The Impact of Health Literacy on Desire for Participation in Healthcare, Medical Visit Communication, and Patient Reported Outcomes among Patients with Hypertension
Abstract:Patients with low and adequate literacy were similarly interested in participating in medical decision making. However, low literacy patients were less likely to experience PDM in their visits. Low literacy patients in the intensive physician intervention groups asked fewer medical questions. Patients with low literacy may be less able to respond to physicians' use of patient-centered communication approaches than adequate literacy patients.
“…However, no difference was found between two groups in visiting the doctor. Hence, the effect of health literacy should be considered in use of educational tools to improve understanding blood pressure knowledge in future studies [2].…”
Section: Resultsmentioning
confidence: 99%
“…The results obtained by Pandit et al showed health literacy as an important predictor of blood pressure control [11]. Aboumatar et al study also points out the effect of higher health literacy on improvement in hypertension [2].…”
Section: Introductionmentioning
confidence: 93%
“…Hypertension is an important risk factor for atherosclerosis, cardiac failure, stroke, and kidney failure in many countries [1]. Despite effective treatments available, only 37% of patients manage to maintain their blood pressure below levels recommended by health professionals [2]. After development of hypertension, it is particularly important to control it, so that complications can be minimized through blood pressure control.…”
Objectives: Hypertension is the most important controllable risk factor for cardiovascular, stroke and kidney diseases. Acquiring health information and proper compliance with medical personnel advice requires high levels of health literacy. Thus, the present study was conducted to determine the relationship between health literacy and hypertension treatment control and follow-up in patients attending rural health centers of Rasht city.
Methods:This descriptive cross-sectional study was conducted on 257 patients with hypertension selected according to a multistage random sampling method from all rural health centers of Rasht city. Data collection tools included Short Test of Functional Health Literacy in Adults (STOFHLA), hypertension knowledge, and Charlson Comorbidity Index that were completed by patients. Data were analyzed using Pearson's correlation, regression, and Chi-square tests.Results: Par ticipants' mean age was 55.7 years and their mean health literacy was 68.7%. Health literacy was found significantly related to education level (P<0.001), age (P<0.001), and monthly hypertension control (P<0.001). The main sources of acquiring health info rmation included doctors (38.5%), medical personnel (33.7%), and proper use of medication 94.9%.
Conclusion:Patients with adequate health literacy were more successful in control and treatment of their diseases. Doctors and medical personnel were more effective in education than other health information sources. Identifying patients with poor health literacy and providing them with appropriate education can have a major role in promoting community health.
TypeOriginal Article
“…However, no difference was found between two groups in visiting the doctor. Hence, the effect of health literacy should be considered in use of educational tools to improve understanding blood pressure knowledge in future studies [2].…”
Section: Resultsmentioning
confidence: 99%
“…The results obtained by Pandit et al showed health literacy as an important predictor of blood pressure control [11]. Aboumatar et al study also points out the effect of higher health literacy on improvement in hypertension [2].…”
Section: Introductionmentioning
confidence: 93%
“…Hypertension is an important risk factor for atherosclerosis, cardiac failure, stroke, and kidney failure in many countries [1]. Despite effective treatments available, only 37% of patients manage to maintain their blood pressure below levels recommended by health professionals [2]. After development of hypertension, it is particularly important to control it, so that complications can be minimized through blood pressure control.…”
Objectives: Hypertension is the most important controllable risk factor for cardiovascular, stroke and kidney diseases. Acquiring health information and proper compliance with medical personnel advice requires high levels of health literacy. Thus, the present study was conducted to determine the relationship between health literacy and hypertension treatment control and follow-up in patients attending rural health centers of Rasht city.
Methods:This descriptive cross-sectional study was conducted on 257 patients with hypertension selected according to a multistage random sampling method from all rural health centers of Rasht city. Data collection tools included Short Test of Functional Health Literacy in Adults (STOFHLA), hypertension knowledge, and Charlson Comorbidity Index that were completed by patients. Data were analyzed using Pearson's correlation, regression, and Chi-square tests.Results: Par ticipants' mean age was 55.7 years and their mean health literacy was 68.7%. Health literacy was found significantly related to education level (P<0.001), age (P<0.001), and monthly hypertension control (P<0.001). The main sources of acquiring health info rmation included doctors (38.5%), medical personnel (33.7%), and proper use of medication 94.9%.
Conclusion:Patients with adequate health literacy were more successful in control and treatment of their diseases. Doctors and medical personnel were more effective in education than other health information sources. Identifying patients with poor health literacy and providing them with appropriate education can have a major role in promoting community health.
TypeOriginal Article
“…Indeed, it has been documented that patients with lower literacy levels tend to ask fewer questions and make fewer requests for information, and our HCPs' comments support these reports. 38,39 Often, low SES patients are minority patients. 40 In the United States, the quality of health care for minority patients compared to Whites has been extensively documented, underscoring that minority patients receive lower quality interpersonal care.…”
Racial disparities in breast cancer mortality continue, partly due to higher prevalence of an aggressive breast cancer subtype called basallike breast cancer (BBC) in African-Americans. Health care providers (HCPs) are uniquely positioned to discuss cancer risk and prevention with patients. We investigated breast cancer knowledge and risk communication among HCPs to identify factors that influenced communication with patients. Interviews were conducted with 34 HCPs in North Carolina. We found limited evidence of breast cancer risk education, and specific subtypes of breast cancer were not discussed. Barriers to communication about prevention include limited time, perceived patient receptivity and education level, and scientific misinformation. Factors that prompted discussions included patient characteristics (age, race, and socioeconomic status). To broaden the conversation, HCPs must receive and communicate more accurate information on breast cancer risk. Given these barriers to breast cancer education, additional opportunities to intervene with high-risk populations must be identified.
Keywords:breast cancer, basal-like breast cancer, health communication, risk factors, health disparity Word count: 3917
“…One major concern with low literacy can be linked to reduced selfcare behaviors in cardiac patients. In addition, low health literacy has been associated with lower BP control and reduced participation in medical decisions, 101,111 reduced communication with providers, 120 lower disease knowledge, 103,104,115 reduced cognition, 112 lower medication adherence levels, 123 and lower medication refill adherence.…”
Section: Question 3 How Are Common Barriers To Implementing Tpe Formentioning
A lthough the overall rate of death associated with cardiovascular disease (CVD) continues to decline in the United States, [1][2][3] CVD is a leading cause of mortality and disability. The burden of CVD remains high, underscoring the need to improve long-term management of CVD as a chronic illness. Effective implementation of current treatment guidelines for primary and secondary prevention of CVD relies heavily on patient knowledge and engagement in carrying out the plan of care. Healthcare reforms have increasingly shifted the responsibility for self-management to patients and families as hospital stays and ambulatory visits have become shorter and less frequent.Background-The burden of cardiovascular disease as a chronic illness increasingly requires patients to assume more responsibility for their self-management. Patient education is believed to be an essential component of cardiovascular care; however, there is limited evidence about specific therapeutic patient education approaches used and the impact on patient self-management outcomes. Methods and Results-An integrative review of the literature was conducted to critically analyze published research studies of therapeutic patient education for self-management in selected cardiovascular conditions. There was variability in methodological approaches across settings and disease conditions. The most effective interventions were tailored to individual patient needs, used multiple components to improve self-management outcomes, and often used multidisciplinary approaches. Conclusions-This synthesis of evidence expands the base of knowledge related to the development of patient selfmanagement skills and provides direction for more rigorous research. Recommendations are provided to guide the implementation of therapeutic patient education in clinical practice and the design of comprehensive self-management interventions to improve outcomes for cardiovascular patients. (Circ Cardiovasc Qual Outcomes. 2017;10:e000025.
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