Medication Competence, Numeracy, and Health Literacy

Gutierrez, Kevin M.; Cohn, Lawrence D.

doi:10.3928/24748307-20190625-01

Cited by 6 publications

(15 citation statements)

References 17 publications

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“…Table 1 shows the main characteristics of the 35 included studies. Three 3,8,24 of the studies aimed to define medication literacy, nine 4,5,7,19,25–29 to develop or validate tools to measure this construct and 6,20–23,30–47 to assess the factors associated with medication literacy.…”

Section: Resultsmentioning

confidence: 99%

“…The number of publications increased over the years and were more frequently published in 2018 (nine studies) 3,4,7,22,23,28,37–39 . Most studies were conducted in China (10 studies) 23,27,34–36,40,42,43,46,47 and in the United States (nine studies) 5,8,24–26,29,30,33,41 . Most studies were cross‐sectional (26 studies) 4–7,21–23,25–29,31,32,35–46 .…”

Section: Resultsmentioning

confidence: 99%

“…Most studies were conducted in China (10 studies) 23,27,34–36,40,42,43,46,47 and in the United States (nine studies) 5,8,24–26,29,30,33,41 . Most studies were cross‐sectional (26 studies) 4–7,21–23,25–29,31,32,35–46 . The studies were conducted more frequently in the community (15 studies) 6,22,23,25,28,31,32,36–38,41,42,44–46 and in outpatient clinics (five studies) 29,33,35,39,40 .…”

Section: Resultsmentioning

confidence: 99%

“…Most studies were cross‐sectional (26 studies) 4–7,21–23,25–29,31,32,35–46 . The studies were conducted more frequently in the community (15 studies) 6,22,23,25,28,31,32,36–38,41,42,44–46 and in outpatient clinics (five studies) 29,33,35,39,40 . The sample size ranged from 16 24 to 7022 42 participants.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (25 studies) 5–7,19,21–23,26–32,34,35,37–41,43–45,47 were carried out with adults (mean age ranging from 21.96 to 75.9 years). The population varied substantially, and included the general adult population from a specific country (five studies) 19,22,23,27,31 to patients with specific health conditions (hypertension [four studies], 39,40,43,47 liver transplant recipients and diabetes [one study], 26 diabetes [one study], 32 hemodialysis [one study] 21 and acute coronary syndrome [one study]) 34 .…”

Section: Resultsmentioning

confidence: 99%

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Mapping the construct and measurement of medication literacy: A scoping review

Pantuzza

Nascimento

Botelho

et al. 2020

Brit J Clinical Pharma

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Aim To systematically review the literature on definitions, tools and factors associated with medication literacy. Methods We searched on Medline, Lilacs, Cochrane, CINAHL, PsycINFO, Embase, Scopus, Web of Science, databases of theses/dissertations and the references of the selected studies. The screening was carried out by two independent researchers. Observational, experimental or methodological studies were eligible for inclusion. The tools were critically analysed and evaluated regarding the dimensions and statements on medication literacy. Results Thirty‐five studies were included. Most were conducted in China and the United States, included adults and were published after 2010. Different terms were identified for literacy in the context of medication use and the most frequently used was “medication literacy”. Its definition varied, but “medication literacy” was generally defined as the individual ability to understand and act on medication‐related information. Twelve tools were identified. Most included only functional and numerical dimensions of literacy. No instrument covered all the essential statements on medication literacy. The tools had essential limitations in their development and measurement characteristics. Factors associated with medication literacy varied among studies, but the most frequent were age, education and inappropriate self‐medication. Conclusion “Medication literacy” is the recommended term for literacy in the context of medication use. Different definitions were identified, and the most comprehensive was the one proposed by Pouliot in 2018. The tools did not cover all the essential literacy skills for medication use and focused only on functional e numeracy domains. Sociodemographic characteristics and inappropriate self‐medication were the most common factors associated with medication literacy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Mapping the construct and measurement of medication literacy: A scoping review

Pantuzza

Nascimento

Botelho

et al. 2020

Brit J Clinical Pharma

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Age declines in numeracy: An analysis of longitudinal data.

Best¹,

Carman²,

Parker³

et al. 2022

Psychology and Aging

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Numeracy, the ability to understand and use basic probability and numerical concepts, is associated with diverse positive outcomes across the lifespan. Prior cross-sectional research on numeracy has generally found a negative association with age, but positive correlations with male gender, education attainment, and measures of fluid and crystallized intelligence have been more robust. Age effects on cognitive functioning are well established, but little is known about longitudinal trends of numeracy into older age. The present study investigates longitudinal age effects on numeracy using a sample of 524 adults (2008 Agerange = 20–78) from the RAND American Life Panel. Participants completed a numeracy measure in both 2008 and 2019, a span of 11 years. Using a linear mixed-effect model to predict numeracy scores, a significant interaction between the year of testing and the quadric age term shows a decline in numeracy scores beginning in later middle age, a trend that falls in between those previously found for crystallized and fluid cognitive abilities. Numeracy declines are somewhat mitigated for males and those with higher education, but the interaction of the two variables did not return a clear pattern of results. Prior research has shown that numeracy is positively related to the quality of health and financial decisions and, ultimately, more positive health and economic outcomes. The implications of age declines in numeracy are discussed in relation to health and financial decision-making, tasks that remain relevant into old age.

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Cognitive Function and the Relationship With Health Literacy and Secondary Prevention in Patients With Acute Coronary Syndrome at Early Discharge

et al. 2021

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Background: Cognitive impairment (CI) may contribute to difficulties in understanding and implementing secondary prevention behavior change after acute coronary syndrome (ACS), but the association is poorly understood. Objectives: The aim of this study was to explore the prevalence of CI in patients 4 weeks post ACS and the association with health literacy and secondary prevention. Methods: Patients with ACS who were free from visual deficits, auditory impairment, and dementia diagnoses were recruited and assessed 4 weeks post discharge for cognitive function (Montreal Cognitive Assessment and Hopkins Verbal Learning Test), health literacy (Newest Vital Sign), depression (Patient Health Questionnaire), physical activity (Fitbit Activity Tracker and Physical Activity Scale for the Elderly), and medication knowledge and adherence. Results: Participants (n = 45) had an average age of 65 ± 11 years, 82% were male, 64% were married/partnered, and 82% had high school education or higher. Overall CI was identified in 28.9% (n = 13/45) of the patients 4 weeks after discharge, which was composed of patients detected on both the Montreal Cognitive Assessment and Hopkins Verbal Learning Test (n = 3), patients detected on Montreal Cognitive Assessment alone (n = 6), and patients detected on Hopkins Verbal Learning Test alone (n = 4). Fewer patients with CI had adequate health literacy (61.4%) than patients with normal cognition (90.3%, P = .024). Significant correlations were found between Hopkins Verbal Learning Test scores and medication knowledge (0.4, P = .008) and adherence (0.33, P = .029). Conclusions: In this exploratory study, 30% of patients with ACS demonstrated CI at 4 weeks post discharge. Two screening instruments were required to identify all cases. Cognitive impairment was significantly associated with health literacy and worth further investigation.

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Medication Competence, Numeracy, and Health Literacy

Cited by 6 publications

References 17 publications

Mapping the construct and measurement of medication literacy: A scoping review

Mapping the construct and measurement of medication literacy: A scoping review

Age declines in numeracy: An analysis of longitudinal data.

Cognitive Function and the Relationship With Health Literacy and Secondary Prevention in Patients With Acute Coronary Syndrome at Early Discharge

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