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Investigating knowledge structure and research trends in child and adolescent health literacy research through network text analysis

Published:August 08, 2022DOI:https://doi.org/10.1016/j.pedn.2022.08.001

      Highlights

      • Since 30 years, child and adolescent health literacy has been addressed in clinical and public health approaches.
      • School-based practices need more evidence to improve health literacy in children and adolescents.
      • Validated, reliable multidimensional health literacy assessment instruments are needed.

      Abstract

      Purpose

      This study aims to investigate the knowledge structure and research trends in child and adolescent health literacy research over the past 30 years by using network text analysis.

      Method

      The study was conducted in four steps: 1) collecting abstracts, 2) keyword extraction and preprocessing, 3) creation of co-occurrence matrix, and 4) text network analysis.

      Results

      As a result of the centrality analysis, the upper-ranked core keywords were “health care,” “health behavior,” “prevention,” “treatment,” and “health promotion.” In contrast to earlier times, “barrier,” “caregiver,” “school setting,” and “QOL” have recently emerged as core keywords.

      Conclusions

      Over the past 30 years, child and adolescent health literacy has been importantly addressed in both clinical and public health approaches. The results of the current study provide references for future research in child and adolescent health literacy.

      Implication for practice and research

      This study suggests the need for additional research on school-based practices that can improve health literacy and for identifying validated and reliable multidimensional health literacy assessment instruments.

      Keywords

      Abbreviations:

      ERIC (Education Resources Information Center), NTA (Network text analysis), NVS (Newest Vital Sign), QOL (Quality of life), REALM (Rapid Estimate of Adult Literacy in Medicine), WRAT (Wide Range Achievement Test)
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