Tools to Measure Health Literacy among US African Americans and Hispanics/Latinos with Type 2 Diabetes: A Scoping Review of the Literature

PATIENT EDUCATION AND COUNSELING

卷:103

Review

Estrella, Mayra L.¹  Allen-Meares, Paula^1,2 

[1] Univ Illinois, Inst Minor Hlth Res, 1819 West Polk St, Chicago, IL 60612 USA

[2] Univ Illinois, Off Hlth Literacy, 808 S Wood St, Chicago, IL 60612 USA

关键词: health literacy;    diabetes;    Hispanics/Latinos;    African Americans;    tools;    measurement;   

DOI  :  10.1016/j.pec.2020.04.012

来源: Elsevier

【 摘 要 】

Objective: To provide an overview of the health literacy tools that have been validated in samples of African Americans and Hispanics/Latinos with type 2 diabetes, growing segments of the US population. Methods: Following PRISMA guidelines, three electronic databases were searched. The following inclusion criteria were used: peer-reviewed research; examined validity of a health literacy tool; and included US African American and/or Hispanic/Latino adults with type 2 diabetes. Results: Sixteen studies were selected; none exclusively included African Americans while 3 exclusively included Hispanics/Latinos in the sample. Seventeen health literacy tools were identified. Among African Americans, 2 health literacy screeners, 2 diabetes knowledge, and 3 numeracy tools have been validated. Among Hispanics/Latinos, 1 health literacy screener, 1 diabetes knowledge, and 1 numeracy tool have been validated. However, cross-cultural adaptation principles were rarely considered in the development and validation of these tools. Conclusion: In those with type 2 diabetes, future studies should investigate the validity of health literacy screeners among English-speaking Hispanics/Latinos and general health literacy tools among African Americans and Hispanics/Latinos. Evidence on the validity of diabetes knowledge and numeracy tools was mixed across studies. Practice implications: Findings can inform the selection of culturally-appropriate health literacy tools in clinical and research settings. (C) 2020 Elsevier B.V. All rights reserved.

【 授权许可】

Free