The impact of health literacy on shared decision making before elective surgery: a propensity matched case control analysis

Oliveira, Gildàsio S. De; Errea, Martin F.; Bialek, Jane M.; Kendall, Mark C.; McCarthy, Robert J.

doi:10.1186/s12913-018-3755-9

Cited by 32 publications

(18 citation statements)

References 42 publications

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“…3 Mittlere Reife = Middle degree of German school system qualifying for vocational school or comparable. 4 Polytechnische Oberschule = School form of former German Democratic Republic, comparable to degree of "Mittlere Reife" 5 Haupt-/Volksschulabschluss = Qualification of a general school form of middle education.…”

Section: Discussionmentioning

confidence: 99%

“…Ethics approval was obtained in March 2018 (registration number 18-014) by the Medical Faculty of the University of Cologne. 4…”

Section: Methodsmentioning

confidence: 99%

“…The concept of health literacy (HL) has become a benchmark for doing health research for people and with people in the aspiration of a healthier society. According to the integrated definition developed by the European Health Literacy Consortium [2,3], "Health literacy is linked to literacy and entails people's knowledge, motivation and competences to access, understand, appraise and apply health information in order to make judgements and take decisions in everyday life concerning health care, disease prevention and health promotion to maintain or improve quality of life during the life course" [2] (p. 3), [4] (p. 4). Based on this definition, risk related HL can be considered as the ability to access and understand information on risk factors for health, derive their meaning, interpret and evaluate this information and to make informed decisions with regards to risk factors for health [2].…”

Section: Health Literacymentioning

confidence: 99%

“…3 The collaborating partners were involved in the different phases of the project as follows: sampling and recruiting (clinical staff and the authors), data collection in terms of conducting interviews and taking field notes (LH, ML and SJ), data analysis for each clinical field (LH, ML and SJ), and interpretative analysis across the four clinical fields (LH, ML and SJ). 4 Before the interview, all potential study participants were provided with information concerning the aims, methods (including details on the interview procedure, possible harms and benefits, and the continuing opportunity to withdraw from study participation), the exploitation of the research results, and data protection. At the outset of the interview, all participants signed a written consent form.…”

Section: Data Collectionmentioning

confidence: 99%

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Health Literacy as Communicative Action—A Qualitative Study among Persons at Risk in the Context of Predictive and Preventive Medicine

Harzheim

Lorke

Woopen

et al. 2020

IJERPH

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Predictive and preventive medicine play an increasingly important role in public debates on health, providing cutting-edge technologies with the potential to measure and predict individual risks of getting ill. This leads to an ever-expanding definitional space between being “healthy” and being “ill”, challenging the individual’s everyday life, attitudes and perceptions towards the self and the process of health-related decision-making. “How do the condition of ‘being at risk’ and individual health literacy interrelate?” is the leading question of the current contribution. Drawing on empirical qualitative data, collected by means of narrative interviews with persons at risk in four clinical fields, a bottom-up ethnographic and health sciences perspective on health literacy (with an emphasis on critical health literacy) is employed. The findings will be embedded within theoretical approaches dealing with power relations and communication in healthcare encounters, particularly Habermas’ theory of communicative action. The core outcome of our study is a concept for an overarching model of health literacy in the context of health-related risk prediction across indications, based on empirical insights gained through interpretative analysis of the four clinical domains.

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Section: Discussionmentioning

confidence: 99%

“…Ethics approval was obtained in March 2018 (registration number 18-014) by the Medical Faculty of the University of Cologne. 4…”

Section: Methodsmentioning

confidence: 99%

Section: Health Literacymentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

See 2 more Smart Citations

Health Literacy as Communicative Action—A Qualitative Study among Persons at Risk in the Context of Predictive and Preventive Medicine

Harzheim

Lorke

Woopen

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Past work shows that lack of comprehension by patients (as a result of poor health literacy) of risks and benefits of elective surgery can lead to decision conflict. 35 We might, therefore, speculate that, as a result of limited health literacy, colorectal cancer patients from more deprived areas may struggle with treatment decision making and this could lead to delays; however, we are not aware of any empirical data supporting this.…”

Section: Interpretation Of Findingsmentioning

confidence: 96%

Age-related and socioeconomic inequalities in timeliness of referral and start of treatment in colorectal cancer: a population-based analysis

Hayes

Adams

McCallum

et al. 2020

J Epidemiol Community Health

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BackgroundPoorer colorectal cancer survival in the UK than in similar countries may be partly due to delays in the care pathway. To address this, cancer waiting time targets were established. We investigated if socio-demographic inequalities exist in meeting cancer waiting times for colorectal cancer.MethodsWe identified primary colorectal cancers (International Classification of Diseases, Tenth Revision C18–C20; n=35 142) diagnosed in the period 2001–2010 in the Northern and Yorkshire Cancer Registry area. Using multivariable logistic regression, we calculated likelihood of referral and treatment within target by age group and deprivation quintile.Results48% of the patients were referred to hospital within target (≤14 days from general practitioner (GP) referral to first hospital appointment); 52% started treatment within 31 days of diagnosis; and 44% started treatment within 62 days of GP referral. Individuals aged 60–69, 70–79 and 80+ years were significantly more likely to attend a first hospital appointment within 14 days than those aged <60 years (adjusted OR=1.23, 95% CI 1.12 to 1.34; adjusted OR=1.19, 95% CI 1.09 to 1.29; adjusted OR=1.30, 95% CI 1.18 to 1.42, respectively). Older age was significantly associated with lower likelihood of starting treatment within 31 days of diagnosis and 62 days of referral. Deprivation was not related to referral within target but was associated with lower likelihood of starting treatment within 31 days of diagnosis or 62 days of referral (most vs least: adjusted OR=0.82, 95% CI 0.74 to 0.91).ConclusionsOlder patients with colorectal cancer were less likely to experience referral delays but more likely to experience treatment delays. More deprived patients were more likely to experience treatment delays. Investigation of patient pathways, treatment decision-making and treatment planning would improve understanding of these inequalities.

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Improving Health Literacy of Elective Procedures in Pediatric Otolaryngology

Del Risco,

Cherches,

Polcaro

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveTo identify if the addition of supplementary material, such as video or written resources, to the consent process, can improve a patient's or guardian's health literacy in pediatric otolaryngology.Study DesignProspective randomized crossover design.SettingTertiary Academic Center.MethodsFrom April 18, 2022 to August 29, 2023, 151 children scheduled to undergo 1 of 6 procedures by the same provider were queried and completed a 6‐question baseline test based on the information. They each watched a 2‐minute video and read a written summary about the procedure; the order of resources was randomized. They answered the same 6‐questions after viewing each resource. All tests were scored based on accuracy using an ordinal scale of 1 to 6. Resource preference was collected. Wilcoxon signed‐rank tests were run to analyze differences in scores after the addition of supplementary resources and logistic regression modeling was run to analyze demographic effects on postresource score differences.ResultsOf 151 participants, 74.2% were guardians, with 78.8% having completed a high school or greater education. The Wilcoxon signed‐rank test indicated that postresource scores were statistically significantly higher (P < .001) than pretest scores. Logistic regression modeling showed that participants were less likely to show score improved if they were younger than 18 and were of white race. A majority (87.4%) preferred the addition of a video to the consent process.ConclusionThe addition of video or written resources significantly improves understanding of elective procedures. The development of procedure‐specific resources can supplement the consent process and ensure decision‐makers have adequate health literacy for informed decision‐making.

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The impact of health literacy on shared decision making before elective surgery: a propensity matched case control analysis

Cited by 32 publications

References 42 publications

Health Literacy as Communicative Action—A Qualitative Study among Persons at Risk in the Context of Predictive and Preventive Medicine

Health Literacy as Communicative Action—A Qualitative Study among Persons at Risk in the Context of Predictive and Preventive Medicine

Age-related and socioeconomic inequalities in timeliness of referral and start of treatment in colorectal cancer: a population-based analysis

Improving Health Literacy of Elective Procedures in Pediatric Otolaryngology

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