Mismatch Between Skills of Patients and Tools in Use: Might Literacy Affect Diagnoses and Research?

Rudd, Rima E.

doi:10.3899/jrheum.100135

Cited by 10 publications

(8 citation statements)

References 10 publications

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“…Health literacy intervention studies remain rare [4], especially community-based interventions customized to diverse low-literacy populations [1] and interventions focused on improving skills [6]. We found no studies testing home visitation for its effect on parental health literacy and no previous attempts to directly improve advanced health literacy skills with parents of children to age three.…”

Section: Parental Health Literacy and Depression In The Context Of Homentioning

confidence: 88%

Health Literacy and Depression in the Context of Home Visitation

Smith

Moore

2011

Matern Child Health J

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We explored health literacy in parents as an underlying construct that develops through social interaction and reflection and involves an array of skills that enable a parent to manage personal and child health and healthcare. We hypothesized that depression impairs health literacy and impedes efforts to promote health literacy through home visitation. We analyzed an AHRQ/NIH database of 2,572 parent/child dyads compiled in a 2006–2008 quasi-experimental six-site nationwide study using multiple waves of measurement and a matched comparison group. Cohort families participated in home visitation programs augmented to develop parents’ reflective skills. Visitors monitored depression, health- and healthcare-related practices, and surrounding family conditions at baseline and 6-month intervals for up to 36 months using the Life Skills Progression instrument. We examined differences in initial depression ratings for demographic subgroups and explored patterns of change in health literacy among depressed versus not-depressed parents. Correlation analysis showed that at each of four assessments better depression scores were consistently and positively correlated with use of information and services (r = 21–22, P < .001) and with self-management of personal and child health (r = 42–49, P < .001). Overall, parents made significant improvements in health literacy (P < .001). As expected, depressed parents demonstrated lower baseline health literacy scores than not-depressed parents; however, they achieved greater gains (P < .001). While depression is linked with lower parental health literacy, after 1 year of enhanced home visitation, vulnerable parents were better able to manage personal and family health and healthcare, especially if depressed. Enhanced home visitation could be an effective channel to develop health literacy as a life skill, and to improve depression.

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Section: Parental Health Literacy and Depression In The Context Of Homentioning

confidence: 88%

Health Literacy and Depression in the Context of Home Visitation

Smith

Moore

2011

Matern Child Health J

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“…Health literacy has been defined as “the degree to which individuals can obtain, process, and understand the basic health information and services they need to make appropriate health decisions” . A more nuanced conceptualization of health literacy focuses not only on the patient's skills, but also takes into account systems barriers and the complexity of health care delivery . Limited health literacy is widely prevalent; nearly one‐half of adults in the US have limited health literacy.…”

Section: Introductionmentioning

confidence: 99%

Limited Health Literacy and Patient Confusion About Rheumatoid Arthritis Patient Global Assessments and Model Disease States

Hirsh

Wood

Keniston

et al. 2019

Arthritis Care & Research

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“…However, results are mixed and the pathway linking reading skills to outcomes is unclear, especially the link between mothers' reading ability and child health outcomes [8]. Largely due to inadequate measures, intervention studies remain rare [1], especially community-based interventions customized to diverse low-literacy populations [28], interventions focused on improving skills [6], and interventions in child health [8]. Health literacy and empowerment rarely have been investigated together; and scant attention has been paid to the role of the social determinants of health in heath literacy.…”

Section: Maternal Health Literacy: Personal Asset Life Skills Empowmentioning

confidence: 99%

Data-driven maternal health literacy promotion and a postscript on its implications

Smith¹,

Carroll

2017

ISU

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Abstract. Scientific discovery and global health policy are moving health literacy promotion and maternal-child health from the fringes of research and public health to the forefront of healthcare reform [Matern Child Health J. 18 (2014), 344-365]. In 2011 the United Nations General Assembly adopted the Shanghai Declaration [Lancet 378 (2011), 566-567]. The Declaration highlights new understanding of the origins of health and disease in early development. It calls on all nations to apply this knowledge to reduce the burdens of chronic disease and related disparities worldwide. The Declaration recommends a specific intervention strategy: promote health literacy across the life course, particularly in parents and children, and empower women.This article explores findings and implications of the Life Skills Progression Maternal Health Literacy studies. These LSP-MHL studies evaluated implementations of an intervention designed to promote health literacy in parents and empower women in the U.S. First, the article reports findings of the most recent of five published LSP-MHL studies with discussion of its implications for future work in this line of inquiry. A postscript highlights two of many implications of the LSP-MHL intervention studies for health literacy research in the third era of modern healthcare.

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Mismatch Between Skills of Patients and Tools in Use: Might Literacy Affect Diagnoses and Research?

Cited by 10 publications

References 10 publications

Health Literacy and Depression in the Context of Home Visitation

Health Literacy and Depression in the Context of Home Visitation

Limited Health Literacy and Patient Confusion About Rheumatoid Arthritis Patient Global Assessments and Model Disease States

Data-driven maternal health literacy promotion and a postscript on its implications

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