{"title":"健康素养，认知障碍和糖尿病知识在囚犯过渡到社区:干预发展的考虑。","authors":"Sarah Todd, Louise Reagan, Rick Laguerre","doi":"10.1097/JFN.0000000000000396","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the relationships of health literacy (HL; Short Test of Functional Health Literacy), cognitive impairment (CI), and diabetes knowledge (DK) among incarcerated persons transitioning to the community.</p><p><strong>Methods: </strong>Using preintervention data from a quasi-experimental nonequivalent control group study evaluating the feasibility of a six-session literacy-tailored Diabetes Survival Skills intervention for incarcerated men transitioning to the community, we conducted correlational analyses among the Short Test of Functional Health Literacy, Montreal Cognitive Assessment, and Spoken Knowledge in Low Literacy in Diabetes Scale using the SPSS PROCESS macro and bias-corrected bootstrapping to test the meditational hypothesis: HL mediates the relationship between CI and DK.</p><p><strong>Results: </strong>Participants ( N = 73) were incarcerated for 1-30 years with a mean age of 47 (9.9) years, 40% Black, 19% White, and 30% Hispanic, with 78% having high school/GED or less education. Most (70%) screened positive for CI and had low DK, and 20% had marginal or inadequate HL. HL, CI, and DK were positively associated with each other. Controlling for race, age, and group (control/experimental), cognitive function had a significant direct effect on HL ( b = 0.866, p = 0.0003) but not on DK ( b = 0.119, p = 0.076). Results indicated a significant indirect effect of cognitive functioning on DK via HL, 95% confidence interval [0.300, 0.1882].</p><p><strong>Conclusion: </strong>Intervention approaches aimed at increasing HL or tailored to low HL in the presence of CI may be effective in increasing DK in this population.</p><p><strong>Implications: </strong>Given the low risk to high benefit of implementing literacy-tailored approaches to persons in prison and the population demographics from studies supporting a high degree of CI, nurses should consider implementing literacy-tailored approaches and screening for CI before participation in all educational programs.</p>","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Health Literacy, Cognitive Impairment, and Diabetes Knowledge Among Incarcerated Persons Transitioning to the Community: Considerations for Intervention Development.\",\"authors\":\"Sarah Todd, Louise Reagan, Rick Laguerre\",\"doi\":\"10.1097/JFN.0000000000000396\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the relationships of health literacy (HL; Short Test of Functional Health Literacy), cognitive impairment (CI), and diabetes knowledge (DK) among incarcerated persons transitioning to the community.</p><p><strong>Methods: </strong>Using preintervention data from a quasi-experimental nonequivalent control group study evaluating the feasibility of a six-session literacy-tailored Diabetes Survival Skills intervention for incarcerated men transitioning to the community, we conducted correlational analyses among the Short Test of Functional Health Literacy, Montreal Cognitive Assessment, and Spoken Knowledge in Low Literacy in Diabetes Scale using the SPSS PROCESS macro and bias-corrected bootstrapping to test the meditational hypothesis: HL mediates the relationship between CI and DK.</p><p><strong>Results: </strong>Participants ( N = 73) were incarcerated for 1-30 years with a mean age of 47 (9.9) years, 40% Black, 19% White, and 30% Hispanic, with 78% having high school/GED or less education. Most (70%) screened positive for CI and had low DK, and 20% had marginal or inadequate HL. HL, CI, and DK were positively associated with each other. Controlling for race, age, and group (control/experimental), cognitive function had a significant direct effect on HL ( b = 0.866, p = 0.0003) but not on DK ( b = 0.119, p = 0.076). Results indicated a significant indirect effect of cognitive functioning on DK via HL, 95% confidence interval [0.300, 0.1882].</p><p><strong>Conclusion: </strong>Intervention approaches aimed at increasing HL or tailored to low HL in the presence of CI may be effective in increasing DK in this population.</p><p><strong>Implications: </strong>Given the low risk to high benefit of implementing literacy-tailored approaches to persons in prison and the population demographics from studies supporting a high degree of CI, nurses should consider implementing literacy-tailored approaches and screening for CI before participation in all educational programs.</p>\",\"PeriodicalId\":51324,\"journal\":{\"name\":\"Journal of Forensic Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Forensic Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/JFN.0000000000000396\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/4/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CRIMINOLOGY & PENOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Forensic Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JFN.0000000000000396","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/4/28 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CRIMINOLOGY & PENOLOGY","Score":null,"Total":0}
引用次数: 2
摘要
目的探讨健康素养(HL;功能健康素养短测试)、认知障碍(CI)和糖尿病知识(DK)在过渡到社区的被监禁者中。方法利用准实验非等效对照组研究的干预前数据，评估了针对被监禁男性向社区过渡的六期识字量身定制的糖尿病生存技能干预的可行性，我们对功能健康素养短测试、蒙特利尔认知评估、采用SPSS PROCESS宏观数据和偏倚校正自举法对低识字率糖尿病量表中的口语知识进行检验:HL在CI和DK之间起中介作用。结果参与者(N = 73)被监禁1-30年，平均年龄为47(9.9)岁，黑人占40%，白人占19%，西班牙裔占30%，其中78%的受教育程度为高中/GED或以下。大多数(70%)CI筛查呈阳性，DK较低，20%为边缘或不充分HL。HL、CI、DK三者呈正相关。控制种族、年龄和组(对照组/实验组)，认知功能对HL有显著的直接影响(b = 0.866, p = 0.0003)，而对DK无显著影响(b = 0.119, p = 0.076)。结果表明认知功能通过HL对DK有显著的间接影响，95%可信区间[0.300,0.1882]。结论:在CI存在的情况下，旨在增加HL或针对低HL的干预方法可能对增加这一人群的DK有效。考虑到对监狱服刑人员实施量身定制的识字方法的低风险和高效益，以及从支持高程度CI的研究中获得的人口统计数据，护士应考虑在参与所有教育项目之前实施量身定制的识字方法和CI筛查。
Health Literacy, Cognitive Impairment, and Diabetes Knowledge Among Incarcerated Persons Transitioning to the Community: Considerations for Intervention Development.
Purpose: The purpose of this study was to evaluate the relationships of health literacy (HL; Short Test of Functional Health Literacy), cognitive impairment (CI), and diabetes knowledge (DK) among incarcerated persons transitioning to the community.
Methods: Using preintervention data from a quasi-experimental nonequivalent control group study evaluating the feasibility of a six-session literacy-tailored Diabetes Survival Skills intervention for incarcerated men transitioning to the community, we conducted correlational analyses among the Short Test of Functional Health Literacy, Montreal Cognitive Assessment, and Spoken Knowledge in Low Literacy in Diabetes Scale using the SPSS PROCESS macro and bias-corrected bootstrapping to test the meditational hypothesis: HL mediates the relationship between CI and DK.
Results: Participants ( N = 73) were incarcerated for 1-30 years with a mean age of 47 (9.9) years, 40% Black, 19% White, and 30% Hispanic, with 78% having high school/GED or less education. Most (70%) screened positive for CI and had low DK, and 20% had marginal or inadequate HL. HL, CI, and DK were positively associated with each other. Controlling for race, age, and group (control/experimental), cognitive function had a significant direct effect on HL ( b = 0.866, p = 0.0003) but not on DK ( b = 0.119, p = 0.076). Results indicated a significant indirect effect of cognitive functioning on DK via HL, 95% confidence interval [0.300, 0.1882].
Conclusion: Intervention approaches aimed at increasing HL or tailored to low HL in the presence of CI may be effective in increasing DK in this population.
Implications: Given the low risk to high benefit of implementing literacy-tailored approaches to persons in prison and the population demographics from studies supporting a high degree of CI, nurses should consider implementing literacy-tailored approaches and screening for CI before participation in all educational programs.
期刊介绍：
The Journal of Forensic Nursing (JFN) the official journal of the International Association of Forensic Nurses, is a groundbreaking publication that addresses health care issues that transcend health and legal systems by articulating nursing’s response to violence. The journal features empirical studies, review and theoretical articles, methodological and concept papers, and case reports that address the provision of care to victims and perpetrators of violence, trauma, and abuse. Topics include interpersonal violence (sexual assault, abuse, intimate partner violence); death investigation; legal and ethical issues; forensic mental health nursing; correctional nursing; and emergency and trauma nursing.
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