Association between health literacy and 30-day healthcare use after hospital discharge in the heart failure population

Cox, Sarah; Liebl, Michael; McComb, Meghan N.; Chau, Jason Q.; Wilson, A.; Achi, May; Garey, Kevin W.; Wallace, David

doi:10.1016/j.sapharm.2016.09.003

Cited by 33 publications

(31 citation statements)

References 15 publications

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“…We observed that employment was associated with inadequate HL which contradicts the results from other studies [64][65][66] where unemployment was associated with inadequate HL. Post hoc analysis of our data showed that those who were unemployed had higher odds of multimorbidity (OR:2.63, 95% CI: 1.3-5.4, p = 0.01), after adjusting for other sociodemographic correlates.…”

Section: Discussioncontrasting

confidence: 99%

Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population

Asharani

Lau

Roystonn

et al. 2021

IJERPH

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Health literacy is a key determinant of the public health and health climate of the nation. This study examined the functional health literacy of the nation, factors associated with health literacy, and its relationship with diabetes recognition. This cross-sectional survey recruited participants (N = 2895) who were 18 years and above from a population registry through disproportionate stratified sampling. The Brief Health Literacy Screen and other questionnaires were administered through face-to-face interviews, in one of the four national languages (English, Chinese, Malay or Tamil). The majority (80.5%) had adequate functional health literacy and were able to recognise symptoms of diabetes correctly (83.5% overall; 83.7% and 82.2% in those with adequate and inadequate health literacy, respectively). Those with inadequate health literacy had a higher incidence of chronic conditions (p < 0.001) compared to those with adequate health literacy in bivariate analysis. The majority of the sample had sufficient levels of physical activity (83.3%), and more than half reported an unhealthy lifestyle (57.4%). Older age, Chinese ethnicity, those who were employed, with lower education (secondary or below), and were married had significantly higher odds of inadequate health literacy. Health literacy was not associated with lifestyle, physical activity, chronic conditions and diabetes recognition. Health literacy interventions should focus on the disadvantaged social groups for improving their health literacy.

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Section: Discussioncontrasting

confidence: 99%

Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population

Asharani

Lau

Roystonn

et al. 2021

IJERPH

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“…In the present cohort, the prevalence of low health literacy was 10.5% (n=261), which is lower than that in other studies using the same questionnaire, 15,17,18 with reported prevalences of low health literacy of 17.5% 17 to 33.7% 15 in patients with HF. However, these studies pertained to hospitalized patients 15,17,18 and, thus, are not directly comparable with the present community study whereby patients with HF were surveyed in the outpatient setting. Moreover, in the present study, the prevalence of low health literacy was quite heterogeneous among the different counties, ranging from 6.9% to 17.1%.…”

Section: Discussioncontrasting

confidence: 88%

“…Health literacy is described by the Institute of Medicine as “the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions.” 12 Patients with limited health literacy have insufficient drug adherence and inadequate self-care behavior. 13,14 Thus, these patients may use more health care services such as hospital or emergency department visits 15 and, as a consequence, incur higher medical costs. 16 In HF, associations between poor health literacy and mortality, 17,18 hospitalization, 19,20 and recurrence of HF 21 have been reported.…”

mentioning

confidence: 99%

Health Literacy and Outcomes in Patients With Heart Failure: A Prospective Community Study

Fabbri

Yost

Rutten

et al. 2018

Mayo Clinic Proceedings

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“…Health literacy challenges are common among older adults, who have increased risk from multiple chronic and cardiovascular diseases (King, 2010). For example, patients with heart failure with limited health literacy had a significantly higher rate of unplanned health care use in the 30 days after hospital discharge (48.3%) compared to those with adequate health literacy (34.9%) (Cox et al, 2016). Furthermore, there was an increased risk of death after hospitalization for acute heart failure in limited health literacy patient populations (McNaughton et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

A Readability Analysis of Online Cardiovascular Disease-Related Health Education Materials

Ayyaswami¹,

Padmanabhan²,

Patel³

et al. 2019

HLRP: Health Literacy Research and Practice

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Background: Online cardiovascular health materials are easily accessible with an Internet connection, but the readability of its content may limit practical use by patients. Objective: The goal of our study was to assess the readability of the most commonly searched Internet health education materials for cardiovascular diseases accessed via Google. Methods: We selected 20 commonly searched cardiovascular disease terms: aneurysm, angina, atherosclerosis, cardiomyopathy, congenital heart disease, coronary artery disease, deep vein thrombosis, heart attack, heart failure, high blood pressure, pericardial disease, peripheral arterial disease, rheumatic heart disease, stroke, sudden death, valvular heart disease, mini-stroke, lower extremity edema, pulmonary embolism, and exertional dyspnea. Terms were selected on Google and selected up to 10 results in order of presentation in the search results by reviewing a maximum of 15 pages of Google search results specifically providing education toward patients to yield 196 total patient education articles. Key Results: All readability measures assessing grade level measures found the 196 articles were written at a mean 10.9 ( SD = 1.8) grade reading level. Moreover, 99.5% of the articles were written beyond the 5th- to 6th-grade level recommended by the American Medical Association. Conclusions: Given the prominent use of online patient education material, we consider readability as a quality metric that should be evaluated prior to online publication of any health education materials. Further study of how to improve the readability of online materials may enhance patient education, engagement, and health outcomes. [ HLRP: Health Literacy Research and Practice . 2019;3(2):e74–e80.] Plain Language Summary: Patients often use Google as a tool for understanding their medical conditions. This study examined the readability of articles accessed via Google for commonly searched cardiovascular diseases and found all articles were written above reading grade levels appropriate for patients. We hope this study will promote the importance of ensuring that online patient education articles are written at appropriate reading levels.

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Association between health literacy and 30-day healthcare use after hospital discharge in the heart failure population

Cited by 33 publications

References 15 publications

Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population

Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population

Health Literacy and Outcomes in Patients With Heart Failure: A Prospective Community Study

A Readability Analysis of Online Cardiovascular Disease-Related Health Education Materials

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