Association of health literacy with health information‐seeking preference in older people: A correlational, descriptive study

Kim, Su Hyun; Utz, Sonja

doi:10.1111/nhs.12413

Cited by 30 publications

(33 citation statements)

References 24 publications

(40 reference statements)

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“…According to empirical evidence, limited FHL negatively affects an individual's motivation and capacity to seek, comprehend and act on health information. For example, Kim and Utz (2018) demonstrated that FHL operated as an independent indicator of preference for seeking health information among chronically ill patients. In addition, those with limited FHL accessed health information from fewer resources and were more likely to use television but not printed media or health organization documents as their main source of health information (Yoshida, Iwasa, Kumagai, Suzuki, & Yoshida, 2014).…”

Section: Discussionmentioning

confidence: 99%

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Abed

Khalifeh

Khalil

et al. 2020

Research in Nursing & Health

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Family caregivers of patients with end‐stage renal disease (ESRD) experience significant caregiver‐related burden, yet the contribution of their functional health literacy (FHL) to caregiving burden has not been elucidated. We investigated the magnitude of FHL and caregiving burden and their association in a descriptive, correlational cross‐sectional study of family caregivers of Jordanian patients with ESRD (N = 88). The short versions of the FHL for Adults and the Zarit Burden Interview were used for assessment of caregivers. Demographic and clinical information of patients and their family caregivers were self‐reported. Of family caregivers, 41% had limited FHL and 38% experienced high caregiver burden. FHL and history of comorbidity in family caregivers predicted caregiving burden independent of demographic and clinical factors. Consideration of FHL in support interventions for family caregivers may minimize some of the high perceived caregiving burden, but clinical trials of such interventions are needed to confirm this conclusion.

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Section: Discussionmentioning

confidence: 99%

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Abed

Khalifeh

Khalil

et al. 2020

Research in Nursing & Health

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“…Therefore, feasible alternatives for clinical practice should be considered,29 such as using single item questions,28 48 or prompt lists49 preferably tested by the target group to avoid comprehension problems,41 50 51 but, above all, by supporting patients to understand information. Besides asking patients directly about their understanding and the kind of information and/or (practical) support they might need, patients should be provided tools to ensure they understand, but can also recall what has been said 16 52. Two examples worth mentioning are the Ask Me 3 questions campaign53 or the use of the teach-back method 54.…”

Section: Discussionmentioning

confidence: 99%

General practitioners’ predictions of their own patients’ health literacy: a cross-sectional study in Belgium

Storms

Aertgeerts²,

Vandenabeele

et al. 2019

BMJ Open

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ObjectivesTo support patients in their disease management, providing information that is adjusted to patients’ knowledge and ability to process health information (ie, health literacy) is crucial. To ensure effective health communication, general practitioners (GPs) should be able to identify people with limited health literacy. To this end, (dis)agreement between patients’ health literacy and GPs’ estimations thereof was examined. Also, characteristics impacting health literacy (dis)agreement were studied.DesignCross-sectional survey of general practice patients and GPs undertaken in 2016–17.SettingForty-one general practices in two Dutch-speaking provinces in Belgium.ParticipantsPatients (18 years of age and older) visiting general practices. Patients were excluded when having severe impairments (physical, mental, sensory).Main outcome measuresPatients’ health literacy was assessed with 16-item European Health Literacy Survey Questionnaire. GPs indicated estimations on patients’ health literacy using a simple scale (inadequate; problematic; adequate). (Dis)agreement between patients’ health literacy and GPs’ estimations thereof (GPs’ estimations being equal to/higher/lower than patients’ health literacy) was measured using Kappa statistics. The impact of patient and GP characteristics, including duration of GP–patient relationships, on this (dis)agreement was examined using generalised linear logit model.ResultsHealth literacy of patients (n=1375) was inadequate (n=201; 14.6%), problematic (n=299; 21.7%), adequate (n=875; 63.6%). GPs overestimated the proportion patients with adequate health literacy: adequate (n=1241; 90.3%), problematic (n=130; 9.5%) and inadequate (n=4; 0.3%). Overall, GPs’ correct; over-/underestimations of health literacy occurred for, respectively, 60.9%; 34.2%; 4.9% patients, resulting in a slight agreement (κ=0.033). The likelihood for GPs to over-/underestimate patients’ health literacy increases with decreasing educational level of patients; and decreasing number of years patients have been consulting with their GP.ConclusionsIntuitively assessing health literacy is difficult. Patients’ education, the duration of GP–patient relationships and GPs’ gender impact GPs’ perceptions of patients’ health literacy.

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“…From the point of view of older individuals, SDL has been documented as the most widely used method (Knowles, ; Roberson, ), low‐cost and available strategy for learning, without being affected by gender, race or class differences (Narushima, Liu, & Diestelkamp, ). From the nurses’ point of view, when educational interventions are needed, taking individuals’ needs and preferences into consideration has become imperative in all healthcare settings, especially among older people (Kim & Utz, ). However, despite its relevance, patient education has often been reported as a missed care component by nurses due to various factors (Iden, Ruths, & Hjørleifsson, ; Vryonides et al, ), such as the absence of tools for evaluating SDL abilities (Boulton‐Lewis, ; Roberson, ), which also slows the development of evidence in this field.…”

Section: Discussionmentioning

confidence: 99%

“…With the increasing age of the population and the need to promote active ageing (Coleen, ; LeBlanc & Jacelon, ), HL has become crucial also among older people and for all those who provide care to them (Coleen, ; León‐González et al, ; Wang et al, ). By evaluating HL among older people, nurses can provide a more effective education and improve health outcomes (Swider, Levin, & Reising, ) by developing effective self‐management abilities (Kim & Utz, ). In daily practice, this implies an active involvement of older individuals, the evaluation of their HL level, as well as their SDL abilities: these elements have been documented as prerequisites of tailored educational opportunities aimed at informing, providing evidence and stimulating their looking for clarifications from nurses themselves (Harbour & Greall, ; Kim & Utz, ).…”

Section: Introductionmentioning

confidence: 99%

“…By evaluating HL among older people, nurses can provide a more effective education and improve health outcomes (Swider, Levin, & Reising, ) by developing effective self‐management abilities (Kim & Utz, ). In daily practice, this implies an active involvement of older individuals, the evaluation of their HL level, as well as their SDL abilities: these elements have been documented as prerequisites of tailored educational opportunities aimed at informing, providing evidence and stimulating their looking for clarifications from nurses themselves (Harbour & Greall, ; Kim & Utz, ). Underestimating health information needs and overestimating HL can increase older individuals’ risks; this is why clinical nurses should be supported in adequately evaluating patients’ HL (Coleman, ; Coleman, Hudson, & Maine, ).…”

Section: Introductionmentioning

confidence: 99%

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Evaluating self‐directed learning abilities as a prerequisite of health literacy among older people: Findings from a validation and a cross‐sectional study

Cadorin

Grassetti

Paoletti

et al. 2019

Int J Older People Nursing

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Aims and objectives: To validate a tool measuring self-directed learning (SDL) abilities and to determine these abilities among older individuals attending the University of the Third Age.Background: Health literacy (HL) and SDL abilities have been documented as being closely linked to each other and as prerequisites in enhancing self-management competences required by older people to protect their health and to manage health issues. Furthermore, individuals with SDL abilities have been documented to have a full understanding of their health treatment prescriptions, to be able to demonstrate increased compliance and to further develop self-care competences. Design: A validation and a cross-sectional study design.Methods: A consecutive sample of 313 older people (68.7% female) who attended lessons in two Italian Universities of the Third Age and who were willing to participate in the study were enrolled. The Self-Rating Scale of Self-Directed Learning (SRSSDL) validated previously in the healthcare context, was used.Results: At the exploratory and confirmatory factor analysis, the SRSSDL in Older people (SRSSDLO) has demonstrated good psychometric properties: the tool is composed by four factors ("Awareness," "Attitudes," "Availability" and "Motivation") and 13 items. According to the findings, the average SDL score was 54.27 ± 6.69 out of 65, and women achieved significantly higher scores compared with men (54.81 ± 6.69 vs.53.08 ± 6.54, p = .033), while participants with a university degree (55.95 ± 6.56) or secondary education (54.75 ± 6.13) had higher scores than those with lower secondary education (50.37 ± 7.34, p = .002). Conclusions:Participants were responsible for their learning processes and were capable of identifying learning needs and goals. They were also internally motivated to develop learning methods and to organise learning activities. However, they were less able to keep up to date with the learning resources available.

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Association of health literacy with health information‐seeking preference in older people: A correlational, descriptive study

Cited by 30 publications

References 24 publications

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

General practitioners’ predictions of their own patients’ health literacy: a cross-sectional study in Belgium

Evaluating self‐directed learning abilities as a prerequisite of health literacy among older people: Findings from a validation and a cross‐sectional study

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