IntroductionIn the last decades, en

Introduction
In the last decades, enormous attention has been paid to health liter-
acy due to its influence on health behaviours and health outcomes and
there is a robust body of literature focusing on this relationship.1-4
However, two main aspects are still discussed by the research commu-
nity for this concept to be fully considered as an effective approach. One
concerns its conceptualization, as to date there is not a unique defini-
tion for it, and the other one its measurement.5 The most commonly
used measures have focused on assessing reading, writing, and numer-
acy skills.6 Although so far the tools measuring these functional skills
have shown a well-established relationship between health literacy and
health outcomes,3 these tools fail to capture more advanced health liter-
acy skills needed by individuals to function properly within a health care
context,7 including decision-making, analytical thinking, pondering
abilities, information use, informatics and communicative skills. These
advanced skills among others allow patients to be autonomous in navi-
gating the health care system, participate actively in their own and their
families’ health care, make informed decisions, and collaborate effi-
ciently with healthcare professionals. All this points towards the need to
develop reliable tools that can assess skills that go beyond these func-
tional abilities. Different attempts have been carried out to develop
other measures able to capture more advanced health literacy skills.
Chew et al.8 for instance developed a screening tool to assess individu-
als’ understanding of health material and the use of this; Ishikawa et al.9
went further and developed a screening tool assessing different dimen-
sions of health literacy such as individuals’ capabilities to extract health
information, derive meaning from it (communicative literacy), and crit-
ically use it (critical literacy). Despite these noticeable efforts to
advance health literacy measurement, findings from other studies using
these tools are inconclusive regarding their capacity to measure more
advanced health literacy dimensions.10,11 Another recent approach that
fits into the conceptualization of advanced health literacy skills has been
proposed by Schulz and Nakamoto.12 One of the dimensions of the
authors’ theoretical framework, known as judgment skills, focuses on
the individuals’ abilities to adapt and apply health information accord-
ing to the health context. These skills allow the individual to subtract
and generalize information, to build knowledge that can be applied dif-
ferently according to the situation.12 Thus, it has been hypothesized that
individual with higher judgment skills are able to respond better to a
particular health situation. The conceptualization of judgment skills has
been recently and successfully operationalized in a scenario based-tool
for the context of asthma self-management.13
The tool was developed in the asthma context because this chronic
condition poses high demands on patients’ self-care routines. Patients
need to follow strict medical regimens, use medicines properly, avoid
asthma triggers, and recognize symptoms. However, if asthma health
information is not properly understood and integrated by patients, a
proper asthma control is difficult to achieve, which is at the end the
final purpose for managing this condition. Therefore, the characteris-
tics present in asthma self-management make it an appropriate condi-
tion to develop and test the proposed judgment skills. In addition to
this, it has been pointed out by other authors that health literacy skills
should involve more content-specific skills and health-related knowl-
edge that depends on the health condition.7 Thus it is crucial to devel

ผลลัพธ์ (ไทย) 1:

Featured in decades liter Enter Big Health - ACY Due to influence behavior Health Screening and Health and a strong Body of literature focused. Relationship.1-4 However, Two Major aspects to mention. The Research Information - nity to be considered for this Concept How effective is the concerns of Butter is not Defini Unique - Commercial for it and one of the Other Measurement.5 Most commonly used measures Focus on. Assessment of reading, Writing and Numer- ACY Skills.6 even measure these Skills. Shows a strong Relationship between Health Literacy and Health, these Tools Fail to Capture a Healthy rise liter - 3 people from ACY Wrong in the Health Care context, Seventh and analytical decision pondering capabilities. the use of information and Communication Skills, these are more Skills Advanced, allowing patients to self-Government on the Navi- gating the Health Care System. Actively participate in their own and their Family Health Care's decisions and coordination Effi- Ciently Health to all people. Developing a Reliable Tool to Assess Superior Skills these func - if You Can. Attempts to Develop Various Other measures to Capture the Advanced Skills of Health and developed as a Screening Tool Chewing Al.8 to Assess individu - als understanding of Health and Material use of this cold, et Al.9 next. another Screening Tool to Develop and evaluate Various Dimen - sions of Knowledge of Health, such as the ability of each Separate Health information to DERIVE meaning from it. (Knowledge, Communication), and Food - ically use (the Knowledge) , even with these efforts is evident in. Advance Proficiency Health Results from Other Studies using these Tools are Inconclusive About the ability to measure more Advanced Dimensions.10,11. Health Awareness long way. Put the Butter in a Fit of Advanced Medical Skills Offered by the Motor and one of Nakamoto.12 Dimension. The author Framework Called Critical Skills on an individual's ability to Adapt. The Accord Health Data - based on the context of Health. These negative Allow Skills Knowledge and information that Can be used to create a dif - General Ferently according Situation.12 Thus, it is hypothesized that. Critical skills will be highly responsive. Health specific situation Butter is Critical Skills Recently been completed and operationalized. Hand in the context of asthma For the self -management.13. The tool has been developed in the context of asthma due to this disease. Cause that demand conditions in the High Care routine of patients, patients Need to follow Formula Strict Medical. Medication correctly to Avoid Triggers asthma. And recognize the symptoms of asthma, if Healthy. Data integration and incorrect understanding by the Patient of asthma that is hard to Achieve Control. This is the End The Final Objective for the Management of this condition , the Characteris- self-tics in the Management of asthma, Making it Suitable condi - Commercial Development. Presentation Skills and judgment In addition to this, it was Pointed out. By Writing Skills and Health and Health Knowl- Skills Should involve more specific based on EDGE Condition.7 Health, so it is important devel.

ผลลัพธ์ (ไทย) 2:

Introduction
In the last decade, a lot of attention has been paid to health Liter-
ACY due to its influence on health behaviors and health outcomes, and.
There is a strong body of literature focusing on. relationship.1-4 this
, however, two main aspects are still discussed. The research may
nity for this concept to be considered as an effective approach , one
concern is the concept of the definition is not unique.
For them and others measurement.5. Its most
Measures that are critical to the assessment of reading, writing and Numer-
ACY Skills.6 although so far. Measuring these skills.
Has demonstrated a strong relationship between health literacy and
health effects of these three engines failed to capture the health liter- advanced
ACY skills needed by individuals to function properly within the healthcare
context seven rooms. the decision Analytical thinking, pondering
The ability to use information and communication skills are
highly skilled in, among others, help patients to become independent in Madrid
gating the health care system and participates actively in their own.
Family health care 'Make informed decisions and collaborate effectively.
Effectively with health professionals. All this points to the need.
Develop reliable tools that can assess skills in addition to the functions of these
capabilities tional efforts in different has been done to develop
other measures to capture the skills, health knowledge. higher
al.8 et chew like developing screening tools to assess individu-
understand ALS 'health and use of this material; Ishikawa al.9 and
went on to develop screening tools to assess and measure the size of different
sions of health literacy as the ability to retrieve individual health.
Data derive meaning from it (Knowledge, communication) and Crit-
ically use it (the knowledge of) Despite efforts to clear these.
Advance Proficiency health findings from other studies using
these tools are inconclusive about the ability to measure more.
Advanced Health Knowledge dimensions.10,11 Another recent
For the concept of health knowledge, advanced skills that have been
proposed by Schulz and Nakamoto.12 one dimension of
the authors' theoretical framework known as the judge focused on skills.
Individuals who are able to adapt and use health information accord-
ing to the health context. These skills enable individuals to remove.
Talk to information and knowledge that can be applied to various
ferently according situation.12 Thus, it has been hypothesized that.
A person skilled in awarding a higher ability to respond better to.
Health situation, especially The concept of skill, judgment has
been recently and successfully. operationalized In accordance tools
For the context of asthma self. management.13 The
tool was developed in the context of chronic asthma due to this
condition poses high demands on the patient's routine care of patients who
need to follow a strict formula for the medical use of drugs be avoided.
To recognize the symptoms and triggers of asthma. But if the health of asthma
Information is not properly understood and integrated by patients.
Proper asthma control is difficult to achieve, which is final.
The final objective for the management of this condition so characteris-
tics current asthma self-management, making it the optimal conditions.
The decision to develop and test their skills on offer. In addition to the
This has been pointed out by other authors that health literacy skills.
Content should be relevant to the skills and more specific health-related knowledge.
Based on modern condition.7 health, so it is important to devel.

ผลลัพธ์ (ไทย) 3:

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