spite of strict regulation of coronavirus disease 2019 (COVID-19) preventive measures and containment in China, there are still confirmed cases sporadically occurring in many cities. College students live in groups and have active social activities so that it will trigger a serious public health event once an infection event occurs. Thus, identifying the status and related factors of protective behaviors among them after receiving vaccination will be crucial for epidemic control. This study aimed to gather information on the protective behaviors and to identify the associations of COVID-19 risk perception, eHealth literacy, and protective behaviors for Chinese college students following vaccination.MethodsA cross-sectional survey of college students engaged in protective behaviors post vaccination was conducted using the COVID-19 risk perception scale, eHealth literacy scale, and protective behaviors following vaccination questionnaire in one of the groups. Multiple linear regression analysis was used to confirm the correlation among the COVID-19 risk perception, eHealth literacy, and protective behaviors for Chinese college students.ResultsA total of 5,641 Chinese college students were included. Male students comprised 59.01% with an average age of (21.39 ± 2.75) years and most students rating their health as very good (44.85%) or pretty good (46.98%). A smaller percentage (13.76%) believed that they would likely or most likely be infected with COVID-19 after getting vaccinated. In addition, more than 1 in 10 (10.35%) college students had ever suspected to suffer from post-vaccination reactions following the COVID-19 vaccination. The mean score of protective behaviors was 26.06 ± 3.97. Approximately one-third (30.42%) of the students always or often did not wear a mask when going out. Some college students (29.25%) did not maintain distance of at least 1 m from others in social situations. Older female college students who were in good health and perceived as being at a low risk of getting infected with COVID-19, and those never suspected to suffer from post-vaccination reactions expected to engage in post-vaccination protective measures. Those with a higher level of perceived risk, severe risk perception and eHealth literacy, and a lower level of unknown risk perception were more likely to engage in further protective behaviors after getting vaccinated.ConclusionsOverall, the level of protective behaviors among the Chinese college students following vaccination could be improved, especially for male, younger college students in poor health. This study revealed the predictive effects of risk perception and eHealth literacy on protective behaviors, recommending that the negative and positive effects of risk perception should be balanced in epidemic risk management, and eHealth literacy promotion should also be emphasized for public health and social measures.

The sustainability of premium payment of national health insurance's self-enrolled members in Jakarta Greater Area.

Background: The sustainability of the National Health Insurance (NHI) program heavily relies on the premium of its member. The negligence of a large number of members at pay the premium lead to the failure of the Social Security Agency for Health (SSAH) to deliver its services. This study aims at analyzing important factors that influence the sustainability of premium payment of NHI’s self-enrolled members in the Jakarta Greater Area.Design and methods: This study performed an econometric analysis from the panel and the same respondent’s data in 2015 and 2017. The population of the study was NHI’s self-enrolled members who lived in the City of Jakarta, Bogor, Depok, Tangerang, Bekasi, (Jakarta Greater Area) and it represents the urban area of Indonesia. The ordinal logistic regression model was used to determine the type of sustainability NHI premium payment.Results: The survey shows that around 28.3% of self-enrolled members do not pay the NHI insurance premium regularly. Applying ordered logit this study statistically confirms that age of household head, income per month, never experience economic hardship, 1st/2nd class registration, and benefits of SSAH are positively correlated with compliance rate to pay NHI insurance premium. Whereas tobacco consumption, health-seeking behavior, and the 2016 increase of premium are negatively correlated with regular premium payment.Conclusions: This study calls for policy intervention to improve compliance of premium payment such as i) massive promotion of insurance literacy and benefits of insurance through a health professional, internet, and government officer; ii) expanding auto-debit and installment premium payment; iii) incentive for paying premium regularly and not smoking; and iv) improving access and quality of health services. Significance for public health The innovation of National Health Insurance (NHI) organized by the Social Security Agency for Health (SSAH) is an essential step for the Indonesian government in its goal of achieving Universal Health Coverage (UHC). The existence of the NHI can improve access and quality of health services for the community. The community gets access to the comprehensive health service guarantees, starting from improving health (promotive), preventing illness (preventive), treating diseases (curative), and restoring health (rehabilitative). Therefore, it is important to regularly pay NHI premium, especially for the self-enrolled member/informal sector workers (Pekerja Bukan Penerima Upah) for the continuation of the NHI program which become a global problem, especially in developing countries where the majority of the population is working in the informal sector.

Health Literacy and Migrant Communities in Primary Health Care.

IntroductionThe promotion of health literacy of the population in a situation of migration, in the community, is a fundamental field of intervention in health promotion, for the reduction of inequalities in access to health care services. It is increasingly necessary to make health care services more equitable for migrant populations. The aim of the study was to characterize the level of health literacy of the population in a migrant situation, attending a primary health care unit in the Lisbon region, to identify priority areas for community intervention that will become the focus of intervention and contribute to the increase in the health literacy levels in this population.MethodsA cross-sectional study was carried out by applying the Health Literacy Survey (ILS-PT) to a sample of the population in a situation of migration, found by 27 participants.ResultsThe general health literacy index of the sample is inadequate (21.23 points). An analysis of the sub-indexes revealed that 75% of the participants had difficulties related to information about health care and 80% had difficulties in the field of health promotion.ConclusionsProblematic and inadequate levels of health literacy was significantly frequent among migrant population. So that enhancing health literacy among migrant is essential to reduce health inequalities to achieve better health outcomes and contribute to defense of human rights of this vulnerable population.

&lt;br/&gt; CONHECIMENTO DO UTENTE COM DOENÇA PULMONAR OBSTRUTIVA CRÓNICA SOBRE A DOENÇA E O AUTOCUIDADO &lt;br/&gt;

Introduction : Chronic obstructive pulmonary disease is a chronic respiratory disease, progressively incapacitating, which requires the user to undergo a complex therapeutic regimen. Given the implications, it is essential that the user acquire knowledge about the disease that enhances self-care and self-management, which instills significance in the promotion of health literacy, as a health-promoting strategy. This study aimed to analyze the user's knowledge about the disease, self-care and disease management. Method : This is a simple descriptive study, the target population was six users with chronic obstructive pulmonary disease in the area covered by a Community Care Unit in the municipality of Beja. A convenience sample was constituted, with inclusion and exclusion criteria and the data collection instrument used was the semi-structured interview, carried out in April 2021. Data collection began after a favorable opinion from the Ethics Committee of the Local Health Unit of Baixo Alentejo. Results : Data were analyzed using Bardin's content analysis technique, using an inductive categorization strategy. The following categories emerged from the analysis: lack of knowledge about the disease; deficit of knowledge about self-care; lack of knowledge about disease management. Conclusion : It was concluded that users, in addition to presenting a deficit of knowledge about the disease, self-care and disease management, also present compromised leisure activities. Keywords : Health Literacy; Pulmonary Disease, Chronic Obstructive; Self Care; Self-Management.

Digital Literacy in the Core: The Emerging Higher Education Landscape

Aim/Purpose: Digital literacy is critical to participation in a contemporary knowledge-based society and is requisite to both academic success and career development. Institutions of higher education have been slow to define, assess, and amplify digital literacy in parallel with advances in the enhancement of reading, writing, and arithmetic literacy. Perhaps as a consequence of the pandemic, awareness appears to be growing of the need to infuse digital literacy at both institutional and individual levels. The purpose of this paper is to investigate the promotion and amplification of digital literacy within top universities around the globe. Background: For years, the role of higher education in the amplification of digital literacy among college students has been debated, but efforts have been limited primarily to ad hoc, unsystematic attempts to rectify disparities between students’ exposure and understanding. The impacts of COVID-19 exposed the reality that many institutions, professors, and college students were under-prepared for the surge in reliance on digital technologies. Methodology: This paper explores the prevalence of digital literacy in the top public and private universities around the globe by conducting a qualitative examination on compulsory requirements, digital literacy offerings, university identified digital literacy initiatives, and university strategic plans. Contribution: This paper contributes to the body of knowledge by providing evidence for the need to expand the constructs of what it means to be digitally literate to address the ever-expanding range of emerging technologies and the impact of those technologies on society. Findings: The review of digital literacy amplification at top universities showed that none of the universities' admissions requirements required students to demonstrate digital competence and compulsory digital literacy was uncommon. However, a majority of universities undertook some form of initiative to promote digital literacy. These initiates included a focus on developing digitally literate society and workforce or developing innovative approaches to digital literacy education. Recommendations for Practitioners: The pandemic has generated a greater sense of urgency for institutions of higher education to ensure access to and understanding of digital technologies by students, faculty, and staff. Educational institutions will have to adapt their methodologies to promote explicit and intentionally reasoned digital literacy strategies that combine the competencies possessed by users of technology with the generation of new competencies required to successfully participate in the digital transformation of education, business, and society. Recommendations for Researchers: This paper examined the top 50 universities around the globe. Additional re-search is needed to examine national, regional and local efforts in the quest to address the need for a digitally literate citizenry. Impact on Society: COVID-19 has thrust us into a new normal wherein digital competence is foundational to success in an ever digitally reliant world. Institutions of higher education are best positioned to carry out the initiatives, programs and re-search needed to enhance the digital literacy of all citizens, not just students and employees. Future Research: Societal impacts of the COVID-19 pandemic continue to emerge and will resonate for decades to come. Continued investigation, exploration and dis-semination of information related to effort to enhance and amplify digital literacy is necessary to ensure momentum to reimagine digital literacy education is maintained.

A modified Delphi study to identify strategies to promote health literacy in parents of children with cancer

Parents play a key role in the care, monitoring, management of symptoms experienced in children with cancer, the support, and follow-up of treatment. However, there is a paucity of research as how to improve the health literacy of parents with cancer. The aim of this study was to identify the best and most important strategies to promote health literacy in parents of children with cancer. A two-step modified Delphi method was used to establish consensus in Iran in 2021. Fourteen experts representing oncology, clinical nursing, and faculty members of nursing were selected by purposive sampling. In round one, 90 strategies to promote health literacy obtained in the qualitative study were distributed to the experts, which were scored from 1 to 5. In order to discuss statements without consensus in the first round, round two was held in a face-to-face meeting. Descriptive statistics such as mean, standard deviation, and percentage of response frequency were used to calculate agreement levels between experts. In round one, 57 statements reached a consensus. In round two, 21 statements reached a consensus. Finally, 78 statements reached consensus representing four domains including functional health literacy, interactive health literacy, critical health literacy, and care health literacy. Delphi method helps to identify the best and most important strategies to use in health literacy promotion programs for parents of children with cancer. Identifying these strategies will help health officials, planners, and policymakers.

The Connotation and Framework Construction of Digital Literacy of University Teachers in The Intelligent Era

With the further development of educational information technology, digital technology plays a more and more important role in modern classroom. in addition, with the outbreak of COVID- 19, The implementation of online teaching in multiple locations across the country has put forward higher requirements for teachers' digital literacy. After deeply interpreting the specific concept of digital literacy, further exploring the connotation of digital literacy and understanding a large number of related literature research, this paper constructs the framework of digital literacy of university teachers in the digital intelligence era, which is divided into three dimensions. Thirteen basic elements. According to the previous article, this paper puts forward the implementation path of three aspects of university teachers' digital literacy framework, namely, to build a perfect university teachers' professional training system to improve teachers' basic digital literacy; cultivate university teachers' concept oftechnological integration and enhance peer cooperation and communication to improve their own digital teaching ability; develop diversified digital literacy promotion and evaluation tools to help teachers' digital learning.

Health Literacy Promotion and Its Institutional Arrangements: Rethinking collaborative health promotion in Thailand

This research explores institutional arrangements that govern health literacy promotion policies in Thailand since 2014. This study sets the main questions as what are the main institutional arrangements that governed health literacy promotion policies in Thailand since 2014 and can these arrangements be viewed as collaborative health governance? This paper argues that the military coup in 2014 transformed institutional-governing arrangements on health system management and health promotion greatly as many legal-political institutions and various social-political agencies were involved and brought together to promote health and health literacy. A so-called principle of ‘collaborative governance’ has been employed and implemented to promote health in Thailand recently, however, this study argues that the institutional constraints under authoritarian regime offer a ‘fictitious-collaborative health governance’ instead. Furthermore, deliberative processes on health literacy promotion regulated by many legal - institutional constraints had characteristics of ‘pseudo-deliberation’. This work is qualitative research, and it analyzes and explains research results by looking through theoretical concepts of institutionalism and collaborative governance. This study argues that to reach the goal of health literate community and society, Thai health agencies and authorities should re-approach health and health literacy promotion from the bottom-up perspective. Also, overcoming fictitious collaborative health promotion and pseudo-deliberation are necessary. To do that, we need a long-term project of building up a ‘critical health regime’ based on critical education and anti-authoritarianism as major principles. (*The paper was presented at The Hong Kong Polytechnic University’s College of Professional and Continuing Education (CPCE) Conference “Post-pandemic health and long-term care: A new paradigm”. September 2021)