scholarly journals Limited Functional Health Literacy, Health Information Sources, and Health Behavior among Community-Dwelling Older Adults in Japan

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yuko Yoshida ◽  
Hajime Iwasa ◽  
Shu Kumagai ◽  
Takao Suzuki ◽  
Hideyo Yoshida
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Information Sources ◽  
Community Dwelling ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Limited Health Literacy ◽  
Health Related ◽  
Limited Health ◽  
Health Information Sources

The objectives of this study were to explore how health information sources vary by functional health literacy levels and the relationship between health literacy and health behaviors among the old-old, community-dwelling adults. A cross-sectional study was used. The sample included 620 participants from a rural community in northern Japan. We used structured questionnaires to gather demographic information and assess health-related behaviors, information sources utilized, and functional health literacy. Functional health literacy scores were categorized into three groups, namely, low, middle, and high literacy. Individuals with limited health literacy were more likely to drink less alcohol, were less physically active, had less dietary variety, and had a low rate of medical check-ups. They were also less likely to use printed media, organization or medical procedure, electronic media, and accessed fewer health-related information sources. This study highlights the necessity of information tools that facilitate better access to information among older adults with limited health literacy.

scholarly journals Health Literacy and Frailty in Community-Dwelling Older Adults: Evidence from a Nationwide Cohort Study in South Korea

2021 ◽  
Vol 18 (15) ◽  
pp. 7918
Author(s):  
Hye-Ri Shin ◽  
Eun-Young Choi ◽  
Su-Kyung Kim ◽  
Hee-Yun Lee ◽  
Young-Sun Kim
Keyword(s):  
Health Literacy ◽  
South Korea ◽  
Multinomial Logistic Regression ◽  
Preliminary Evidence ◽  
Community Dwelling ◽  
Related Factors ◽  
Limited Health Literacy ◽  
Frailty Status ◽  
Health Related ◽  
Limited Health

Health literacy is closely associated with poor health outcomes and mortality. However, only a handful of studies have examined the association between health literacy and frailty status. The current study used data from a nationwide sample of Korean adults aged 70–84 collected from 10 cities, each of which represents a different region of South Korea (n = 1521). We used the propensity score matching (PSM) method to minimize the potential selection bias and confounding factors that are present in observational studies. After PSM, demographic and health-related characteristics between the limited health literacy (n = 486) and the nonlimited health literacy (n = 486) groups were not significantly different. Multinomial logistic regression analyses were conducted for the PSM-matched sample to examine the association between health literacy and frailty outcomes, where the robust group was set as a reference. Limited health literacy significantly increased the risk of pre-frailty (RRR = 1.45, p = 0.02) and frailty (RRR = 2.03, p = 0.01) after adjusting for demographic and health-related factors. Our findings underscore the need to foster health literacy programs and provide preliminary evidence to inform tailored intervention programs so that we might attenuate the risk of frailty in the older population.

scholarly journals Effects of an eHealth Intervention on Patient-Provider Interaction and Functional Health Literacy in Adults With Hypertension

2021 ◽  
Vol 7 ◽  
pp. 237796082110058
Author(s):  
Ronald L. Hickman ◽  
John M. Clochesy ◽  
Marym Alaamri
Keyword(s):  
Health Literacy ◽  
Community Dwelling ◽  
Attention Control ◽  
Functional Health ◽  
Self Management ◽  
Functional Health Literacy ◽  
Convenience Sample ◽  
Management Interventions ◽  
Modifiable Factors

Introduction Hypertension is a life-limiting, chronic condition affecting millions of Americans. Modifiable factors, quality of the patient-provider interaction and functional health literacy, have been linked to effective hypertension self-management. However, there has been limited interventional research targeting these modifiable factors. Electronic hypertension self-management interventions, in particular those incorporating virtual simulation, may positively influence the quality of the patient-provider interaction and functional health literacy status of adults with hypertension. Yet there is a dearth of evidence examining the efficacy of eHealth interventions targeting these modifiable factors of hypertension self-management. Objective Evaluate the effects of two electronic hypertension self-management interventions on the quality of the patient-provider interaction and functional health literacy in adults with hypertension. Methods A convenience sample of community-dwelling adults (>18 years) with hypertension were recruited and randomized to an avatar-based simulation (eSMART-HTN) or a video presentation on hypertension self-management (attention control). Participants were administered questionnaires to capture demographic characteristics, the quality of the patient-provider interaction, and functional health literacy. Questionnaire data were collected at baseline, and then monthly across three months. Two separate repeated measures analysis of covariance models were conducted to assess the effects of the interventions across the time points. Results The sample included 109 participants who were predominately middle-aged and older, nonwhite, and female. Scores for the quality of the patient-provider interaction demonstrated significant within-group changes across time. However, there were no significant differences in the quality of the patient-provider interaction or functional health literacy scores between experimental conditions while adjusting for covariates. Conclusion An avatar-based simulation (eSMART-HTN) intervention proved to have a positive effect on patient-provider interaction compared to an attention control condition. Although the results are promising, future research is needed to optimize the effectiveness of eSMART-HTN and enhance its efficacy and scalability in a larger cohort of adults with hypertension.

scholarly journals Subjective and Functional Health Literacy Screening in Geriatric Primary Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 379-379
Author(s):  
Amy Albright ◽  
Deanna Dragan ◽  
Anne Halli-Tierney ◽  
Dana Carroll ◽  
Rebecca Allen
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Health Literacy ◽  
Medical Information ◽  
Subjective Health ◽  
Functional Health ◽  
Functional Screening ◽  
Functional Health Literacy ◽  
Care Providers ◽  
Physical And Mental Health

Abstract The aim of the current study is to provide comprehensive health care to older adults by assessing physical and mental health in a geriatric primary care setting, including evaluation of both subjective and functional health literacy. Health literacy is vital to understanding medical information and making subsequent decisions based on this information. Knowledge of patient health literacy may be particularly important for care providers, as it can provide guidance on how to best communicate with the patient (Nouri & Rudd, 2015). It may be particularly important to monitor health literacy within older adults, as several studies (e.g., Kobayashi et al., 2015) have shown that health literacy decreases with mild cognitive impairment. Approximately 250 patients (mean age = 76; 74% female; 16% African American) attending an interdisciplinary geriatrics clinic in West Alabama have been recruited to take part in a variety of behavioral health screenings. The current study assessed subjective health literacy using questions developed by Chew, Bradley, and Boyko (2004) and functional health literacy using the Newest Vital Sign (Weiss et al., 2005). While there was a significant correlation between subjective and functional health literacy (r = .43, p < .001), 81% of patients reported adequate subjective health literacy, while only 41% demonstrated adequate health literacy on a functional screening measure. Based on these findings, self-reported health literacy may not necessarily be reflective of performance on more functional measures. Given the potential consequences of overestimating health literacy, this represents a serious barrier to patient care.

scholarly journals The relationship between functional health literacy and health promoting behaviors among older adults

2014 ◽  
Vol 3 (1) ◽  
pp. 119 ◽  
Author(s):  
Gholamreza Sharifirad ◽  
Mahnoush Reisi ◽  
SeyedHomamodin Javadzade ◽  
AkbarBabaei Heydarabadi ◽  
Firouzeh Mostafavi ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Health Promoting Behaviors ◽  
Health Promoting ◽  
The Relationship

scholarly journals Limited Health Literacy and Hearing Loss Among Older Adults

2020 ◽  
Vol 4 (2) ◽  
pp. e129-e137 ◽  
Author(s):  
Timothy S. Wells ◽  
Steven R. Rush ◽  
Lorraine D. Nickels ◽  
Lizi Wu ◽  
Gandhi R. Bhattarai ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Health Literacy ◽  
Limited Health Literacy ◽  
Limited Health

scholarly journals The Relationship between Functional Health Literacy, Self-Rated Health, and Social Support between Younger and Older Adults in Ghana

2019 ◽  
Vol 16 (17) ◽  
pp. 3188 ◽  
Author(s):  
Padmore Amoah
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Young Adults ◽  
Health Status ◽  
Health Literacy ◽  
Emotional Support ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Self Rated Health ◽  
The Impact

It is well established that health literacy positively affects health outcomes, and social support influences this association. What remains unclear is which aspect of social support (instrumental, informational, and emotional support) is responsible for this effect and whether the influence differs from one population group to another. This study addresses these lacunae. It examines the impact each type of support makes on the relation between functional health literacy (FHL) and self-rated health status among younger and older adults in Ghana. Data were pooled from two cross-sectional surveys, together comprising 521 participants in the Ashanti Region. The results indicated that young adults were more likely to possess sufficient FHL and perceive their health more positively than older adults. While FHL was positively associated with health status, the relation was stronger when young adults received a high level of emotional support. Among older persons, informational support substantially moderated the association between FHL and health status. Thus, social support modifies the relations between FHL and health status among younger and older adults in different ways and to different degrees. Therefore, interventions to improve FHL and health amongst younger and older adults should pay due regard to relevant aspects of social support.

scholarly journals Functional health literacy and adherence to the medication in older adults: integrative review

2017 ◽  
Vol 70 (4) ◽  
pp. 868-874 ◽  
Author(s):  
Nidia Farias Fernandes Martins ◽  
Daiane Porto Gautério Abreu ◽  
Bárbara Tarouco da Silva ◽  
Deisa Salyse dos Reis Cabral Semedo ◽  
Marlene Teda Pelzer ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Latin American ◽  
Integrative Review ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Adherence To Medication ◽  
Online Databases ◽  
The Usa ◽  
Relationship Of

ABSTRACT Objective: to characterize the national and international scientific production on the relationship of Functional Health Literacy and the adherence to the medication in older adults. Method: integrative review of literature, searching the following online databases: Scientific Electronic Library Online (SCIELO); Latin American and Caribbean Health Sciences Literature (LILACS); Medical Literature Analysis and Retrieval System Online (MEDLINE); and Cumulative Index to Nursing & Allied Health Literature (CINAHL), in June 2016. We selected 7 articles that obeyed the inclusion criteria. Results: all articles are from the USA. The inappropriate Functional Health Literacy affects the non-adherence to medication; however, there are several strategies and interventions that can be practiced to change this relationship. Conclusion: nursing needs to explorefurther this theme, since it can exert a differentiated care for adherence to medication in older adults, considering the literacy.

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