Health Literacy and Health Outcomes in Very Old Patients With Heart Failure

León-González, Rocío; García‐Esquinas, Esther; Paredes-Galán, Emilio; Ferrero-Martinez, A.I.; Guerrero, José L.; Hornillos‐Calvo, Mercedes; Menéndez-Colino, Rocío; Torres-Torres, Ivett; Galán, María Concepción; Torrente-Carballido, Marta; Olcoz-Chiva, Mayte; Rodríguez-Pascual, Carlos; Rodríguez‐Artalejo, Fernando

doi:10.1016/j.rec.2017.06.010

Cited by 14 publications

(25 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lower levels of health literacy and education have been pointed out as associated with poor HF self‐care ability by others . This is also true in our study, although not always consistent in the literature …”

Section: Discussionsupporting

confidence: 86%

Most elderly patients hospitalized for heart failure lack the abilities needed to perform the tasks required for self‐care: impact on outcomes

Vidán

Martín‐Sánchez

Sánchez

et al. 2019

European J of Heart Fail

View full text Add to dashboard Cite

Aim To evaluate the abilities to perform essential tasks for heart failure (HF) self‐management in elderly patients, and its influence on post‐discharge prognosis. Methods and results Overall, 415 patients ≥70 years old hospitalized for HF were included and followed during 1 year. The ability to perform six specific tasks (use of a scale, weight registration, diuretic identification, knowledge of salted foods, oedema identification, and treatment adjustment) was tested and distributed on terciles (T) of performance. Correlation with the self‐administered questionnaire European HF Self‐care Behaviour Scale (EHFScBS) was evaluated. The independent influence of self‐care on 1‐year mortality and readmission risks was calculated by Cox proportional hazards regression analysis. Mean age was 80.1 years. On average, patients could perform 2.9 ± 1.6 of self‐care tasks, and only 5.3% could perform the six tasks correctly. Patients with previous HF self‐care education had slight better performance (3.2 ± 1.6 vs 2.8 ± 1.6, P < 0.02). A weak correlation was found between EHFScBS and number of tasks correctly performed (r = −0.135; P = 0.006). One‐year mortality in T1, T2, and T3 patients was 33.0%, 20.7%, and 14.1%, respectively (P = 0.002). Multivariable analysis showed T2 and T3 groups having a lower adjusted mortality risk compared with T1 [hazard ratio (HR) 0.58; 95% confidence interval (CI) 0.32–1.03; and HR 0.40; 95% CI 0.21–0.77, respectively], without differences in readmissions. Conclusion Most elderly patients admitted for HF are unable to perform several essential tasks needed for HF self‐care. Self‐perception of care was poorly correlated with real ability, and poor self‐care ability was associated with higher 1‐year mortality risk.

show abstract

Section: Discussionsupporting

confidence: 86%

Most elderly patients hospitalized for heart failure lack the abilities needed to perform the tasks required for self‐care: impact on outcomes

Vidán

Martín‐Sánchez

Sánchez

et al. 2019

European J of Heart Fail

View full text Add to dashboard Cite

show abstract

“…Finally, according to the aims of the study, SDL abilities were described and only some bi‐variate analysis with demographic data has been performed. Future studies should evaluate the association between SDL abilities, HL competences and self‐management outcomes among older people (Gibney & Doyle, ; León‐González et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Health literacy (HL) has been defined as the ability to obtain, understand, evaluate and apply basic health information to make appropriate healthcare decisions (Gibney & Doyle, ; León‐González et al, ). Reading and numeracy skills and language barriers, as well as learning abilities, have been documented as antecedents of HL (Wang, Lang, Xuan, Li, & Zhang, ).…”

Section: Introductionmentioning

confidence: 99%

“…Reading and numeracy skills and language barriers, as well as learning abilities, have been documented as antecedents of HL (Wang, Lang, Xuan, Li, & Zhang, ). Individuals with adequate HL manifest a full understanding of health treatment prescriptions and competent self‐care (Chesser, Woods, Smothers, & Rogers, ; Gibney & Doyle, ; León‐González et al, ; Wang et al, ). Conversely, individuals with low HL have been documented as having (a) poor access to health promotion services, (b) limited disease knowledge and medication compliance, (c) more difficulties in acquiring health information and (d) an increased risk of death (Gibney & Doyle, ; Park, Song, Shin, Jeong, & Lee, ; Stonbraker et al, ).…”

Section: Introductionmentioning

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, ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

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.

show abstract

Literacy critical to heart failure management: a scoping review

2020

View full text Add to dashboard Cite

Health Literacy and Health Outcomes in Very Old Patients With Heart Failure

Abstract: No association was found between HL and 12-month mortality. This could be partly due to the lack of a link between HL and self-care.

Cited by 14 publications

References 27 publications

Most elderly patients hospitalized for heart failure lack the abilities needed to perform the tasks required for self‐care: impact on outcomes

Most elderly patients hospitalized for heart failure lack the abilities needed to perform the tasks required for self‐care: impact on outcomes

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

Literacy critical to heart failure management: a scoping review

Contact Info

Product

Resources

About