Policy challenges for climate health literacy assessment

Kim, Hyeyun; Choi, Seul Ki; Chae, Sumi

doi:10.14367/kjhep.2023.40.4.59

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…Health literacy was assessed using the revised Korean Health Literacy Assessment Tool (KHLAT-4); which is the Korean modified version of the Rapid Estimate of Adult Literacy in Medicine (REALM) [36]. KHLAT is a word recognition test of common medical words and layman terms relating to physiology and illnesses [37] and was developed by incorporating culturally appropriate translations for the 66 words from the REALM and modifying its administration and rating [38]. Participants responded to a written questionnaire that asked whether they knew each of the 66 words using a 4-point Likert scale (1 = I don't know this term, 2 = I have seen the term before but don't know the meaning, 3 = I have seen the term before and know its meaning a little, 4 = I know this term) instead of reading each of the words aloud to score the number of correctly pronounced words.…”

Section: Validity and Reliability/rigormentioning

confidence: 99%

Pathways linking health literacy to self-care in diabetic patients with physical disabilities: A moderated mediation model

Nam,

Yoon

2024

PLoS ONE

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Introduction Health literacy is widely considered to be a determinant of self-care behavior in people with diabetes. However, the mechanisms underlying how health literacy is linked to self-care behaviors have not been clearly elucidated. The aim of the present study was to explore the mediating roles of access to healthcare, provider-patient interaction, motivation, self-efficacy in the effect of health literacy on diabetes self-care behaviors among diabetic patients with physical disabilities and investigate the moderating effect of age in a moderated mediation model. Methods The online survey was participated by a total of 214 diabetic patients with physical disabilities from November to December 2021. The moderated mediation analysis was examined using the Hayes’ PROCESS macro modeling tool based on the bias-corrected bootstrapping method. Results After controlling for education, the results yielded a significant indirect effect of health literacy on diabetes self-care through motivation and self-efficacy. A partially mediating relationship also was confirmed, as there is a positive direct effect of health literacy on diabetes self-care. Furthermore, age groups (i.e., age <40 and ≥ 40) functioned as a moderator of the mediating effects of motivation and self-efficacy between health literacy and diabetes self-care. Conclusion This study emphasized the important role of motivation and self-efficacy which play in linking health literacy and self-care behavior, especially for younger diabetic patients with physical disabilities. In the light of these findings, a health-literacy tailored motivation and self-efficacy enhancing program may be key targets for interventions promoting diabetes self-care behaviors in people with physical disabilities.

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Section: Validity and Reliability/rigormentioning

confidence: 99%