Health literacy under the health promotion framework: a German study case
Bibliographic record
Abstract
Background During the last 30 years the operationalization of health promotion has been an important focus for researchers and practitioners. The Nairobi declaration in 2009 navigates a step forward with the introduction of health literacy (HL). In line with this, the Health Literacy in Childhood and Adolescence Research Consortium (HLCA) is conducting evidence-based research on HL. Main objectives of HLCA include developing and evaluating strategies for effective child health promotion and analyzing the extent to which HL drives the Ottawa Charters’ action area of developing personal skills and knowledge. Methods The framework of HLCA is informed by health promotion and comprises nine subprojects committed to three work blocks on (1) basic research on HL including conceptual and methodological projects and (2)applied research on mental HL and (3) eHL. We apply collaborative team science and a mixed method approach combining quantitative research, e.g. questionnaires, online surveys, systematic reviews, and qualitative methods, e.g. ethnographic studies and observations, focus groups, cognitive interviews. Results After the first project year and critically analysing research studies on the subject, we approached ethics committees and obtained positive approvals. Currently, most projects are performing field research by applying interviews and focus groups using questionnaires (pen&paper, online survey) or implementing an HL intervention for parent-child dyads on media use. Conclusions From a public health perspective, HL is a multidimensional content and context specific concept. It applies to both an individual and a system level. HL is affected by social structures, health inequalities, risk factors, and effectiveness and sustainability of health promoting efforts. In the next two years, we will analyse our models and data and refine our approaches. Findings will be translated into policy and practice recommendations for child health promotion.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.004 | 0.004 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".