Functioning, temporal resolution, and functional health literacy in children aged nine to twelve years

Gonçalves, Jaqueline Batista Diniz; Escarce, Andrezza Gonzalez; Lemos, Stela Maris Aguiar

doi:10.1590/2317-1782/e20240320pt

person Jaqueline Batista Diniz Gonçalves

data collection and analysis · manuscript writing · approval of the final version

schoolPrograma de Pós-graduação em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais – UFMG - Belo Horizonte (MG), Brasil.

0009-0008-1381-8959

person Andrezza Gonzalez Escarce

study conception · data collection and analysis · manuscript writing · approval of the final version

schoolPrograma de Pós-graduação em Ciências Fonoaudiológicas, Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais – UFMG - Belo Horizonte (MG), Brasil.

0000-0002-0945-2404

person Stela Maris Aguiar Lemos

conception of the study · supervision of all stages of the work · data analysis · manuscript writing · approval of the final version

schoolPrograma de Pós-graduação em Ciências Fonoaudiológicas, Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais – UFMG - Belo Horizonte (MG), Brasil.

0000-0003-4104-5179

Conflict of interests:

nothing to declare.

Correspondence address: Jaqueline Batista Diniz Gonçalves Programa de Pós-graduação em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais – UFMG Av. Prof. Alfredo Balena, 190, Belo Horizonte (MG), Brasil, CEP: 30130-100. E-mail:
jbatistafono@gmail.com

Editor:

Larissa Cristina Berti.

Tables (6)

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LETRAMENTO EM SAÚDE EM CRIANÇAS E ADOLESCENTES 1. Quando você vai ao fonoaudiólogo, médico, dentista ou outro profissional de saúde, você costuma prestar atenção nas orientações que são dadas aos seus pais? Sempre Às vezes Nunca 2. Quando você vai ao médico, fonoaudiólogo, dentista ou outro profissional de saúde, você costuma perguntar/tirar dúvidas sobre sua saúde? Sempre Às vezes Nunca 3. Você consegue entender as orientações que são dadas pelo fonoaudiólogo, médico, dentista ou outro profissional de saúde para você? Sempre Às vezes Nunca 4. Você consegue entender as explicações dados pelos seus pais sobre a sua saúde? Sempre Às vezes Nunca 5. Você costuma perguntar aos seus pais sobre o tratamento que está realizando com o fonoaudiólogo? Sempre Às vezes Nunca 6. Você costuma perguntar aos seus pais sobre o tratamento/consulta que está realizando com o médico? Sempre Às vezes Nunca 7. Você costuma perguntar aos seus pais sobre o tratamento/consulta que está realizando com outros profissionais de saúde? Sempre Às vezes Nunca 8. Você costuma prestar atenção nas orientações que são dadas por fonoaudiólogos, médicos e dentistas? Sempre Às vezes Nunca

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Table 1 Characteristics of the students evaluated

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Table 2 Analysis of the Functional Health Literacy Scale

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Table 3 Association analysis between ICF d350 and selected variables

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Table 4 Association analysis between ICF d350 and questions from the Functional Health Literacy Scale

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HEALTH LITERACY IN CHILDREN AND ADOLESCENTS 1. When you go to a speech-language-hearing pathologist, doctor, dentist, or other healthcare professional, do you usually pay attention to the instructions they give to your parents? Always Sometimes Never 2. When you go to the doctor, speech-language-hearing pathologist, dentist, or other healthcare professional, do you usually ask questions about your health? Always Sometimes Never 3. Can you understand the instructions speech-language-hearing pathologists, doctors, dentists, or other healthcare professionals give to you? Always Sometimes Never 4. Can you understand the explanations your parents give about your health? Always Sometimes Never 5. Do you usually ask your parents about the treatment you are receiving from the speech-language-hearing pathologist? Always Sometimes Never 6. Do you usually ask your parents about the treatment/appointment you are having with the doctor? Always Sometimes Never 7. Do you usually ask your parents about the treatment/consultation you are receiving from other healthcare professionals? Always Sometimes Never 8. Do you usually pay attention to the guidance given by speech-language-hearing pathologists, doctors, and dentists? Always Sometimes Never

	N	%
Sex
Females	22	41.5
Males	31	58.5
Total	53	100.0
Age
9 years	16	30.2
10 years	13	24.5
11 years	14	26.4
12 years	10	18.9
Total	53	100.0
Grade in school
3^rd grade	2	3.8
4^th grade	13	24.5
5^th grade	15	28.3
6^th grade	14	26.4
7^th grade	9	17.0
Total	53	100.0
School type
Public	41	77.4
Private	12	22.6
Total	53	100.0
CCEB
A/B	28	52.8
C-D/E	25	47.2
Total	53	100
CIF d350
No difficulty	28	52.8
Unspecified difficulty	25	47.2
Literacy
Adequate	20	37.7
Inadequate	33	62.3
Total	53	100
RGDT
Adequate	11	20.8
Inadequate	42	79.2
Total	53	100.0

	N	%
Q1: When you go to a speech-language-hearing pathologist, doctor, dentist, or other healthcare professional, do you usually pay attention to the instructions they give to your parents?
Always	22	41.5
Sometimes	29	54.7
Never	2	3.8
Total	53	100.0
Q2: When you go to the doctor, speech-language-hearing pathologist, dentist, or other healthcare professional, do you usually ask questions about your health?
Always	12	22.6
Sometimes	21	39.6
Never	20	37.7
Total	53	100
Q3: Can you understand the instructions speech-language-hearing pathologists, doctors, dentists, or other healthcare professionals give to you?
Always	26	49.1
Sometimes	18	34.0
Never	9	17.0
Total	53	100.0
Q4: Can you understand the explanations your parents give about your health?
Always	29	54.7
Sometimes	17	32.1
Never	7	13.2
Total	53	100.0
Q5: Do you usually ask your parents about the treatment you are receiving from the speech-language-hearing pathologist?
Always	14	26.2
Sometimes	17	32.1
Never	22	41.5
Total	53	100.0
Q6: Do you usually ask your parents about the treatment/appointment you are having with the doctor?
Always	17	32.1
Sometimes	18	34.0
Never	18	34.0
Total	53	100.0
Q7: Do you usually ask your parents about the treatment/consultation you are receiving from other healthcare professionals?
Always	14	26.4
Sometimes	23	43.4
Never	16	30.2
Total	53	100.0
Q8: Do you usually pay attention to the guidance given by speech-language-hearing pathologists, doctors, and dentists?
Always	34	64.2
Sometimes	13	34.5
Never	6	11.3
Total	53	100.0

Variables	ICF d350		p-value*
	Unspecified difficulty	No difficulty
	N(%)	N(%)
Sex			0.442
Females	9 (36.0)	13 (46.4)
Males	16 (64.0)	15 (53.6)
Total	25 (100.0)	28 (100.0)
Age			0.948
9 years	7 (28.7)	9 (33.3)
10 years	6 (24.0)	7 (25.9)
11 years	7 (28.0)	7 (25.9)
12 years	5 (20.0)	4 (14.8)
Total	25 (100.0)	27 (100.0)
Grade in school			0.518
3^rd grade	2 (8.0)	0 (0.0)
4^th grade	5 (20.0)	8 (28.6)
5^th grade	6 (24.0)	9 (32.1)
6^th grade	7 (28.0)	7 (25.0)
7^th grade	5 (20.0)	4 (14.3)
Total	25 (100.0)	28 (100.0)
School type			0.823
Public	19 (76.0)	22 (78.6)
Private	6 (24.0)	6 (21.4)
Total	25 (100.0)	28 (100.0)
CCEB			0.797
A/B	12 (50.0)	15 (53.6)
C-D/E	12 (50.0)	13 (46.4)
Total	24 (100.0)	28 (100.0)
RGDT			0.898
Adequate	5 (20.0)	6 (21.4)
Inadequate	20 (80.0)	22 (72.6)
Total	25 (100.0)	28 (100.0)
Health literacy			0.012*
Adequate	5 (20.0)	15 (53.5)
Inadequate	20 (80.0)	16.4 (24.5)
Total	25 (100.0)	28 (100.0)

Variables	ICF d350		p-value *
	Unspecified difficulty	No difficulty
	N (%)	N (%)
Q1: When you go to a speech-language-hearing pathologist, doctor, dentist, or other healthcare professional, do you usually pay attention to the instructions they give to your parents?			0.040
Always	7 (28.0)	15 (53.6)
Sometimes	18 (72.0)	11 (39.3)
Never	0 (0.0)	2 (7.1)
Total	25 (100.0)	28 (100.0)
Q2: When you go to the doctor, speech-language-hearing pathologist, dentist, or other healthcare professional, do you usually ask questions about your health?			0.035
Always	4 (16.0)	8 (28.6)
Sometimes	7 (28.0)	14 (50.0)
Never	14 (56.0)	6 (21.4)
Total	25 (100.0)	28 (100.0)
Q3: Can you understand the instructions speech-language-hearing pathologists, doctors, dentists, or other healthcare professionals give to you?			0.659
Always	13 (52.0)	13 (46.4)
Sometimes	9 (36.0)	9 (32.2)
Never	3 (12.0)	6 (21.4)
Total	25 (100.0)	28 (100.0)
Q4: Can you understand the explanations your parents give about your health?			0.504
Always	12 (48.0)	17 (60.7)
Sometimes	10 (40.0)	7 (25.0)
Never	3 (12.0)	4 (14.3)
Total	25 (100.0)	28 (100.0)
Q5: Do you usually ask your parents about the treatment you are receiving from the speech-language-hearing pathologist?			0.202
Always	4 (16.0)	10 (35.8)
Sometimes	8 (32.0)	9 (32.1)
Never	13 (52.0)	9 (32.1)
Total	25 (100.0)	28 (100.0)
Q6: Do you usually ask your parents about the treatment/appointment you are having with the doctor?			0.668
Always	7 (28.0)	10 (35.7)
Sometimes	10 (40.0)	8 (28.6)
Never	8 (32.0)	10 (35.7)
Total	25 (100.0)	28 (100.0)
Q7: Do you usually ask your parents about the treatment/consultation you are receiving from other healthcare professionals?			0.289
Always	7 (28.0)	7 (25.0)
Sometimes	13(52.0)	10 (35.7)
Never	5 (20.0)	11 (39.3)
Total
Q8: Do you usually pay attention to the guidance given by speech-language-hearing pathologists, doctors, and dentists?			0.161
Always	13 (52.0)	21 (75.0)
Sometimes	9 (36.0)	4 (14.3)
Never	3 (12.0)	3(10.7)
Total	25 (100.0)	28 (100.0)

[1] Caption: CCEB = Brazilian Economic Classification Criteria; ICF = International Classification of Functioning; RGDT = Random Gap Detection Test