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Author: 彭築茜
Peng, Ju-Chian
Thesis Title: 探討早產兒母親育兒健康識能之研究-以自我效能及問題解決為中介變項
A study of the parental health literacy of the mothers with preterm infants-Self efficacy and problem solving as mediators
Advisor: 郭鐘隆
Guo, Jong-Long
Degree: 碩士
Master
Department: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
Thesis Publication Year: 2021
Academic Year: 109
Language: 中文
Number of pages: 127
Keywords (in Chinese): 早產兒早產兒母親健康識能自我效能問題解決
Keywords (in English): Premature Infant, mothers of premature infant, health literacy, self efficacy, problem solving
DOI URL: http://doi.org/10.6345/NTNU202100192
Thesis Type: Academic thesis/ dissertation
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  • 目的:為瞭解早產兒母親背景變項對於自我效能、問題解決、健康識能之現況及影響,並探討自我效能與問題解決對於早產兒母親背景變項與健康識能作為中介變項的可能性。
    方法:立意取樣北部某醫學中心之新生兒加護病房以及新生兒中重度病房,早產兒母親為研究對象,共113位參與。資料以描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森相關及多元階層迴歸等統計方法進行分析。
    結果:(1)研究對象以早產兒母親為主要照顧者,發現約35歲以上已婚(占9成)居多,教育程度大學以上占8成左右,家管占2成,第一次懷孕占6成,採剖腹產占8成,配偶占9成為最大支持者,育兒知識來源為育兒書籍/雜誌/網站最多,早產兒以男生居多(占5成),多胞胎近6成,出生週數以34-36週最多占6成。(2)本研究量表採用百分等第分法,整體來看早產兒母親自我效能、問題解決、健康識能各層面之得分分別為74.71%、70.35%、83.87%。(3)多元階層迴歸結果模式可解釋量達到29.1% (F=4.541, p<.001),即對早產兒母親的健康識能具統計顯著影響。
    結論:(1)早產兒母親背景變項對健康識能有顯著正向影響﹔(2)早產兒母親背景變項對自我效能與問題解決有顯著正向影響﹔(3)自我效能與問題解決對健康識能有顯著正向影響﹔(4)自我效能與問題解決在早產兒母親背景變項與健康識能間沒有證據顯示有中介效果。
    希望本研究之結果可以喚起研究者和臨床工作者,作為未來對於早產兒母親自我效能、問題解決和健康素養能力之重視。

    Aims: To explore the sociodemographic variables of preterm infants’ mothers on self-efficacy, problem solving, and health literacy and the possibility of self-efficacy and problem solving as mediating variables between demographic variables and health literacy.
    Methods: purposive sampling was used in the neonatal intensive care unit and intermediate care nursery of a medical center in the northern Taiwan. A total of 113 mothers with preterm infants were recruited. A cross-sectional questionnaire was administered when the participants stayed at the medical center. The data were analyzed by descriptive statistics, independent t-test, one-way analysis of variance (ANOVA), Pearson correlation and multiple hierarchical regression.
    Results: Approximately 80% of participants were working women, with college education and had a Cesarean section. 90% of them were married, over 35 years old and their spouses were the most important supporters. 60% of the participants were the first-time pregnancy. Participants’ parenting knowledge sources are parenting books/magazines/websites. Approximately 50% of their preterm children were boys. Multiple births and 34-36 weeks gestation (GA) of preterm children were approximately 60%. If the score of each scale is converted into a percentile ranking, the scores of self-efficacy, problem solving, and health literacy of mothers of premature infants were 74.71%, 70.35%, and 83.87%, respectively. Multiple hierarchical regression model could explain 29.1% of the total variance (F = 4.541, p <.001), which indicated that the significant variables such as marital and occupational status, spouse’ support and self-efficacy were statistically significant on the health literacy of participants.
    Conclusion: Some of Participants’ sociodemographic variables were significant predictors on their health literacy, self-efficacy and problem solving. In addition, self-efficacy and problem solving were significant predictors on participants’ health literacy. However, self-efficacy and problem solving did not reveal a mediation effects between participants’ sociodemographic variables and health literacy. It is critical for researchers and practitioners to pay attention to health literacy, self-efficacy and problem solving of the mothers with preterm infants.

    第一章 緒論 1 第一節 研究動機及重要性 1 第二節 研究目的 3 第三節 名詞解釋 4 第二章 文獻探討 7 第一節 早產兒相關之概述 7 第二節 自我效能之概述及其應用 12 第三節 問題解決之概述及其應用 17 第四節 早產兒母親育兒健康識能及其應用 22 第五節 自我效能、問題解決與健康識能之相關研究 26 第三章 研究方法 31 第一節 研究架構 31 第二節 研究對象及場所 32 第三節 研究工具 33 第四節 研究步驟 39 第五節 資料處理與統計分析 41 第四章 研究結果 51 第一節 研究對象背景變項之現況分析 52 第二節 自我效能、問題解決、健康識能之現況分析 57 第三節 自我效能、問題解決、健康識能之差異分析 59 第四節 自我效能、問題解決、健康識能之相關係數分析 86 第五節 自我效能、問題解決、健康識能之迴歸分析 87 第五章 討論與建議 95 第一節 結論與討論 95 第二節 研究貢獻 98 第三節 研究限制 99 第四節 建議 101 參考文獻 104 一、中文部分 104 二、英文部分 108 附錄1 基本屬性 118 附錄2 自我效能量表使用同意書 123 附錄3 問題解決使用同意書 124 附錄4 人體試驗倫理委員會臨床試驗同意證明書 125

    台灣早產兒基金會(2012)。早產兒醫療資訊:認識早產。檢自http://www.pbf.org.tw/html/c01.asp
    白人方(2011)。健康識能與糖尿病健康照護之關係探討(未發表的碩士論文)。長庚大學醫務管理學系,桃園。
    江宜珍、李蘭(2016)。社會認知理論.於李蘭總校閱。健康行為與健康教育(五版,103-122頁)。臺北:巨流。
    李昱嫻、蔡明燕、詹紹華、林美合、邱智鈴、李秀花(2020)。以健康識能概念擬定第 1 型糖尿病童主照護者的護理衛教方案及實施成效。志為護理-慈濟護理雜誌,19(3),99-108。
    李尹暘、林曉佩、林君怡(2007)。自我效能理論之分析與應用。澄清醫護管理雜誌,3(2),46-52。
    巫菲翎、張媚(2011)。問題解決於糖尿病照護之概念分析。新臺北護理期刊,13(2),55-62。
    林秀節、邱慧洳、林寬佳、許翠華、黃惠娟(2015)。出院準備對早產兒母親照護知識,能力及母育信心之成效。長庚護理,26(3),259-272。
    林季緯、何青蓉、黃如薏、王維典(2016)。健康識能的概念發展與實務應用。台灣家庭醫學雜誌,26(2),65-76。
    洪再樺(2016)。功能性消化不良病人健康識能與情緒狀態相關性之研究(未發表的碩士論文)。國立台北護理健康大學健康事業管理研究所,台北市。
    祝年豐(2019)。兒童及青少年健康識能-以肥胖症為例。健康促進研究與實務,2(2),52-59。
    侯文萱(2019)。提升民眾健康識能以精進醫療照護品質。醫療品質雜誌,13(2),78-81。
    徐富美、溫順英、凌婉玲(2011)。提昇早產兒出院準備服務品質之成效。助產雜誌,(53),80-91。
    翁敏雪、周弘傑(2016)。父母於早產兒住院期間的親職議題及護理。護理雜誌,63(6),114-119。
    翁麗雀、戴玉慈、黃秀梨、陳淑齡(2007)。問題解決的涵義,測量與影響之概述。護理雜誌,54(4),83-87。
    國民健康署(2015)。出生通報年報。檢自https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=649&pid=7658
    張春興(2001)。教育心理學。台北:東華。
    張瑞幸(2012)。早產兒基金會極低出生體重早產兒追蹤門診概況。台北市:早產兒基金會。
    張瑜珊(2013)。探討單胞胎與多胞胎早產兒母親的社會支持,與自覺壓力和母育信心之相關性(未發表的碩士論文)。中國醫藥大學護理研究所,台中市。
    張美娟(2020)。健康識能友善照護實務。領導護理,21(1),1-9。
    孫志琪、陳淑芬、蔡慈儀(2019)。初產婦的健康識能與職場母乳哺育計畫及能力相關之探討。榮總護理,36(4),330-342。
    莊筱婷(2019)。減少過輕的生命,鼓勵適齡的媽媽。醫療資訊雜誌,28(4),18-22。
    莊盛宇、林菁(2017)。國小探究式資訊素養融入課程與問題解決能力之長期研究。教育傳播與科技研究,(116),1-16。
    許欣潔、羅慧萍、賴羿妤、曾貴芳、楊佩欣(2017)。運用仿居家概念提升早產兒出院前準備之成效。長庚護理,28(3),414-425。
    許瓊心(2010)。台灣地區早產兒發生率與存活率。檢自 http://www.pbf.org.tw/html/content.asp.NSID= 3&MGVOL= 76&ID, 956
    陳淑銘、楊惠美、莊惠如、周美玲(2005)。早產兒母親對早產兒的照護需求及其影響因素。幼兒保育研究集刊,1(1),29-41。
    陳慶如(2011)。自我導向學習方案對母親早產兒照護知識、技能及信心之成效(未發表的碩士論文)。中國醫藥大學護理研究所,台中市。
    彭楹珍、鄧嘉琦(2010)。早產兒急性期之照護‧於張元玫總校閱。早產兒護理實務(一版,101-102頁)。臺北:華杏。
    黃茂在、陳文典(2004)。「問題解決」的能力。科學教育月刊,273,21-41。
    詹秀美、吳武典(2007)。問題解決測驗指導手冊。臺北市:心理。
    鄒國英(2010)。台灣地區極低出生體重早產兒罹病及存活率—十年之變化。台北市:早產兒基金會。
    鄒國英(2011)。台灣早產兒聯合追蹤小組:台灣地區極低出生體重早產兒之神經動作發展預後—十年之變化。
    鄒國英(2011)。台灣極低出生體重早產兒十年期間的早期預後。台灣早產兒白皮書第四版。
    蔣立琦、郭雅雯、林綽娟(2004)。自我效能之概念分析。護理雜誌,51(2),67-72。
    劉冠吟、金繼春、駱麗華、周汎澔(2007)。母親透過錄影帶蘊育其與早產新生兒之依附關係的經驗歷程。實證護理,3(1),5-15。
    廖嘉音(2010)。糖尿病友健康素養教育方案之實施與成效。中華民國糖尿病衛教學會會訊,6(2),40-43。
    鄭誼君(2012)。第2型糖尿病病患之健康素養及其相關因素(未發表的碩士論文)。高雄醫學大學護理研究所,高雄。
    鄭怡娟、陳慶如、張瑜珊、黃立琪(2015)。衛生教育的新策略-學習檔案。護理雜誌,62(6),105-111。
    盧瑛琪、顏文娟、李選(2013)。早產兒父母的不確定感與因應行為之探討。護理暨健康照護研究,9(1),23-32。
    蕭建洲(2015)。早產兒常見的合併症。彰化護理,22(2),2-3。
    賴崇閔、黃秀美、廖述盛、黃雯雯(2010)。3D虛擬實境應用於醫學教育接受度之研究 A Study of User’s Acceptance on Three-dimensional Virtual Reality Applied in Medical Education。教育心理學報,40(3)。
    謝武勳、吳美環、陳倩儀(2014)。新生兒常見消化道異常‧實用新生兒科醫療手冊(二版,261頁)。台北巿:國立臺灣大學醫學院。
    Aliabadi, F., Borimnejad, L., Kamali, M., Rassafiani, M., & Nazi, S. (2013). Perceived Maternal Parenting Self-Efficacy (PMP SE) tool: Translation and Face validation with Iranian mothers of hospitalized preterm neonates. Iranian Rehabilitation Journal, 11, 7-10.
    Alinejad-Naeini, M., Razavi, N., Sohrabi, S., & Heidari-Beni, F. (2019). The association between health literacy, social support and self-efficacy in mothers of preterm neonates. The Journal of Maternal-Fetal & Neonatal Medicine, 1-8.
    Bandura, A. (1977). Self-efficacy:toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.
    Bandura, A. (1986). Social foundations of thought and action. Englewood Cliffs, NJ, 1986.
    Bandura A. (1997). Self-efficacy: The Exercise of Control. W. H. Freeman and Company, New York.
    Barnes, C. R., & Adamson‐Macedo, E. N. (2007). Perceived maternal parenting self‐efficacy (PMP S‐E) tool: Development and validation with mothers of hospitalized preterm neonates. Journal of advanced nursing, 60(5), 550-560.
    Brown, H. K., Speechley, K. N., Macnab, J., Natale, R., & Campbell, M. K. (2014). Mild prematurity, proximal social processes, and development. Pediatrics, peds-2013.
    Çakmak, E., & Karaçam, Z. (2018). The correlation between mothers’participation in infant care in the NICU and their anxiety and problem-solving skill levels in caregiving. The Journal of Maternal-Fetal & Neonatal Medicine, 31(1), 21-31.
    Chen, A. M., Yehle, K. S., Albert, N. M., Ferraro, K. F., Mason, H. L., Murawski, M. M., & Plake, K. S. (2014). Relationships between health literacy and heart failure knowledge, self-efficacy, and self-care adherence. Research in Social and Administrative Pharmacy, 10(2), 378-386.
    Cheng, Y. C., Chen, L. L., Chang, Y. S., Li, T. C., Chen, C. J., & Huang, L. C. (2018). The effectiveness of learning portfolios in learning participation and learners’ perceptions of skills and confidence in the mother of preterm infant. Midwifery, 62, 86-91.
    Cockcroft, S. (2012). How can family centred care be improved to meet the needs of parents with a premature baby in neonatal intensive care?. Journal of Neonatal Nursing, 18(3), 105-110.
    Commission of the European Communities. (2007) Together for health:a strategic approach for the EU 2008-2013. European Commission Brussels, 127(3), 120-122.
    Dewey, J. (1933). How We Think: A Restatement of the Relation of Reflective Thinking to the Educative Process Vol. 8.
    D'zurilla, T. J., & Goldfried, M. R. (1971). Problem solving and behavior modification. Journal of abnormal psychology, 78(1), 107.
    Eichenwald, E. C. (2016). Apnea of prematurity. Pediatrics, 137(1).
    Fong, H. F., Rothman, E. F., Garner, A., Ghazarian, S. R., Morley, D. S., Singerman, A., & Bair-Merritt, M. H. (2018). Association between health literacy and parental self-efficacy among parents of newborn children. The Journal of pediatrics, 202, 265-271.
    Fry-Bowers, E. K., Maliski, S., Lewis, M. A., Macabasco-O'Connell, A., & DiMatteo, R. (2014). The association of health literacy, social support, self-efficacy and interpersonal interactions with health care providers in low-income Latina mothers. Journal of pediatric nursing, 29(4), 309-320.
    Gagne, E. D. (1985). The cognitive psychology of school learning. Boston: Lettle, Brown and Company.
    Heermann, J. A., Wilson, M. E., & Wilhelm, P. A. (2005). Mothers in the NICU: outsider to partner. Pediatric nursing, 31(3).
    Hess, C. R., Teti, D. M., & Hussey-Gardner, B. (2004). Self-efficacy and parenting of high-risk infants: The moderating role of parent knowledge of infant development. Journal of applied developmental psychology, 25(4), 423-437.
    Hill-Briggs, F. (2003). Problem solving in diabetes self-management: a model of chronic illness self-management behavior. Annals of Behavioral Medicine, 25(3), 182-193.
    Hill-Briggs, F., Gary, T. L., Yeh, H. C., Batts-Turner, M., Powe, N. R., & Saudek, C. D. (2006). Association of social problem solving with glycemic control in a sample of urban African Americans with type 2 diabetes. Journal of Behavioral Medicine, 29(1), 69-78.
    Inoue M, Takahashi M, Kai I: Impact of communicative and critical health literacy on understanding of diabetes care and self-efficacy in diabetes management: a crosssectional study of primary care in Japan. BMC Fam Pract 2013; 14: 40.
    Kenet, G., Kuperman, AA., Strauss, T., & Brenner, B. (2011). Neonatal IVH—mechanisms and management. Thromb Res, 127(3), 120-122. doi:10.1016/S0049-3848(11)70032-9
    Kim, S. J., Port, A. D., Swan, R., Campbell, J. P., Chan, R. P., & Chiang, M. F. (2018). Retinopathy of prematurity: a review of risk factors and their clinical significance. Survey of ophthalmology.
    Kutner, M., Greenburg, E., Jin, Y., & Paulsen, C. (2006). The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. NCES 2006-483. National Center for Education Statistics.
    Kohan, M., Borhani, F., Abbaszadeh, A., Sultan Ahmadi, J., & Khajehpoor, M. (2012). Experience of mothers with premature infants in neonatal. Journal of Qualitative Research in Health Sciences, 1(1), 41-51.
    Latal-Hajnal, B., Siebenthal, K., Kovari, H., Bucher, H. U., & Largo, R. H.(2003). Postnatal growth in VLBW infants: Signi cant association with neurodevelopmental outcome. The Journal of Pediatrics, 143(2), 163-170.
    Laranjo, L., Neves, A. L., Villanueva, T., Cruz, J., de Sá, A. B., & Sakellarides, C. (2013). Patients’ access to their medical records. Acta Médica Portuguesa, 26(3), 265-270.
    Leahy‐Warren, P., McCarthy, G., & Corcoran, P. (2012). First‐time mothers: social support, maternal parental self‐efficacy and postnatal depression. Journal of clinical nursing, 21(3‐4), 388-397.
    Lorig, K. R., Ritter, P., Stewart, A. L., Sobel, D. S., Brown Jr, B. W., Bandura, A., ... & Holman, H. R. (2001). Chronic disease self-management program: 2-year health status and health care utilization outcomes. Medical care, 1217-1223.
    Maydeu-Olivares, A., & D’Zurilla, T.J. (1996). A factor-analytic study of the social problemsolving inventory: An integration of theory and data.Cognitive Therapy and Research, 20, 115–133.
    Milet, B., Chuo, J., Nilan, K., Warren, K., McKenna, K., Carroll, J. M., & Zhang, H. (2018). Increasing Immunization Rates in Infants with Severe Chronic Lung Disease: A Quality Improvement Initiative. Hospital pediatrics, 8(11), 693-698.
    Nutbeam D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267.
    OLAFSEN, K. S., RØNNING, J. A., BREDRUP DAHL, L. A. U. R. I. T. Z., Ulvund, S. E., HANDEGÅRD, B. H., & Kaaresen, P. I. (2007). Infant responsiveness and maternal confidence in the neonatal period. Scandinavian Journal of Psychology, 48(6), 499-509.
    Paradis, H. A., Conn, K. M., Gewirtz, J. R., & Halterman, J. S. (2011). Innovative delivery of newborn anticipatory guidance: a randomized, controlled trial incorporating media-based learning into primary care. Academic Pediatrics, 11(1), 27-33.
    Paul, P., Pais, M., Kamath, S., Pai, M. V., Lewis, L., & Bhat, R. (2018) Perceived maternal parenting self-efficacy and parent coping among mothers of preterm infants–a cross-sectional survey. Manopal Journal of Medical Sciences, 3(1), 24-27.
    Pedrini, L., Ferrari, C., & Ghilardi, A. (2018). Psychometric Properties of the Italian Perceived Maternal Parenting Self-Efficacy (PMP SE). Journal of clinical psychology in medical settings, 1-10.
    Pennell, C., Whittingham, K., Boyd, R., Sanders, M., & Colditz, P. (2012). Prematurity and parental self-efficacy: The preterm parenting & self-efficacy checklist. Infant Behavior and Development, 35(4), 678-688.
    Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G: Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in Iranians with type 2 diabetes. Oman Med J 2016; 31: 52-9.
    Proulx, J., & Maheux, J. F. (2017). From Problem Solving to Problem Posing, and from Strategies to Laying Down a Path in Solving: Taking Varela’s Ideas to Mathematics Education Research. CONSTRUCTIVIST FOUNDATIONS, 13(1), 160-167.
    Po'e, E. K., Heerman, W. J., Mistry, R. S., & Barkin, S. L. (2013). Growing Right Onto Wellness (GROW): a family-centered, community-based obesity prevention randomized controlled trial for preschool child–parent pairs. Contemporary clinical trials, 36(2), 436-449.
    Sahler, O. J. Z., Dolgin, M. J., Phipps, S., Fairclough, D. L., Askins, M. A., Katz, E. R., ... & Butler, R. W. (2013). Specificity of problem-solving skills training in mothers of children newly diagnosed with cancer: results of a multisite randomized clinical trial. Journal of Clinical Oncology, 31(10), 1329.
    Sahler, O. J. Z., Varni, J. W., Fairclough, D. L., Butler, R. W., Noll, R. B., Dolgin, M. J., ... & Mulhern, R. K. (2002). Problem-solving skills training for mothers of children with newly diagnosed cancer: A randomized trial. Journal of Developmental & Behavioral Pediatrics, 23(2), 77-86.
    Sanders, L. M., Shaw, J. S., Guez, G., Baur, C., & Rudd, R. (2009). Health literacy and child health promotion: implications for research, clinical care, and public policy. Pediatrics, 124(Supplement 3), S306-S314.
    Sanders, M. R., Turner, K. M., & Metzler, C. W. (2019). Applying self-regulation principles in the delivery of parenting interventions. Clinical child and family psychology review, 22(1), 24-42.
    Schaffler, J., Leung, K., Tremblay, S., Merdsoy, L., Belzile, E., Lambrou, A., & Lambert, S. D. (2018). The effectiveness of self-management interventions for individuals with low health literacy and/or low income: a descriptive systematic review. Journal of general internal medicine, 33(4), 510-523.
    Senarath, U., Fernando, D. N., Vimpani, G., & Rodrigo, I. (2007). Factors associated with maternal knowledge of newborn care among hospital-delivered mothers in Sri Lanka. Transactions of the Royal society of tropical medicine and hygiene, 101(8), 823-830.
    Shani-Sherman, T., Dolgin, M. J., Leibovitch, L., & Mazkereth, R. (2019). Internal and External Resources and the Adjustment of Parents of Premature Infants. Journal of Clinical Psychology in Medical Settings, 26(3), 339-352.
    Simonds, S. K. (1974). Health education as social policy. Health Education Monographs, 2(1_suppl), 1-10.
    Skeens, K., Logsdon, M. C., Stikes, R., Ryan, L., Sparks, K., Hayes, P., ... & Dowling, D. (2016). Health literacy and preferences for sources of child health information of mothers with infants in the neonatal intensive care unit. Advances in Neonatal Care, 16(4), 308-314.
    Skelly, A. H., Arcury, T. A., Snively, B. M., Bell, R. A., Smith, S. L., Wetmore, L. K., & Quandt, S. A. (2005). Self-monitoring of blood glucose in a multiethnic population of rural older adults with diabetes. The Diabetes Educator, 31(1), 84-90.
    Slovinec D'Angelo, M. E., Pelletier, L. G., Reid, R. D., & Huta, V. (2014).The roles of self-efficacy and motivation in the prediction of short-and long-term adherence to exercise among patients with coronary heart disease. Health Psychology, 33(11), 1344.
    Sorensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: a systematic review and integration of definitions and models. BMC public health, 12(1), 80.
    Sorensen, K., Van den Broucke, S., Pelikan, J. M., Fullam, J., Doyle, G.,
    Slonska, Z., ... & Brand, H. (2013). Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC public health, 13(1), 948.
    Suff, N., Story, L., & Shennan, A. (2018, September). The prediction of preterm delivery: What is new?. In Seminars in Fetal and Neonatal Medicine. WB Saunders.
    Valentine, J. C., Leach, S. M., Fowler, A. P., Stojda, D. K., & Macdonald, G. (2019). Families and Schools Together (FAST) for improving outcomes for children and their families. Cochrane Database of Systematic Reviews, (7).
    Wheeler, J. R. (2003). Can a disease self-management program reduce health care costs? The case of older women with heart disease. Medical Care, 41(6), 70 -715.
    World Health Organization. (2013). Health promotion glossary. Geneva: World Health Organization; 1998.
    World Health Organization. (2015). WHO recommendations on interventions to improve preterm birth outcomes.
    Wynia, M. K., & Osborn, C. Y. (2010). Health literacy and communication quality in health care organizations. Journal of health communication, 15(S2), 102-115.
    Yin, H. S., Sanders, L. M., Rothman, R. L., Mendelsohn, A. L., Dreyer, B. P., White, R. O., ... & Perrin, E. M. (2012). Assessment of health literacy and numeracy among Spanish-Speaking parents of young children: validation of the Spanish Parental Health Literacy Activities Test (PHLAT Spanish). Academic pediatrics, 12(1), 68-74.

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