Zhao Yang, C Mary Schooling, Siu Yin Lee, Man Ki Kwok
Development and validation of the EHS-COPD model to predict sex-specific risk of chronic obstructive pulmonary disease (COPD) in older Chinese adults: Hong Kong's Elderly Health Service Cohort
Annals of translational medicine
adult education targeting health literacy hl may bring added value form improved health study evaluated effects hl program part adult education curriculum adults low literacy numeracy partialcluster randomized controlled trial among 308 adults enrolled basic education programs australia 308 participants 141 46 randomized either standard program language literacy numeracy lln hl intervention lln embedded health content remainder n 167 allocated standard intervention programs education provider class level main outcomes functional hl selfreported confidence patient activation generic hl ie hlq health knowledge selfreported health behavior data collected baseline immediately 6 months postintervention 308 participants 71 limited literacy 60 spoke language english home interventions benefited participants improvements baseline immediate follow individuallevel functional hl eg reading thermometer hl group 184 vs standard group 72 p 001 confidence hl group 034 vs standard group 006 p 014 health literacy questionnaire hlq subscales 6 months improvements confidence p 001 hlq measures retained consistent pattern increased improvement hl program observed compared standard program although measures reached statistical significance reading food label hl group 60310 correct vs standard group 54910 correct p 022 confidence p 008 ability actively manage health hlq p 017 health knowledge 6 months hl group 68 vs standard group 60 correct p 052 hl participants reported likely share course information rated program useful understand health improving language literacy numeracy generally potential public health benefits retained 6 months integrating health content adds value adult basic learning feasible potentially scalable hlrp health literacy research practice 20193suppls42s57 compared effect adult educationbased health literacy hl program versus standard language literacy numeracy program students hl skills psychosocial outcomes although students trial arms improved skills students hl program better outcomes higher hl greater confidence higher health knowledge scores 6 months