scholarly journals Health Literacy and Medication Adherence in Fibromyalgia

2021 ◽  
Vol 1 (1) ◽  
pp. 1-11
Author(s):  
Meliha Kasapoglu Aksoy-
Keyword(s):  
Medication Adherence ◽  
Health Literacy

scholarly journals Disparities in the use of a mHealth medication adherence promotion intervention for low-income adults with type 2 diabetes

2015 ◽  
Vol 23 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Lyndsay A Nelson ◽  
Shelagh A Mulvaney ◽  
Tebeb Gebretsadik ◽  
Yun-Xian Ho ◽  
Kevin B Johnson ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Depressive Symptoms ◽  
Medication Adherence ◽  
Health Literacy ◽  
Low Income ◽  
Mhealth Intervention ◽  
Lower Health ◽  
The Relationship ◽  
Lower Health Literacy

Abstract Objective Mobile health (mHealth) interventions may improve diabetes outcomes, but require engagement. Little is known about what factors impede engagement, so the authors examined the relationship between patient factors and engagement in an mHealth medication adherence promotion intervention for low-income adults with type 2 diabetes (T2DM). Materials and Methods Eighty patients with T2DM participated in a 3-month mHealth intervention called MEssaging for Diabetes that leveraged a mobile communications platform. Participants received daily text messages addressing and assessing medication adherence, and weekly interactive automated calls with adherence feedback and questions for problem solving. Longitudinal repeated measures analyses assessed the relationship between participants’ baseline characteristics and the probability of engaging with texts and calls. Results On average, participants responded to 84.0% of texts and participated in 57.1% of calls. Compared to Whites, non-Whites had a 63% decreased relative odds (adjusted odds ratio [AOR] = 0.37, 95% confidence interval [CI], 0.19-0.73) of participating in calls. In addition, lower health literacy was associated with a decreased odds of participating in calls (AOR = 0.67, 95% CI, 0.46-0.99, P = .04), whereas older age ( Pnonlinear = .01) and more depressive symptoms (AOR = 0.62, 95% CI, 0.38-1.02, P = .059) trended toward a decreased odds of responding to texts. Conclusions Racial/ethnic minorities, older adults, and persons with lower health literacy or more depressive symptoms appeared to be the least engaged in a mHealth intervention. To facilitate equitable intervention impact, future research should identify and address factors interfering with mHealth engagement.

Knowledge and health literacy are not associated with osteoporotic medication adherence, however income is, in Arab postmenopausal women

2013 ◽  
Vol 93 (2) ◽  
pp. 282-288 ◽  
Author(s):  
Amal Shehadeh-Sheeny ◽  
Sophia Eilat-Tsanani ◽  
Elias Bishara ◽  
Orna Baron-Epel
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Postmenopausal Women

scholarly journals The relationship between medication adherence, health literacy and social support network in the hypertensive emergency department patient

2020 ◽  
Author(s):  
◽  
Benjamin L. Coe
Keyword(s):  
Social Support ◽  
Emergency Department ◽  
Medication Adherence ◽  
Health Literacy ◽  
Chronic Health Conditions ◽  
Support Network ◽  
Health Conditions ◽  
Social Support Network ◽  
Chronic Health ◽  
Ed Visits

Hypertension (HTN) is a major risk factor for the development of heart disease, which is the number one cause of death in the United States (U.S.). The Affordable Care Act of 2010 (ACA) led to a significant increase in emergency department (ED) visits: up to 20 [percent] of visits are considered as avoidable. Many patients present to EDs with uncontrolled chronic health conditions, such as HTN, which can be successfully managed in the outpatient setting. Factors contributing to the large volume of patients that present to the ED with uncontrolled HTN has been understudied. This cross-sectional study examined relationships between selected demographic and health variables, medication adherence, health literacy and social support network among adults (n=50) with HTN that presented to the ED. Participants were predominantly male (56 [percent]), 41-60 years old (46 [percent]), and Caucasian (60 [percent]). Only 36 [percent] of participants were adherent to their HTN medications, 42 [percent] had adequate health literacy, and 38 [percent] perceived high levels of social support. The variable with the strongest correlation to medication adherence was last primary care provider (PCP) visit (-0.473, p [less than] 0.001). However only 54 [percent] of participants had seen a PCP over the last 6 months. Increasing PCP visits and reducing avoidable ED visits has the potential to improve chronic disease health outcomes and reduce health care costs. This study has provided evidence that it is both acceptable and feasible to perform research in the ED setting that addresses chronic health conditions, such as HTN. Findings from this study may be used to inform novel ED interventions that can help adults to better manage their chronic health conditions, such as HTN, outside of the acute care setting.

Effects of Health Literacy and Polypharmacy on Medication Adherence

2013 ◽  
Vol 28 (12) ◽  
pp. 793-799 ◽  
Author(s):  
Adraine Lyles ◽  
Nathan Culver ◽  
Jennifer Ivester ◽  
Teresa Potter
Keyword(s):  
Medication Adherence ◽  
Health Literacy

Factors Associated With Health Literacy and Medication Adherence in an Urban Community

2019 ◽  
Vol 34 (9) ◽  
pp. 604-612
Author(s):  
Salome Bwayo Weaver ◽  
Mary Maneno ◽  
Prince Chijioke ◽  
Debbynie Barsh ◽  
Rachel Mayaka
Keyword(s):  
High School ◽  
Medication Adherence ◽  
Health Literacy ◽  
School Health ◽  
Education Level ◽  
School Level ◽  
High School Level ◽  
Factors Associated ◽  
Health Literacy Level ◽  
Literacy Level

OBJECTIVE: The primary objective of this study is to determine factors associated with health literacy and medication adherence in an urban community. DESIGN: A cross-sectional study was conducted to assess factors associated with health literacy and medication adherence. Participants were recruited from October 2012 to April 2013. SETTING: Ambulatory care clinic and senior wellness center. PARTICIPANTS: Participants were eligible if they were older than 18 years of age and had received care at the ambulatory clinic or obtained services at the senior wellness center. INTERVENTIONS: REALM survey and the Morisky 8-Item Medication Adherence Questionnaire. MAIN OUTCOME MEASURES: The two outcomes evaluated in this study were health literacy and medication adherence. RESULTS: A total of 51 participants were enrolled in the study. Twenty-seven (53%) of the participants were noted to be nonadherent to their medications. Twenty (74%) of these participants read below the high school level, and the remaining 7 (26%) read above a high school level. Study findings showed that both education level and comorbidities status were associated with health literacy. Participants who had a below high school education level had greater odds of having a below high school health literacy level (odds ratio [OR] = 7.500, 95% confidence interval [CI] 1.482-37.949). Participants who had two or more comorbidities had greater odds of having a below high school health literacy level (OR = 24.889, 95% CI 2.698-229.610). CONCLUSION: Our study results found associations between both comorbidities and education with health literacy.

Health Literacy and Medication Adherence in COPD Patients: When Caregiver Presence Is Not Sufficient

2019 ◽  
Vol 16 (5-6) ◽  
pp. 362-367 ◽  
Author(s):  
Kimberly A. Muellers ◽  
Li Chen ◽  
Rachel O’Conor ◽  
Michael S. Wolf ◽  
Alex D. Federman ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Copd Patients

scholarly journals Utility of medicines information leaflets in hypertensive care in a setting with low health literacy: A cross-sectional study

2020 ◽  
Vol 4 ◽  
pp. 239920262091003
Author(s):  
Mtungwazi Kudzinesta ◽  
Mwangana Mubita ◽  
Francis Kalemeera ◽  
Brian Godman ◽  
Ester Hango ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Health Information ◽  
Short Form ◽  
Literacy Skills ◽  
Public Health Care ◽  
Hypertensive Patients ◽  
Information Leaflets ◽  
Medicines Information ◽  
Low Health Literacy

Introduction: Higher levels of health literacy improve utilization of health information, medication adherence and outcomes. Few studies evaluate the utility of medicines information in hypertensive care in settings with low health literacy. Aim: To determine the level of health literacy and utility of medicines information leaflets (MILs) among hypertensive patients in public health care in Namibia. Methods: A hospital-based survey among hypertensive patients receiving care at a referral hospital in Namibia from the 8 June 2018 to 29 June 2018. Patient’s health literacy and utility of MIL were assessed using three literacy tools and a survey questionnaire. Quantitative data were analysed using descriptive statistics and qualitative thematic content analysis for factors associate with the utility of the MIL. Results: Of the 139 patients, 63% were female and the mean age was 45.7 (range: 19.0–84.0) years. Over 85.6% had of low literacy skills (Rapid Estimate of Literacy in Medicine (REALM) score <44, that is, unable to read simple health materials), 38.8% had positive Single Item Literacy Screener (SILS) scores (⩾2, require help to read medicines information) and 66.9% had inadequate skills for comprehension, appraisal and decision-making with regard to health information (Health Literacy Skills Instrument-Short Form (HLSI-SF) score <70%). The level of access to and utility of MIL were low, 32.4% and 34.6%, respectively. The main factors associated with poor utility of the MIL were low patient health literacy, lack of guidelines on the use of MIL and MIL written in non-native languages. Conclusion: Low rates of health literacy and utility of MIL were observed among hypertensive patients in Namibia. The integration of health literacy programmes, and MIL guidelines are needed to promote utility of medicine information and improve medication adherence.

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