C T Rexen, A K Ersbøll, N Wedderkopp, L B Andersen
Longitudinal influence of musculo-skeletal injuries and extra physical education on physical fitness in schoolchildren
Scandinavian journal of medicine & science in sports
shared decisionmaking sdm found significantly positively associated improved patient outcomes sdm process occur patients require functional communicative critical health literacy hl skills study aimed evaluate impact program improve health literacy skills sdm adults lower literacy hl program including sdm component hl sdm teaching three askshareknow questions delivered adult basic education settings new south wales australia program evaluated using partially clusterrandomized controlled trial comparing standard language literacy numeracy lln training measured effect programs 1 hl skills sdm conceptual knowledge graphical literacy health numeracy 2 types questions considered important health decisionmaking 3 preferences control decisionmaking 4 decisional conflict also measured askshareknow question recall use evaluation hl sdm participants 308 participants 28 classes enrolled study participants limited functional hl 71 spoke language english home 60 primary analysis hl sdm program compared standard lln program significantly increased conceptual knowledge 191 difference groups students achieving competence threshold p 018 health numeracy 109 difference p 032 graphical literacy 58 difference p 896 hl sdm participants significantly likely consider important ask questions would enable sdm compared standard lln participants prioritized nonmedical procedural questions p 01 difference preferences control decisionmaking decisional conflict among hl sdm participants 79 n 85 correctly recalled least one askshareknow questions immediately postintervention 35 n 29 6 months teaching sdm content increased participants hl skills sdm changed nature questions would ask health care professionals way would enable shared health decisions hlrp health literacy research practice 20193suppls58s74 developed health literacy program included shared decisionmaking sdm section program delivered adult basic education classes trained educators compared standard language literacy numeracy training teaching sdm content increased participants health literacy skills sdm changed nature questions would ask health care professionals