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:

แนะนำในทศวรรษที่ผ่านมา ใหญ่ใส่เพื่อสุขภาพลิตร-acy เนื่องจากอิทธิพลพฤติกรรมสุขภาพและผลการตรวจสุขภาพ และมีร่างกายแข็งแกร่งของวรรณคดีเน้น relationship.1-4อย่างไรก็ตาม แง่มุมหลักสองยังคงกล่าวถึง โดยงานวิจัยสารสนเทศ-nity สำหรับแนวคิดนี้จะถือว่าเป็นวิธีมีประสิทธิภาพเต็มที่ หนึ่งความกังวลของเนย เป็นวันไม่มี defini ไม่ซ้ำกัน-ทางการค้าสำหรับมัน และอื่น ๆ หนึ่งของ measurement.5 กันมากที่สุดมาตรการที่ใช้เน้นที่การประเมินการอ่าน เขียน และ numer-acy skills.6 แม้จนเครื่องมือวัดทักษะการทำงานเหล่านี้แสดงให้เห็นความสัมพันธ์ที่ดีขึ้นระหว่างความรู้สุขภาพ และสุขภาพ เครื่องมือเหล่านี้ล้มเหลวในการจับภาพสุขภาพสูงขึ้นลิตร - 3acy จากงานบุคคลไม่ถูกต้องในการดูแลสุขภาพบริบท 7 รวมทั้งคิดวิเคราะห์ ตัดสินใจ ขบคิดความสามารถ การใช้ข้อมูล สารสนเทศ และทักษะการสื่อสาร เหล่านี้ทักษะขั้นสูงอื่น ๆ ช่วยให้ผู้ป่วยที่จะปกครองตนเองใน navi-gating ระบบการดูแลสุขภาพ เข้าร่วมอย่างแข็งขันของตนเอง และของพวกเขาการดูแลสุขภาพของครอบครัว ตัดสินใจ และการประสานงาน effi-ciently สุขภาพ ทั้งหมดนี้คนต้องพัฒนาเครื่องมือที่เชื่อถือได้ที่สามารถประเมินทักษะที่เหนือกว่า func เหล่านี้-ความสามารถหากคุณ ความพยายามต่าง ๆ การดำเนินการพัฒนา 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 Material Health 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, judgment Known as Skills, focuses on the individuals' abilities to Adapt and apply information Health 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 judgment with Higher Skills are Able to Respond better to a particular situation Health. Skills conceptualization of the judgment 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 context asthma because this chronic condition poses High demands on patients' self-Care routines. Patients Need to follow Strict Medical regimens, use Medicines properly, Avoid Triggers asthma, and recognize symptoms. However, if asthma Health information is not properly understood by patients and Integrated, a Proper asthma is difficult to Achieve Control, which is at the End the Final Managing purpose for this condition. Therefore, the Characteris- tics present in asthma self-Management Make it an appropriate Condi- tion to Develop and Test the Proposed Skills judgment. In addition to this, it has been Pointed out that Health Literacy Skills by Other Authors 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) 2:

Introduction
In the last decades, enormous Attention has been paid to Health Liter-
ACY Due to ITS influence on Health and Health behaviors and outcomes
there is a Robust Body of literature focusing on this Relationship.1-4
However, Main Two aspects are still discussed. Research by the 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 one ITS Measurement.5 The Other Most commonly
used measures have focused on assessing reading, Writing, and Numer-
ACY Skills.6 Although so Far. Tools measuring the functional Skills these
have shown a well-established Relationship between Health Literacy and
Health outcomes, these 3 Tools Fail to Capture more Advanced Health Liter-
ACY Skills Needed by individuals to function properly Health Care Within a
context, including 7-Making decision. , 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 Assess Skills that Can 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 Material Health 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, judgment Known as Skills, focuses on
the individuals' abilities to Adapt and apply information Health 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 judgment with Higher Skills are Able to Respond better to a
particular situation Health. Skills conceptualization of the judgment 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 context asthma because this chronic
condition poses High demands on patients' self-Care routines. Patients
Need to follow Strict Medical regimens, use Medicines properly, Avoid
Triggers asthma, and recognize symptoms. However, if asthma Health
information is not properly understood by patients and Integrated, a
Proper asthma is difficult to Achieve Control, which is at the End the
Final Managing purpose for this condition. Therefore, the Characteris-
tics present in asthma self-Management Make it an appropriate Condi-
tion to Develop and Test the Proposed Skills judgment. In addition to
this, it has been Pointed out that Health Literacy Skills by Other Authors
should involve more content-specific Skills and Health-related Knowl-
EDGE that depends on the Health Condition.7 Thus it is CRUCIAL to devel.