The role of health literacy, depression, disease knowledge, and self-efficacy in self-care among adults with heart failure: An updated model

Abstract The purpose of this study was to explicate the underlying mechanisms of the role of health literacy (HL) in diabetes management process involving a group of Korean Americans with type 2 diabetes mellitus (DM). We used data from a randomized clinical trial of an HL-focused diabetes self-management intervention (n = 250). A series of path analyses identified the level of self-efficacy and self-care skills as a significant mediator between HL and glucose control (HbA1C) and quality of life for the target population. In addition, education and acculturation were revealed as the most significant correlates of HL for this new immigrant group. Despite inconsistent empirical findings regarding the statistically significant effect of HL on glucose control, this study confirmed the apriority hypothesis that HL indirectly influences health outcome through mediators such self-care skills as self-efficacy. This study highlighted the importance of HL in chronic disease management for people with limited HL.

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A Proposed Model of the Relationships Between Health Literacy, Self-Care, Self-Efficacy, and Knowledge in Heart Failure

Heart & Lung ◽

10.1016/j.hrtlng.2013.06.031 ◽

2013 ◽

Vol 42 (4) ◽

pp. 300

Author(s):

K.S. Yehle ◽

A.M. Chen ◽

N.M. Albert ◽

K.F. Ferraro ◽

H.L. Mason ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Self Efficacy ◽

Self Care ◽

Proposed Model

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Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time

Nursing Research and Practice ◽

10.1155/2013/353290 ◽

2013 ◽

Vol 2013 ◽

pp. 1-8 ◽

Cited By ~ 4

Author(s):

Aleda M. H. Chen ◽

Karen S. Yehle ◽

Nancy M. Albert ◽

Kenneth F. Ferraro ◽

Holly L. Mason ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Self Efficacy ◽

Repeated Measures ◽

Self Care ◽

Adequate Health Literacy ◽

Health Literacy Level ◽

Literacy Level ◽

Inadequate Health Literacy ◽

Over Time

Background. Inadequate health literacy may be a barrier to gaining knowledge about heart failure (HF) self-care expectations, strengthening self-efficacy for self-care behaviors, and adhering to self-care behaviors over time.Objective. To examine if health literacy is associated with HF knowledge, self-efficacy, and self-care adherence longitudinally.Methods. Prior to education, newly referred patients at three HF clinics (N=51, age:64.7±13.0years) completed assessments of health literacy, HF knowledge, self-efficacy, and adherence to self-care at baseline, 2, and 4 months. Repeated measures analysis of variance with Bonferroni-adjusted alpha levels was used to test longitudinal outcomes.Results. Health literacy was associated with HF knowledge longitudinally (P<0.001) but was not associated with self-efficacy self-care adherence. In posthoc analyses, participants with inadequate health literacy had less HF knowledge than participants with adequate (P<0.001) but not marginal (P=0.073) health literacy.Conclusions. Adequate health literacy was associated with greater HF knowledge but not self-efficacy or adherence to self-care expectations over time. If nurses understand patients’ health literacy level, they may educate patients using methods that promote understanding of concepts. Since interventions that promote self-efficacy and adherence to self-care were not associated with health literacy level, new approaches must be examined.

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Relationships between health literacy and heart failure knowledge, self-efficacy, and self-care adherence

Research in Social and Administrative Pharmacy ◽

10.1016/j.sapharm.2013.07.001 ◽

2014 ◽

Vol 10 (2) ◽

pp. 378-386 ◽

Cited By ~ 59

Author(s):

Aleda M.H. Chen ◽

Karen S. Yehle ◽

Nancy M. Albert ◽

Kenneth F. Ferraro ◽

Holly L. Mason ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Self Efficacy ◽

Self Care

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Confirmation of Factors Affecting Self-Care Activities of Patients with Hypertension

Jurnal Ilmiah Ilmu Keperawatan Indonesia ◽

10.33221/jiiki.v11i01.951 ◽

2021 ◽

Vol 11 (01) ◽

Author(s):

Hari Ghanesia Istiani ◽

Eka Rokhmiati

Keyword(s):

Health Literacy ◽

Health Center ◽

Self Efficacy ◽

Structural Equation ◽

Health Workers ◽

Self Care ◽

The Self ◽

Direct Influence ◽

Family Function

Introduction: Hypertension is one of the non- communicable diseases that causes the highest mortality. Self-care activities are factors that determine the health status and quality of life of people with hypertension. Objectives: The aim of the study was to determine the direct and indirect effects and the magnitude of the variables of the role of health workers, family functions, health literacy, and self-efficacy on self-care activities for hypertension sufferers at the Tanah Sareal Health Center, Bogor City in 2018. Methods: The method used in the study this is a quantitative approach that uses adesign cross-setional. The sample used was 80 hypertension patients. The analysis used is the Structural Equation Model (SEM) using SmartPLS 2.0. Results: The results of hypothesis testing with smartPLS resulted in research findings, namely that the self-care activities of hypertension sufferers were influenced by the role of health workers (16.98%), family function factors (12.32%),factors health literacy (26.66%), and self-efficacy factor (25.27%). The total amount of direct influence on self-care activities of hypertension sufferers is 81.23% and the indirect effect is 1.53%. The analysis result model can explain 99.1% of the diversity of data and is able to study the phenomena used in the study, while 0.9% is explained by other components that are not present in this study. Conclusion: There is a direct influence between the role of health workers, family function, health literacy and self-efficacy on the self-care activities of hypertension sufferers at Tanah Sareal Health Center.

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17. Health literacy influences knowledge attainment but not self-care or self-efficacy longitudinally in patients with heart failure

Heart & Lung ◽

10.1016/j.hrtlng.2012.04.030 ◽

2012 ◽

Vol 41 (4) ◽

pp. 419-420

Author(s):

K.S. Yehle ◽

A.M. Chen ◽

N.M. Albert ◽

K.F. Ferraro ◽

H.L. Mason ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Self Efficacy ◽

Self Care ◽

Patients With Heart Failure

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Abstract 58: Health Literacy Influences Knowledge Attainment but not Self-Care or Self-Efficacy Longitudinally in Heart Failure Patients

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.5.suppl_1.a58 ◽

2012 ◽

Vol 5 (suppl_1) ◽

Author(s):

Aleda M Chen ◽

Karen S Yehle ◽

Nancy M Albert ◽

Kenneth F Ferraro ◽

Holly L Mason ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Self Efficacy ◽

Short Form ◽

Self Care ◽

Functional Health ◽

Health Literacy Level ◽

Literacy Level ◽

Post Hoc ◽

Inadequate Health Literacy

Introduction: Inadequate health literacy may be a barrier during traditional clinic-based heart failure (HF) education. The influence of health literacy on gains over time in knowledge, self-efficacy and self-care is unknown. The purpose of this study was to examine health literacy, knowledge, self-efficacy, and self-care longitudinally in HF. Hypotheses: Patient health literacy level will be associated with differential gains in knowledge, self-efficacy, and self-care after completion of traditional clinic-based education. Methods: First-time patients at 3 HF clinics (N=51, age: 64.7±13.04 years) completed assessments of health literacy (Short-Form Test of Functional Health Literacy in Adults), knowledge (HF Knowledge Questionnaire), and self-care/self-efficacy (Self-Care of HF Index v.6) prior to HF education (baseline), 2 months (education completion), and 4 months post-baseline. Repeated measures Analysis of Variance was used to analyze longitudinal associations, and post-hoc tests with Bonferroni-adjusted alpha-levels were used for comparison. Results: Higher health literacy was associated with greater HF knowledge at 2 and 4 months (p<0.001), but there were no associations between health literacy and self-care or self-efficacy. In post-hoc analyses (Figure 1), patients with inadequate health literacy had less knowledge than those with marginal (p=0.024) or adequate (p<0.001) health literacy at 2 months. At 4 months, patients with inadequate health literacy continued to have less knowledge compared to adequate (p<0.001). Conclusions: Health literacy level is associated with attaining and retaining HF knowledge; however, it is not associated with self-care confidence or adherence. Tailoring HF education to health literacy level may aid in grasping concepts taught. It is unknown if a better grasp of concepts would enhance self-care adherence and promote improved health. Future research is needed to more fully understand the consequences of inadequate health literacy on self-care.

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Role of Family in Increasing Self Efficacy Patient Heart Failure

Jurnal Keperawatan Jiwa ◽

10.26714/jkj.8.4.2020.435-442 ◽

2020 ◽

Vol 8 (4) ◽

pp. 435

Author(s):

Suwardha Yunus ◽

Ariyanti Saleh ◽

Takdir Tahir

Keyword(s):

Heart Failure ◽

Self Efficacy ◽

Self Care ◽

The Self ◽

Mortality And Morbidity ◽

The Family ◽

Structural Abnormalities ◽

Life Threatening

Heart failure is a collection of clinical and complex problems that can be life-threatening due to structural abnormalities or heart dysfunction. In both developed and developing countries. The role of the family is needed in the handling of HF patients to prevent the occurrence of mortality and morbidity, also has an impact on self-efficacy. This review identifies the role of the family in increasing self-efficacy. Metode of discursive with a literature review of several articles related to the 2010-2019 scientific search using PubMed, Cochran, ScienceDirect, google scholar, there are 117 articles. Article exclusion is not in English and not in full text. The remaining 36 articles are. The inclusion of articles according to the study were 5 articles. Results are obtained 5 articles consisting of 1 article discussing the role of the family as caregivers for self-care, 2 articles discuss increasing the self-efficacy of HF patients and their treatment. And 2 articles discuss the role of the family as a supporter of HRQoL. The role of the family in the care of patients with HF as caregivers fulfills the patient's self-care, and affect the patient's self-efficacy to improve the quality of life.

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