Health Literacy Varies According to Different Background Disease Natures and Characteristics of Participants for Patient Support Groups

Wu, Chieh‐Liang; Liou, Chia-Hua; Liu, Shih–An; Sheu, Wayne H‐H; Tsai, Shang‐Feng

doi:10.3390/ijerph17165702

Cited by 6 publications

(9 citation statements)

References 31 publications

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“…Also, this is the first study which used the HLVa questionnaire to assess vaccine literacy functional and interactive-critical skills and its associated demographic factors in these patients. It is important to underline that previous studies conducted in patients with autoimmune diseases have used tools to assess general health literacy but not exactly to evaluate vaccine literacy (Katz et al, 2021;Maheswaranathan et al, 2020;Wu et al, 2020). Future researchers should consider using Online Photovoice (OPV) to further research this topic.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine literacy in patients with systemic autoimmune diseases

et al. 2022

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COVID-19 related infodemic is a threat to the successful COVID-19 vaccination campaigns. This might be especially apparent for patients with autoimmune diseases since there is no data available about the balance between benefits and risks of the newly developed COVID-19 vaccines in this population. We aim (i) to evaluate vaccine literacy skills in a population of patients with systemic autoimmune diseases, (ii) to examine the potential associations between vaccine literacy skills and sociodemographic characteristics and (iii) to analyze the relationships between attitudes, perceptions and beliefs about current vaccinations and vaccine literacy skills and sociodemographic characteristics. A cross-sectional study was conducted among 319 patients with systemic autoimmune diseases (92% females; 49.5% of patients in the 31–50 years age category). The vaccine literacy levels were determined using the Health Literacy about Vaccination in adulthood in Italian (HLVa-IT). Sociodemographic characteristics including gender, age, country and area of residence, civil status, socioeconomic status, educational attainment and occupational status were evaluated. The mean vaccine literacy functional and interactive-critical scores were 2.59 ± 0.74 and 3.07 ± 0.60, respectively. The vaccine literacy interactive-critical score was higher in females than in males (p = 0.048). Interactive-critical scores were associated with the area of residence, civil status and socioeconomic status, with the highest score in urban area of ≥ 100.000 inhabitants (p = 0.045), in widow patients (p = 0.023) and in patients with high socioeconomic status (p = 0.018). Significant differences were observed between the different education levels, for both the functional and the interactive-critical scores (p = 0.002 and p < 0.001, respectively), the highest score was observed in patients who completed a university degree. The level of vaccine literacy for functional and interactive-critical scales were medium. Area of residence, civil status and socioeconomic status represented determinants of vaccine literacy interactive-critical scale. Educational attainment also contributes to vaccine literacy functional scale. Insight into these factors is required to ensure an optimal vaccine literacy level in patients with autoimmune diseases.

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Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine literacy in patients with systemic autoimmune diseases

et al. 2022

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“…Later, we cataloged these scores into four levels: inadequate (≤25), limited/problematic (25 ≤ 33), sufficient (33 ≤ 42), and excellent (42 ≤ 50). Several studies have demonstrated that the MMHLQ is an adequate tool for health literacy (16)(17)(18). In addition, the Cronbach's alpha reliability of MMHLQ was 0.79 (alpha if item deleted was 0.77-0.94) which represented an acceptable range.…”

Section: Independent Variablementioning

confidence: 99%

Modest association between health literacy and risk for peripheral vascular disease in patients with type 2 diabetes

Chiou

Chang

Liao

et al. 2022

Front. Public Health

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ObjectiveHealth literacy plays a crucial role in managing chronic health conditions. Previous studies have revealed the positive relationship between health literacy and diabetes knowledge but few studies have focused on peripheral vascular disease (PVD) in diabetes in relation to health literacy in diabetes management. This study investigated the relationship between the risk for PVD and health literacy level with other determining factors among patients with type 2 diabetes.MethodWe conducted a survey on health literacy using the Mandarin Multidimensional Health Literacy Questionnaire in the department of metabolism and endocrine systems at a regional hospital in northern Taiwan from December 2021 to May 2022 and obtained data from the hospital's health information system (HIS) from 2013 to 2020 to identify occurrences of PVD (n = 429). We performed logistic regression analysis to identify the relationship between PVD events and health literacy levels (overall and in five separate subdimensions) adjusted with other variables.ResultsA longer duration of diabetes increased the risk for PVD events (P = 0.044 and 0.028). In terms of health literacy, the overall level was not significant; however, the dimension of higher levels of health literacy in acquiring health information increased the risk for PVD events (P = 0.034). Other variables were not significantly associated with the risk for PVD events.ConclusionThis study examined the risk for PVD events in terms of the duration of diabetes and provided evidence across the range of dimensions of health literacy concerning the ability to control diabetes. Those with a higher level of health literacy may be more aware of their disease situation, seek and cooperate with their healthcare providers earlier, and have more opportunities to be made aware of their health status from regular checkups than those with inadequate health literacy. These results may help providers make available more self-management tools that are adequate and sustainable for diabetes patients with poor health literacy.

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“…At the end of the third year, we again gave a poster presentation at the International Forum on Quality and Safety in Healthcare 24 th conference ((jointly organised by the Institute for Healthcare Improvement (IHI) & BMJ)), entitled "The evaluation of health literacy among patient support groups in a medical center". We then published a study, entitled "Health Literacy Varies According to Different Background Disease Natures and Characteristics of Participants for Patient Support Groups" [21]. We found out that the background status of participants varied according to different diseases.…”

Section: Domentioning

confidence: 99%

Quality Improvement Initiatives in Reforming Patient Support Groups—Three-Year Outcomes

Liou

Liu

et al. 2020

IJERPH

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Background: Little has been done regarding the research on quality and quantity of patient support groups (PSGs) and how they can be improved. Here, we present three-year experiences of a quality improvement (QI) program of our PSGs. Methods: We launched earlier on a three-year project to improve our PSGs, including the number and quality of curricula. Data were collected on the number of PSGs, curricula, and participants. Results: In the first year, we organized relevant resources of our hospital and established a standard protocol for applying financial support and reporting the results. In the second year, we elected “the best patient” to promote sense of honor and better peer supports. In the third year, we surveyed through questionnaires participants’ health literacy to improve their feedback. Competitions and exhibitions of achievements were held each year to share results of every PSG. Finally, we had increased the volume of participation of patients and family over these three years (3968, 5401 (+35.5%) and 5963 (+50.3%)). Participation of staff also increased significantly (489 and 551 (+12.7%)). Furthermore, more interdisciplinary curricula were generated, with fewer doctors (38.2% to 29%), but greater numbers of the following: nurses (4.9% to 17.4%), nurse practitioners (0.4% to 14.5%), medical laboratory scientists (2.5% to 16.3%), social workers (4.7% to 41.7%), and teachers from outside (0% to 1.8%). Conclusion: In this first study on QI efforts on PSGs, we enlisted a core change team, drew a stakeholder map, and selected an improvement framework with good results.

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Health Literacy Varies According to Different Background Disease Natures and Characteristics of Participants for Patient Support Groups

Cited by 6 publications

References 31 publications

COVID-19 vaccine literacy in patients with systemic autoimmune diseases

COVID-19 vaccine literacy in patients with systemic autoimmune diseases

Modest association between health literacy and risk for peripheral vascular disease in patients with type 2 diabetes

Quality Improvement Initiatives in Reforming Patient Support Groups—Three-Year Outcomes

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