我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

 老年人医疗语篇理解的影响因素和补偿模型(PDF)

《心理学探新》[ISSN:1003-5184/CN:36-1228/B]

期数:
 2022年03期
页码:
 226-232
栏目:
 应用心理学
出版日期:
 2022-06-20

文章信息/Info

Title:
 The Influential Factors and the Compensation Model for Medical Discourse Comprehension in Older Adults
文章编号:
1003-5184(2022)03-0226-07
作者:
 肖洋董燕萍
 (浙江大学外国语学院,杭州 310058)
Author(s):
 Xiao Yang Dong Yanping
 (School of International Studies,Zhejiang University,Hangzhou 310058)
关键词:
 医疗语篇理解 老年人 影响因素 补偿模型
Keywords:
 medical discourse comprehension older adult influential factor compensation model
分类号:
 B848
DOI:
 -
文献标识码:
 A
摘要:
 医疗语篇理解是老年人实现自我照护的关键因素,改善老年人医疗语篇理解有助于提高其生存质量并节约医疗成本。本文整理了老年人医疗语篇理解的影响因素,包括加工能力等老年人个体因素和可读性等语篇设计因素,并在此基础上提出了老年人医疗语篇理解补偿模型。该模型尝试阐述上述各影响因素中,那些随龄衰退的因素(如加工能力),如何从别的因素中得到补偿(如医疗知识),从而支撑老年人的医疗语篇理解。补偿模型有利于干预研究的设计,但也还有待更多的实证研究。
Abstract:
 Medical discourse comprehension is a prerequisite for self-care among older adults,and its improvement may help enhance one's quality of life and save medical costs.The present paper reviews the influential factors that may affect older adults' medical discourse comprehension,and finds that individual differences(e.g.,processing capacity)and discourse features(e.g.,readability)are the two main categories of factors,on the basis of which a compensation model is proposed.This model attempts to explain how the factors that generally decline with age(e.g.,processing ability)may be compensated by other factors(e.g.,medical knowledge)so as to support or maintain older adults' medical discourse comprehension.The compensation model proposed in this paper is beneficial to the design of intervention studies.And yet,more empirical research is needed to verify this model.

参考文献/References

 高瑗,原新.(2020).中国老年人口健康转移与医疗支出.人口研究,44(2),60-72.
吴翰林,于宙,王雪娇,张清芳.(2020).语言能力的老化机制:语言特异性与非特异性因素的共同作用.心理学报,52(5),541-561.
Ahsanuddin,S.,Bento,S.,Swerdlow,N.,Cervera,I.,& Kayler,L.K.(2015).Candidate comprehension of key concepts in kidney transplantation.Annals of Transplantation,20,124-131.
Akechi,T.,Aiki,S.,Sugano,K.,Uchida,M.,Yamada,A.,Komatsu,H.,& Okuyama,T.(2017).Does cognitive decline decrease health utility value in older adult patients with cancer? Psychogeriatrics,17(3),149-154.
Bann,C.M.,Bayen,U.J.,McCormack,L.A.,& Uhrig,J.D.(2006).Effects of reading habits,reading comprehension,and memory beliefs on older adults' knowledge aboutmedicare.Journal of Applied Gerontology,25(1),49-64.
Beier,M.E.,& Ackerman,P.L.(2005).Age,ability,and the role of prior knowledge on the acquisition of new domain knowledge:Promising results in a real-world learning environment.Psychology and Aging,20(2),341-355.
Berkman,N.D.,Sheridan,S.L.,Donahue,K.E.,Halpern,D.J.,& Crotty,K.(2011).Low health literacy and health outcomes:An updated systematic review.Annals of Internal Medicine,155(2),97-107.
Brandt,Å.,Jensen,M.P.,Søberg,M.S.,Andersen,S.D.,& Sund,T.(2020).Information and communication technology-based assistive technology to compensate for impaired cognition in everyday life:A systematic review.Disability and Rehabilitation:Assistive Technology,15(7),810-824.
Chan,H.K.,& Hassali,M.A.(2014).Modified labels for long-term medications:Influences on adherence,comprehension and preferences in Malaysia.International Journal of Clinical Pharmacy,36(5),904-913.
Chin,J.,Moeller,D.D.,Johnson,J.,Duwe,E.A.G.,Graumlich,J.F.,Murray,M.D.,& Morrow,D.G.(2018).A multi-faceted approach to promote comprehension of online health information among older adults.The Gerontologist,58(4),686-695.
Chin,J.,Morrow,D.G.,Stine-Morrow,E.A.,Conner-Garcia,T.,Graumlich,J.F.,& Murray,M.D.(2011).The process-knowledge model of health literacy:Evidence from a componential analysis of two commonly used measures.Journal of Health Communication,16(Suppl.3),222-241.
Chin,J.,Payne,B.,Gao,X.F.,Conner-Garcia,T.,Graumlich,J.F.,Murray,M.D.,& Stine-Morrow,E.A.L.(2015).Memory and comprehension for health information among older adults:Distinguishing the effects of domain-general and domain-specific knowledge.Memory,23(4),577-589.
Choi,J.(2016).Effect of pictograph-based discharge instructions on older adults' comprehension and recall:A pilot study.Research in Gerontological Nursing,9(2),66-71.
Delavar,F.,Pashaeypoor,S.,& Negarandeh,R.(2020).The effects of self-management education tailored to health literacy on medication adherence and blood pressure control among elderly people with primary hypertension:A randomized controlled trial.Patient Education and Counseling,103(2),336-342.
Donelle,L.,Arocha,J.F.,& Hoffman-Goetz,L.(2008).Health literacy and numeracy:Key factors in cancer risk comprehension.Chronic Diseases in Canada,29(1),1-8.
Friedman,D.B.,& Hoffman-Goetz,L.(2007).An exploratory study of older adults' comprehension of printed cancer information:Is readability a key factor?Journal of Health Communication,12(5),423-437.
Haas,K.,Brillante,C.,Sharp,L.,Elzokaky,A.K.,Pasquinelli,M.,Feldman,L.,& Joo,M.(2018).Lung cancer screening:Assessment of health literacy and readability of online educational resources.BMC Public Health,18(1),1356.
Khan,K.,Ruby,B.,Goldblatt,R.S.,Schensul,J.J.,& Reisine,S.(2014).A pilot study to assess oral health literacy by comparing a word recognition and comprehension tool.BMC Oral Health,14(1),135.
Kim,E.Y.,& Kim,K.W.(2014).A theoretical framework for cognitive and non-cognitive interventions for older adults:Stimulation versus compensation.Aging and Mental Health,18(3),304-315.
Krasnoryadtseva,A.,Dalbeth,N.,& Petrie,K.J.(2020).The effect of different styles of medical illustration on information comprehension,the perception of educational material and illness beliefs.Patient Education and Counseling,103(3),556-562.
Lee,S.,Khare,M.M.,Olson,H.R.,Chen,A.M.H.,& Law,A.V.(2018).The TEACH trial:Tailored education to assist label comprehension and health literacy.Research in Social and Administrative Pharmacy,14(9),839-845.
Lin,P.,LaMonica,H.M.,Naismith,S.L.,& Mowszowski,L.(2020).Memory compensation strategies in older people with mild cognitive impairment.Journal of the International Neuropsychological Society,26(1),86-96.
Liu,C.J.(2010).Comprehension of a colon cancer pamphlet among American adults at least 50 years of age.Health Education Journal,69(1),107-115.
Liu,C.J.,Kemper,S.,& Bovaird,J.A.(2009).Comprehension of health-related written materials by older adults.Educational Gerontology,35(7),653-668.
Liu,C.J.,Kemper,S.,& McDowd,J.(2009).The use of illustration to improve older adults' comprehension of health-related information:Is it helpful?Patient Education and Counseling,76(2),283-288.
Liu,C.J.,& Rawl,S.M.(2012).Effects of text cohesion on comprehension and retention of colorectal cancer screening information:A preliminary study.Journal of Health Communication,17(Suppl.3),222-240.
Marsch,L.A.,Hegel,M.T.,& Greene,M.A.(2019).Leveraging digital technology to intervene on personality processes to promote healthy aging.Personality Disorders:Theory,Research,and Treatment,10(1),33-45.
McNeil,L.(2012).Extending the compensatory model of second language reading.System,40(1),64-76.
Miller,L.M.S.(2009).Age differences in the effects of domain knowledge on reading efficiency.Psychology and Aging,24(1),63-74.
Miller,L.M.S.,Gibson,T.N.,Applegate,E.A.,& de Dios,J.(2011).Mechanisms underlying comprehension of health information in adulthood:The roles of prior knowledge and working memory capacity.Journal of Health Psychology,16(5),794-806.
Miller,L.M.S.,Stine-Morrow,E.A.L.,Kirkorian,H.L.,& Conroy,M.L.(2004).Adult age differences in knowledge-driven reading.Journal of Educational Psychology,96(4),811-821.
Morrow,D.,Azevedo,R.F.L.,Garcia-Retamero,R.,Hasegawa-Johnson,M.,Huang,T.,Schuh,W.,& Zhang,Y.(2019).Contextualizing numeric clinical test results for gist comprehension:Implications for EHR patient portals.Journal of Experimental Psychology:Applied,25(1),41-61.
Morrow,D.,D'andrea,L.,Stine-Morrow,E.A.L.,Shake,M.,Bertel,S.,Chin,J.,& Murray,M.(2012).Comprehension of multimedia health information among older adults with chronic illness.Visual Communication,11(3),347-362.
Reyna,V.F.,& Farley,F.(2006).Risk and rationality in adolescent decision making:Implications for theory,practice,and public policy.Psychological Science in the Public Interest,7(1),1-44.
Reyna,V.F.,Nelson,W.L.,Han,P.K.,& Dieckmann,N.F.(2009).How numeracy influences risk comprehension and medical decision making.Psychological Bulletin,135(6),943-973.
Smith,S.G.,Curtis,L.M.,O'Conor,R.,Federman,A.D.,& Wolf,M.S.(2015).ABCs or 123s? The independent contributions of literacy and numeracy skills on health task performance among older adults.Patient Education and Counseling,98(8),991-997.
Smith,S.G.,Kobayashi,L.C.,Wolf,M.S.,Raine,R.,Wardle,J.,& von Wagner,C.(2016).The associations between objective numeracy and colorectal cancer screening knowledge,attitudes and defensive processing in a deprived community sample.Journal of Health Psychology,21(8),1665-1675.
Stine-Morrow,E.A.L.,& Miller,L.M.S.(2009).Aging,self-regulation,and learning from text.Psychology of Learning and Motivation,51,255-296.
Tai,B.W.B.,Bae,Y.H.,LaRue,C.E.,& Law,A.V.(2016).Putting words into action:A simple focused education improves prescription label comprehension and functional health literacy.Journal of the American Pharmacists Association,56(2),145-152.
Todd,L.,& Hoffman-Goetz,L.(2011).Predicting health literacy among English-as-a-second-language older Chinese immigrant women to Canada:Comprehension of colon cancer prevention information.Journal of Cancer Education,26(2),326-332.
Wanderley,G.M.P.,Vandenbergh,.,Abel,M.-H.,Barthès,J.-P.A.,Hainselin,M.,Mouras,H.,& Heurley,L.(2018).Consignela:A multidisciplinary patient-centered project to improve drug prescription comprehension and execution in elderly people and parkinsonian patients.Telematics and Informatics,35(4),913-929.
Wolf,M.S.,Davis,T.C.,Bass,P.F.,Curtis,L.M.,Lindquist,L.A.,Webb,J.A.,& Parker,R.M.(2010).Improving prescription drug warnings to promote patient comprehension.Archives of Internal Medicine,170(1),50-56.
Yamashita,T.,Bardo,A.R.,Millar,R.J.,& Liu,D.(2020).Numeracy and preventive health care service utilization among middle-aged and older adults in the U.S.Clinical Gerontologist,43(2),221-232.

备注/Memo

备注/Memo:
 基金项目:浙江省高校重大人文社科攻关计划项目“老年人能力评估研究”(2021GH023)成果。
通讯作者:董燕萍,E-mail:ypdong@zju.edu.cn。
更新日期/Last Update:  2022-11-20