Effects of Active Learning on Health Literacy and Behavior in Older Adults: A Randomized Controlled Trial

Uemura, Kazunori; Yamada, Minoru; Okamoto, Hiroshi

doi:10.1111/jgs.15458

Cited by 50 publications

(80 citation statements)

References 45 publications

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“…and significantly fewer subjective symptoms. In a randomized controlled trial on improving health literacy in older adults, Uemura et al [24] found that an active learning intervention improved health literacy, physical function (including gait speed), physical activity level, and cognitive function in the intervention group. Interestingly, no functional rehabilitation training was offered in the class, implying that the practice of healthy behaviors was a result of individual decisions and efforts made by subjects in their daily lives outside of the intervention.…”

Section: Discussionmentioning

confidence: 99%

“…The few studies that do exist have found that low health literacy is associated with low health status [22] and that health literacy is relatively low in Japan compared to European countries [23]. Uemura et al [24] demonstrated that active learning for health promotion led to significant improvement in comprehensive health literacy and functional performance in community-dwelling older adults. Their results suggest that an active learning style and enhanced health literacy increased the amount of physical activity and dietary variety, which led to improved physical performance.…”

Section: Introductionmentioning

confidence: 99%

“…The number of studies on health literacy in Japan is limited [22][23][24][25][26]. Therefore, this study aimed to explore the relationship of gait speed with health literacy, physical function, and cognitive function in community-dwelling older adults.…”

Section: Introductionmentioning

confidence: 99%

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The Association between Health Literacy and Gait Speed in Community-Dwelling Older Adults

et al. 2020

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The association between gait speed, a vital health outcome in older adults, and health literacy, an important health promotion aspect, is unclear. This study examined the relationship of gait speed with health literacy, physical function, and cognitive function in community-dwelling older adults. The subjects were 240 older adults (52 men, mean age 73.8 ± 6.0 years). Gender, age, and education were self-reported, while height and weight were measured directly. Health literacy was evaluated using Communicative and Critical Health Literacy (CCHL). Grip strength, knee extension strength, toe-grip strength, sit-up test, sit-and-reach test, one-leg stance test time, 30-s chair-stand test (CS-30), and normal gait speed were measured. Subjects were divided into two groups based on normal gait speed—fast (speed ≥ 1.3 m/s) and slow (<1.3 m/s). In the logistic regression analysis, the dependent variable was normal gait speed (fast/slow). Four logistic regression models were utilized to determine whether health literacy affects gait speed. Height and CCHL were found to independently affect gait speed. That health literacy influences gait speed is a new discovery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Association between Health Literacy and Gait Speed in Community-Dwelling Older Adults

et al. 2020

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“…Intervention participants underwent a weekly 90-minute active learning program for 24 weeks. The themes of the program focused on the role of exercise, diet/nutrition, and cognitive activity in health promotion among older adults 14) . This program aimed to promote behavior changes in daily life and self-management in accordance with an individual's health status.…”

Section: Interventionmentioning

confidence: 99%

Effects of Active Learning Education on Arterial Stiffness of Older Adults with Low Health Literacy: A Randomized Controlled Trial

Uemura

Yamada

Kuzuya

et al. 2021

JAT

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We examined the effects of active learning education on arterial stiffness and physical activity of community-dwelling older adults with low health literacy. Methods: This study is a secondary analysis of randomized controlled trial of 60 participants aged 65 and older with low health literacy. The intervention group (n 30) participated in a weekly 90-minute active learning program session for 24 weeks, which addressed health promotion in older age. The control group (n 30) attended a 90-minute health education class in a didactic manner. The outcomes were measured at baseline and in week 24. The degree of arterial stiffness was assessed based on the cardio-ankle vascular index (CAVI) using the VS-1500 device (Fukuda Denshi Co., Ltd., Tokyo, Japan). The shortened version of the self-reported International Physical Activity Questionnaire was used to assess the amount of total physical activity determined by the metabolic equivalent hours per week. We used analysis by intention-to-treat, with multiple imputation for missing data. Results: Seven participants (11.7%) dropped out prior to the post-intervention assessment. The multiple imputation analysis revealed that the intervention group showed significant improvement in CAVI [between-groups difference (95% confidence interval)-0.78 (-1.25 to-0.31), Cohen's d 0.82] and physical activity [32.5 (0.3 to 64.7), Cohen's d 0.57] as compared with the control group. The sensitivity analysis for the complete cases showed similar results. Conclusion: Active learning health education may be effective in improving arterial stiffness and physical activity in older adults with low health literacy. able prognostic tool to predict cardiovascular events in different populations 4-7). However, there is limited evidence to support the effects of therapeutic intervention on CAVI 2). Health literacy is the ability to obtain, understand, appraise, and apply health information 8). Low health literacy has been associated with greater healthcare services use 9) , poorer self-management of chronic diseases (e.g. diabetes) 10) , unhealthy lifestyles (e.g. physical inactivity) 11) , a higher mortality rate 12) , and a higher risk of arterial stiffness (CAVI ≥ 9.0) among community-dwelling older adults 13). These findings suggest that older adults with low health literacy could Copyright©2020 Japan Atherosclerosis Society This article is distributed under the terms of the latest version of CC BY-NC-SA defined by the Creative Commons Attribution License.

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“…This points up the importance of implementing preventive measures before the onset of symptoms, or while they are still mild; however, knowledge among the public of the risks of locomotive syndrome is necessary to achieve this. There are many reports that awareness of disease leads to preventive behavior [ 18 , 19 , 20 ]. Likewise, awareness of locomotive syndrome is necessary for people to take preventive measure in their daily life.…”

Section: Introductionmentioning

confidence: 99%

Awareness of Locomotive Syndrome and Factors Associated with Awareness: A Community-Based Cross-Sectional Study

Sugai

Imamura

Michikawa

et al. 2020

IJERPH

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Locomotive syndrome is a condition of reduced mobility, and patients have a high risk of requiring nursing care. In order to investigate the level of awareness of the term “locomotive syndrome” and the factors relating to awareness in a community, awareness of locomotive syndrome was included in a questionnaire survey on health and daily life conducted in Koumi Town (Japan), which was distributed to 3181 eligible residents aged 40 years or older. Information on age, sex, marital status, educational attainment, lifestyle, and social environment was also collected, and the association of awareness with various factors was analyzed with two multivariable Poisson regression models. As a result, awareness among respondents was 44.6%. Awareness was significantly higher among women, those who were 60–79 years old, married, and had received higher education. Additionally, awareness was significantly associated with social factors, especially attendance at regional events within the last one year, in both women and men: the adjusted prevalence ratios (95% confidence intervals) were 1.26 (1.10–1.43) and 1.48 (1.19–1.83), respectively. In conclusion, in addition to strengthen awareness rising campaigns targeting men and for younger people, providing health education at social settings such as regional events may help improve future musculoskeletal health in the elderly.

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Effects of Active Learning on Health Literacy and Behavior in Older Adults: A Randomized Controlled Trial

Abstract: This study suggests that health education through active learning is effective in enhancing comprehensive health literacy, verbal fluency, memory, gait speed, balance ability, physical activity, and dietary variety in older adults.

Cited by 50 publications

References 45 publications

The Association between Health Literacy and Gait Speed in Community-Dwelling Older Adults

The Association between Health Literacy and Gait Speed in Community-Dwelling Older Adults

Effects of Active Learning Education on Arterial Stiffness of Older Adults with Low Health Literacy: A Randomized Controlled Trial

Awareness of Locomotive Syndrome and Factors Associated with Awareness: A Community-Based Cross-Sectional Study

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