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- Sian K Smith, Don Nutbeam, and Kirsten J McCaffery.
- Psychosocial Research Group, Prince of Wales Clinical School, Prince of Wales Hospital, University of New South Wales, Australia. sian.smith@unsw.edu.au
- J Health Psychol. 2013 Aug 1;18(8):1011-22.
AbstractThis article explores the concept and measurement of health literacy in the context of shared health decision-making. It draws upon a series of qualitative and quantitative studies undertaken in the development and evaluation of a bowel cancer screening decision aid for low literacy populations. The findings indicate that different types of health literacy (functional, interactive and critical) are required in decision-making and present a set of instruments to assess and discriminate between higher level health literacy skills required for engagement in decision-making. It concludes that greater sophistication in both the definition and measurement of health literacy in research is needed.
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