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

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

Heart & Lung ◽

10.1016/j.hrtlng.2020.08.004 ◽

2020 ◽

Vol 49 (6) ◽

pp. 702-708

Author(s):

Aleda M.H. Chen ◽

Karen S. Yehle ◽

Kimberly S. Plake ◽

Lisa D. Rathman ◽

J.Wes Heinle ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Self Efficacy ◽

Self Care ◽

Disease Knowledge

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The Relationship Between Health Literacy Level and Self-Care Behaviors in Patients with Diabetes

Patient Related Outcome Measures ◽

10.2147/prom.s243678 ◽

2020 ◽

Vol Volume 11 ◽

pp. 129-135 ◽

Cited By ~ 1

Author(s):

Davood RobatSarpooshi ◽

Mehrsadat Mahdizadeh ◽

Hadi Alizadeh Siuki ◽

Mohammad Haddadi ◽

Hamid Robatsarpooshi ◽

...

Keyword(s):

Health Literacy ◽

Self Care ◽

Health Literacy Level ◽

Patients With Diabetes ◽

Literacy Level ◽

The Relationship

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Relationships between symptom control, medication management, and health literacy of patients with asthma in Vietnam

Belitung Nursing Journal ◽

10.33546/bnj.1398 ◽

2021 ◽

Author(s):

Doan Thi Kim Cuc ◽

Nonglak Methakanjanasak ◽

Ho Thi Thuy Trang

Keyword(s):

Health Literacy ◽

Student Development ◽

Rural Areas ◽

Short Form ◽

Medication Management ◽

Symptom Control ◽

Positive Relationships ◽

Asthma Control Test ◽

Health Literacy Level ◽

Literacy Level

Background: Asthma is a significant health issue among Vietnamese adults in both urban and rural areas. The disease needs serious concern to minimize impact and improve the situation.Objective: This study aimed to describe the level of health literacy, symptom control, and medication management and determine the relationships among them in patients with asthma in Da Nang, Vietnam.Methods: A cross-sectional descriptive study was conducted among 84 patients with asthma. The questionnaires were used in this study, including demographic form, the Short-Form Health Literacy questionnaire (HL-SF12), Asthma Control Test (ACT), and Medication Adherence Reporting Scale for Asthma (MARS-A). Pearson product-moment correlation was applied to determine the relationship between health literacy, symptom control, and medication management.Results: The score revealed for general-health literacy, symptom control, and medication management were 28.70 (SD = 9.66), 17.72 (SD = 4.67), and 3.63 (SD = 0.75), respectively. Health literacy level had moderate positive relationships with symptom control (r = 0.41) and medication management (r = 0.44).Conclusion: The patients had limited health literacy, partially controlled symptom, and poor adherence to the medication. Health literacy level had moderate positive relationships with symptom control and medication management. These findings are crucial for effective treatment and management of the disease in Vietnam. To improve medication management and symptom control among patients with asthma, nurses should concern patients’ health literacy level.Funding: This research was funded by the Research and Training Center for Enhancing Quality of Life of Working-Age People and the Department of Student Development and Alumni Affairs at the Faculty of Nursing, Khon Kean University, Thailand.

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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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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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The Adaptation of Turkish Health Literacy Scale for Literate Syrian Adult Refugees Living in Turkey: A Reliability-Validity Study

10.21203/rs.3.rs-487416/v1 ◽

2021 ◽

Author(s):

Sevkat Bahar-Ozvaris ◽

Bahar Guciz-Dogan ◽

Hande Konsuk Unlu ◽

Gamze Aktuna ◽

Tacettin Inandi ◽

...

Keyword(s):

Health Literacy ◽

Health Services ◽

Short Form ◽

Migrant Health ◽

Syrian Refugees ◽

Cronbach’S Alpha ◽

Host Countries ◽

Cronbach's Alpha ◽

Health Literacy Level ◽

Literacy Level

Abstract BackgroundThere is a big Syrian refugee population which counts more than 3.5 million since the year 2011, and continuously growing. This situation causes various problems, mainly while obtaining health services. In planning the migrant health services, for the policy makers of host countries, health literacy level of migrants is an important measure. Determination of health literacy level of Syrian refugees in Turkey would be supportive for planning some interventions to increase health services utilization, and health education and health communication programs. An “original health literacy scale" for 18–60 years of age Turkish literate adults (Hacettepe University Health literacy Scale-HLS) was developed to be used as a reference scale in 2018. It would be useful to compare the health literacy level of Turkish adults and Syrian adult refugees resided in Turkey with an originally developed scale. For this reason, it was aimed to adapt the HLS-Short Form in Syrian refugees.MethodsThis methodological study was carried out between 2019–2020 in three provinces of Turkey where the Syrians live intensively. The data was collected by pre-trained, Arabic speaking 12 interviewers and three supervisors via a questionnaire on household basis. At first, the original Scale and questionnaire were translated into Arabic and backtranslated. The questionnaire and the Scale was pre-tested on 30 Syrian refugees in Ankara Province. A total of 1254 refugees were participated to the main part of study; 47 health-worker participants were excluded from the validity-reliability analysis. Confirmatory factor analysis (CFA) was performed. Cronbach’s alpha and Spearman-Brown coefficients were calculated.ResultsOf the participants, 52.9% was male; 26.1% had secondary level or less; almost half of them had moderate economic level; 27.5% could not speak Turkish. The Cronbach’s Alpha was 0.75, Spearman-Brown Coefficient was 0.76; RMSEA = 0.073, CFI = 0.93, TLI = 0.92 and GFI = 0.95 for the Scale. The Cronbach’s Alpha was 0.76, Spearman-Brown Coefficient was 0.77; RMSEA = 0.085, CFI = 0.93, TLI = 0.91 and GFI = 0.95 for self-efficacy part.ConclusionIn conclusion, the adapted HLS would be a reliable instrument to evaluate the health-literacy level of Syrians living in Turkey and could give an opportunity to compare the host country’s HL with the refugees by using the same scale.

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Tingkat Literasi Kesehatan Pasien Diabetes Mellitus Tipe 2 Di Puskesmas Kota Tomohon

Interest : Jurnal Ilmu Kesehatan ◽

10.37341/interest.v7i2.22 ◽

2018 ◽

Vol 7 (2) ◽

Author(s):

Vina Putri Patandung ◽

Kusrini Kadar ◽

Kadek Ayu Erika

Keyword(s):

Diabetes Mellitus ◽

Health Literacy ◽

Health Information ◽

Self Care ◽

Education Level ◽

Literacy Skills ◽

Critical Health Literacy ◽

Health Literacy Level ◽

Access To Health ◽

Literacy Level

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with high level of complexity that requires extensive education and self-care management. The demands on individuals with T2DM are complicated by the fact that self-care often depends on printed educational materials and high health literacy skills. Every individual who needs health information and services also needs health literacy skills to find health information and services, communicating needs, respond to and using the information and obtaining health services, understanding health information, and finding realible health information and services to suit all needs, making the right decision to act. This study aims to determine the level of functional, communicative, and critical health literacy of T2DM patients at Pangolombian and Kakaskasen Public Health Centre of Tomohon City, as well as factors related to the level of health literacy. Method: Quantitative descriptive to describe the level of health literacy and correlation to see factors related to the patient's health literacy level. The sample of this study was a patient of T2DM who followed prolanis, amounted to 34 people, determined by using purposive sampling. Data were obtained by interview and using demographic characteristics questionnaire and Functional, Communicative, and Critical Health Literacy questionnaires. Result: Generally, health literacy level of T2DM patients is still low both for functional, communicative, and critical. This can happen because of various factors but the most related is the low access to health information and patient education level. Conclusion: The results of this study showed that health literacy level of T2DM patient in Tomohon city is still very low. This happened because access to health information is still less obtained by patients and also their education level is still low. These results can be used as recommendations for health workers to pay more attention to how to educate patients who should be adjusted to the level of education so that the information provided can be put to good use by the patient.

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