Effect of health literacy interventions on pregnancy outcomes: A systematic review

BackgroundLow health literacy has been associated with worse health outcomes, but little is known about the effectiveness of health literacy interventions developed for pregnant women.AimTo assess the effectiveness of health literacy interventions on pregnancy outcomes through a systematic review of randomised controlled trials.MethodsRandomised controlled trials that assessed health literacy interventions designed to improve pregnancy outcomes were included. The study protocol was registered with PROSPERO (CRD42018094958).FindingsOf the 1512 records initially identified, 13 studies were included. Three reported on decision-aid interventions, six on face-to-face interventions and four on written interventions (including computer-based interventions or information leaflets). The primary outcomes of interest for this systematic review were knowledge (10/13 studies) and health literacy (2/13 studies) with one study not reporting either primary outcome. A significant improvement in knowledge was found across the 10 studies, however the two studies which measured health literacy only assessed health literacy at a single time-point. Secondary outcomes including health behaviours, fetal outcomes and health-service utilisation were reported in 11 studies, with inconsistent results.DiscussionFew health literacy interventions have been developed specifically for pregnant women. Although health literacy interventions have the potential to improve knowledge and pregnancy outcomes, current evidence is limited by inconsistent outcomes and measurement, and limited use of health literacy theory to inform intervention design and content. Few studies directly measured health literacy.ConclusionMore research is needed to properly assess the effect of health literacy interventions on pregnancy outcomes. This research should include consideration of health literacy theory in the development of the interventions.     

国内网络素养领域的研究现状——基于CNKI数据库的文献计量分析

以中国知网CNKI期刊数据库为数据来源,采用文献计量方法对国内网络素养的研究现状进行分析发现：目前国内网络素养研究的文献增长符合指数增长规律,正处于知识积累的发展阶段;该研究领域为多学科交叉领域,教育学、马克思主义学、新闻学与传播学是其研究的核心阵地;目前核心作者群还比较薄弱,固定的科研合作团队较少;大学生及青少年（包括未成年人）是该领域的主要研究对象,新媒体、网络舆情、网络行为、网络理性、网络道德等是该领域的研究热点。     

泛在学习环境下中美高校教师信息文化素养比较

在泛在学习环境下,高校教师作为教学的设计者、引领者、组织者和管理者,面对灵活多样的学习手段和海量的学习资源,必须具备较高的信息文化素养。比较中美信息文化素养的概念认知理解、中美高校教师信息文化素养建设标准以及中美高校教师信息素养提升途径与效果等方面的差异,学习和借鉴美国的成功经验,对从国情出发,制定出适合我国的高校教师信息文化素养标准,拓宽提升高校教师信息文化素养路径,推进我国教育现代化,实施人才强国战略具有重要意义。     

湖南高校理工科大学生媒介素养教育调查与分析

提高媒介素养、加强媒介素养教育的呼声随着大众传媒日益深广的影响而显得越来越迫切。调查表明,理工科大学生对媒介资源的运用趋向理性,但对媒介素养的认知和批判能力的欠缺,反映了其媒介素养不够。同时,理工科大学生对媒介素养教育的主动参与性还远远不够。     

大学生媒介素养现状调查与分析——以邯郸市三所高校为例

媒介是一把＂双刃剑＂。在当今信息时代,媒介能否更好地为大学生所用,取决于大学生本身媒介素养的高低。当前,大学生自发生成的媒介素养参差不齐,在承载大学生成才功能上令人担忧。本次调查以邯郸市三所高校的大学生为调查对象,重点从媒介素养包涵的三个层次,即接触、选择、分析和传播信息的基本能力、建构批判意识的防范能力和自觉自律的改善能力来开展调查。在对调查结果进行统计和分析中,我们试图了解当今大学生媒介素养存在的问题,进而为大学生媒介素养的建构和培育,提供可靠的参考依据和行之有效的方法。     

信息素养对农户参与电商的影响 ——基于农户内在感知的中介作用和政府推广的调节作用

基于有限理性行为理论和卢因行为理论,构建了信息素养对农户参与电商的 理论分析框架,利用陕西省８２７个苹果种植户调研数据,实证检验信息素养对农户参与电商 的因果效应,以及农户内在感知和政府推广在信息素养影响农户参与电商关系中的作用机 理.研究结果表明,信息素养对农户参与电商有显著正向影响;农户内在感知在信息素养影 响农户参与电商关系中发挥部分中介作用,具体而言,信息素养通过提高农户对农产品电商 的感知有用性和感知易用性促进农户参与电商;政府推广在信息素养影响农户参与电商关 系中具有显著正向调节作用,推广内容的全面性、易于理解程度和推广频率会增强信息素养 在农户参与电商中的促进作用.     

数字素养是乡村生活数字化转型的驱动力吗?——基于山东省1 037位农村居民的调研数据

从数字技术应用素养、数字内容社交素养、数字媒体创新素养和数字安全保护素养4个维度构建农村居民数字素养评价指标体系,探讨数字素养对农村居民数字生活参与的影响效应和作用机制。研究发现,农村居民数字素养总体偏低。数字素养显著正向影响农村居民数字消费、数字文娱、数字出行、数字教育、数字医疗和数字生活参与度。社会网络、社会学习和自我效能感在上述影响中发挥部分中介作用,并且对不同领域数字生活的影响有较显著差异。进一步研究发现,数字素养通过强弱社会关系网络对农村居民各领域数字生活影响存在差异,尤其是弱关系网络对参与复杂数字生活有显著影响。据此提出建立健全数字教育培育体系,提高农村居民自我效能感,统筹协调强、弱社会网络,提升社会学习能力等对策建议。     

Taking the reins: A grounded theory study of women's experiences of negotiating water immersion for labour and birth after a previous caesarean section

BackgroundWomen seeking a vaginal birth after a caesarean section (VBAC) frequently want to keep their subsequent labour and birth free from intervention. Water immersion (WI) during labour is potentially an effective tool for women having a VBAC for its natural pain-relieving properties. However, negotiating access to WI can be difficult, especially in the context of VBAC.AimTo explore women's experiences of negotiating WI for labour and birth in the context of VBAC.MethodologyThis Grounded Theory study followed Strauss and Corbin's framework and analytic process. Twenty-five women planning or using WI for their VBAC labour or birth were recruited from two midwifery practices and a social media group across Australia. Participants were interviewed during pregnancy and/or postnatally.Findings‘Taking the reins’, the core category explaining the women’s experiences of assuming authority over their birth, comprised five categories: ‘Robbed of my previous birth experience’; ‘My eyes were opened’; ‘Water is my tool for a successful VBAC’; ‘Actioning my choices and rights for WI’, and ‘Empowered to take back control’. ‘Wanting natural and normal’ was the driving force behind women’s desire to birth vaginally. Two mediating factors: Having someone in your corner and Rules for birth facilitated or hindered their birth choices, respectively.ConclusionThe women became active participants in their healthcare by seeking information and options to keep their birth experience natural and normal. Support from other women and advocacy in the form of continuity of midwifery care was crucial in successfully negotiating WI for their VBAC when navigating the complex health system.     

A reciprocal global education? Working towards a more humanizing pedagogy through critical literacy

Dehumanizing tendencies within the present neo‐liberal era provide the backdrop against which the authors have developed an 11‐year partnership in the Global South. The economic context encourages competition over community and, while portending to bring people closer together through technological advances, it only facilitates the flow of commerce and capital while stemming the movement of consumers and workers. The authors provide a nuanced historical perspective leading up to the neo‐liberal moment, which notices the emergence of patriarchy, Christianity, racism, and capitalism as particular forms of social control, oppression and dehumanization. Recognizing the constructed nature of these forms, the authors propose community, consciousness, and courage as liberating ways forward towards the creation of an alternative form – a more reciprocal global education. While documenting some of their 11‐year partnership, the authors reveal the contribution of the following theorists who have impacted their praxis: Paul Kivel (social service vs social change), Paul Farmer (charity vs development vs social justice approaches to ‘service’ work), and Paul Gorski (decolonizing intercultural education). The authors conclude by (re)examining their desire to resist neo‐liberal globalizing tendencies towards a more reciprocal global education which expands upon relationships built and focuses on a critical literacy approach though the use of culture circles.     

电视传媒与农民工的素质养成

电视传媒是当代影响力巨大的第一强势媒体,也是农民工接触和使用的"第一媒介",但是目前电视媒体不仅对农民工的关注度严重不够,而且不无偏颇地把农民工的形象构建为刻板的、无力无助的弱势群体。这种媒介呈现扩大了城乡二元对立的矛盾,阻碍了农民工融入城市文化的步伐,电视媒体应该肩负社会责任和体现人文关怀,开辟更多的农民工频道或栏目,全方位地服务于农民工群体;而且政府有关部门应组织社会力量,注重对农民工电视媒介素养的培养,鼓励他们积极参与电视媒介文化实践,以促进其综合素质的养成,帮助他们完成角色转换、文化认同和文化融入。