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陈凯悦, 励晓红, 郑继翠, 马雪祺, 赵倩, 夏经炜, 吕军. 儿童意外伤害预防相关的家长安全素养评估工具框架构建[J]. 中国公共卫生. DOI: 10.11847/zgggws1142470
引用本文: 陈凯悦, 励晓红, 郑继翠, 马雪祺, 赵倩, 夏经炜, 吕军. 儿童意外伤害预防相关的家长安全素养评估工具框架构建[J]. 中国公共卫生. DOI: 10.11847/zgggws1142470
CHEN Kaiyue, LI Xiaohong, ZHENG Jicui, MA Xueqi, ZHAO Qian, XIA Jingwei, L Jun. Development of a theoretical framework for the creation of assessment tools on parental literacy in child unintentional injury prevention: a literature-based expert consultation study[J]. Chinese Journal of Public Health. DOI: 10.11847/zgggws1142470
Citation: CHEN Kaiyue, LI Xiaohong, ZHENG Jicui, MA Xueqi, ZHAO Qian, XIA Jingwei, L Jun. Development of a theoretical framework for the creation of assessment tools on parental literacy in child unintentional injury prevention: a literature-based expert consultation study[J]. Chinese Journal of Public Health. DOI: 10.11847/zgggws1142470

儿童意外伤害预防相关的家长安全素养评估工具框架构建

Development of a theoretical framework for the creation of assessment tools on parental literacy in child unintentional injury prevention: a literature-based expert consultation study

  • 摘要:
    目的 分析儿童意外伤害预防相关的家长安全素养的研究成果及发展方向,构建家长安全素养评估工具理论框架,为量表制定提供参考。
    方法 通过中国知网、万方、维普、PubMed、Web of Science 等数据库检索2002年1月1日 — 2022年1月1日发表的与儿童意外伤害和健康素养评估工具相关的文献、学位论文、专家共识和指南等,经过文献筛选分析国内外41篇儿童意外伤害和健康素养评估工具相关研究现状及不足,归纳总结后初步形成评估工具维度,针对维度及框架的名称与内容,进一步基于多方主体与信息饱和原则,选取18名专家进行专家小组讨论或一对一咨询,结合专家意见最终构建评估工具初步框架。
    结果 系统检索文献得到已有研究中的普适性健康素养评估工具13个,特异性健康素养评估工具28个,普适性评估工具从定义出发全面衡量健康素养,特异性评估工具则衡量健康素养的部分维度。18名专家咨询揭示系统全面反映素养内涵是系统评价家长安全素养的基础,家长安全素养评估工具定位应为识别高危家长,最终评价框架包括获取、理解、信念、交流和使用5个维度。
    结论 目前国内缺乏上述所有维度的评估工具,无法全面衡量家长健康素养,需进一步总结各量表评估维度以形成完整的、适于干预的健康素养量表。

     

    Abstract:
    Objective To analyze the research findings and development trends of parental safety literacy in relation to child injury prevention, and to establish a theoretical framework for the development of assessment tool on the parental safety literacy.
    Methods The literature, dissertations, expert consensus, and guidelines related to the assessment of unintentional injuries in children and health literacy tools published from January 1, 2002 to January 1, 2022 were retrieved from various databases including CNLI, Wanfang Dara, CQVIP, PubMed, and Web of Science. After conducting a comprehensive screening and analysis of the current state and identified shortcomings in 41 domestic and international articles concerning the assessment tools for children′s unintentional injuries and health literacy, a preliminary framework for evaluating tool dimensions was established. Based on the principles of involving multiple stakeholders and achieving information saturation, a panel consisting of 18 experts was selected for group discussions or one-on-one consultations. This process resulted in the development of a preliminary framework for the assessment tool based on expert opinions.
    Results A total of 13 universal health literacy assessment tools and 28 specific health literacy assessment tools were obtained through a systematic literature search. The universal assessment tool comprehensively measures health literacy based on its definition, while the specific assessment tool focuses on measuring certain dimensions of health literacy. Consultation with 18 experts revealed that a systematic and comprehensive understanding of the concept of literacy forms the basis for evaluating parents′ safety literacy, and the objective of the assessment tool for parents′ safety literacy should be to identify high-risk parents. The final evaluation framework encompasses five dimensions: access, understanding, belief, communication, and utilization.
    Conclusion Currently, there is a shortage of assessment tools in China that comprehensively measure parental health literacy across all dimensions. To create a complete health literacy scale suitable for application, further summarization of the assessment dimensions of the scales is necessary.

     

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