The roles of health literacy and social support in improving adherence to self‐care behaviours among older adults with heart failure

Jo, Ahara; Seo, Eun Ji; Son, Youn‐Jung

doi:10.1002/nop2.599

Cited by 36 publications

(42 citation statements)

References 45 publications

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“…Given the links between health literacy and self-care, health literacy also has a justified place in this problem. A higher health literacy is significantly correlated with greater self-care behavior ( 76 , 77 ). In addition, health literacy is considered a mediating variable between depression and self-care ( 57 ).…”

Section: Discussionmentioning

confidence: 99%

The Role of Self-Care Activities (SASS-14) in Depression (PHQ-9): Evidence From Slovakia During the COVID-19 Pandemic

Gavurová

Popesko

Ivanková

et al. 2022

Front. Public Health

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In the ongoing situation, when the world is dominated by coronavirus disease 2019 (COVID-19), the development of self-care programs appears to be insufficient, while their role in mental health may be crucial. The aim of the study was to evaluate the associations between self-care activities and depression in the general Slovak population, but also in its individual gender and age categories. This was achieved by validating the self-care screening instrument, assessing differences, and evaluating the associations using quantile regression analysis. The final research sample consisted of 806 participants [males: 314 (39%), females: 492 (61%)] and data were collected through an online questionnaire from February 12, 2021 to February 23, 2021. Patient Health Questionnaire (PHQ-9) for depression (α = 0.89) and Self-Care Activities Screening Scale (SASS-14) [health consciousness (HC) (α = 0.82), nutrition and physical activity (NPA) (α = 0.75), sleep quality (SLP) (α = 0.82), and interpersonal and intrapersonal coping strategies (IICS) (α = 0.58)] were used as screening measures. Mild depressive symptoms were found in 229 participants (28.41%), moderate depressive symptoms in 154 participants (19.11%), moderately severe depressive symptoms in 60 participants (7.44%) and severe depressive symptoms in 43 participants (5.33%). The main findings revealed the fact that individual self-care activities were associated with depression. This supported the idea that well-practiced self-care activities should be an immediate part of an individual's life in order to reduce depressive symptoms. Sleep quality played an important role, while HC indicated the need for increased attention. Other dimensions of self-care also showed significant results that should not be overlooked. In terms of depression, females and younger individuals need targeted interventions. The supportive educational intervention developed based on the self-care theory can help manage and maintain mental health during a stressful period, such as the COVID-19 pandemic. Health policy leaders should focus on health-promoting preventive self-care interventions, as the demand for them increases even more during the pandemic.

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Section: Discussionmentioning

confidence: 99%

The Role of Self-Care Activities (SASS-14) in Depression (PHQ-9): Evidence From Slovakia During the COVID-19 Pandemic

Gavurová

Popesko

Ivanková

et al. 2022

Front. Public Health

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“…As a person-centred process, there is a clear need for cardiac rehabilitation to consider health literacy barriers and profiles to better target the provision of services to meet patient’s needs [ 44 , 45 , 46 ]. The HLQ benefits this process by identifying distinct clusters with different patterns of health literacy strengths and weaknesses.…”

Section: Discussionmentioning

confidence: 99%

Health Literacy for Cardiac Rehabilitation: An Examination of Associated Illness Perceptions, Self-Efficacy, Motivation and Physical Activity

Walters

Leslie

Sixsmith

et al. 2020

IJERPH

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Following a diagnosis of cardiovascular disease there is a need for patients to self-manage. Health literacy has been shown to be lower in patients with cardiovascular disease, yet research into health literacy in this population is limited. This study used the Health Literacy Questionnaire (HLQ) to examine the health literacy and associated health, health behaviours and psychological profiles of cardiac rehabilitation patients from a remote and rural regional programme in the Scottish Highlands. Consecutive patients referred to the service in a calendar year were sent a cross-sectional questionnaire by post. Hierarchical cluster analysis grouped respondents based on their health literacy profile, and nonparametric methods were used to analyse differences between clusters on the other measures. A total of 282 participants responded (45.7%). Respondents were older (median: 71 years) and more likely to be from more affluent areas. Five health literacy clusters emerged with different profiles of health, physical activity, self-efficacy, motivation and illness perceptions. There was no difference in relation to cardiac rehabilitation attendance by health literacy cluster, but those with lower health literacy were less likely to be aware of the referral. Patterns of health literacy are associated with health, health behaviours and some psychological constructs. Knowledge of distinct cluster characteristics may help services better target interventions.

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“…"( 9) We decided to use this single-question self-report health literacy item as it has been validated against sentence-completion and vocabulary-based direct health literacy measures in English and Spanish. (9,10) In addition, it has been used in multiple studies (13)(14)(15) instead of burdensome healthy literacy testing.…”

Section: Variablesmentioning

confidence: 99%

Exploring Factors Associated With Hepatitis B Screening Among a Multilingual and Diverse Population

Chu¹,

Nguyen²,

Rivadeneira³

et al. 2021

Preprint

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Background: Racial/ethnic minorities bear a disproportionate burden of hepatitis B virus (HBV) infection and disease. Disparities in HBV screening contribute to worse outcomes for communities of color. We examined the impact of race/ethnicity, language preference, and having a usual place of care on HBV screening in a multilingual, urban cohort. Methods: We used questions from the Health Information National Trends Survey and added validated questions about healthcare access and health literacy. We administered this survey in English, Spanish, and Chinese to a selected convenience sample of San Francisco city/county residents in 2017, with pre-specified targets for populations with known cancer disparities: 25% Spanish-speaking, 25% Chinese- speaking, and 25% African Americans. Using weighted multivariable logistic regression analyses, we assessed how race/ethnicity, language preference, and having a usual place of care impacts self-report of HBV screening. Results: Overall, 1,027 participants completed the survey (50% of surveys administered in English, 25% in Spanish, and 25% in Chinese). Only 50% of participants reported HBV screening. In multivariable analysis, Black (OR=0.20, 95% CI 0.08-0.49), Latinx (OR=0.33, 95% CI 0.13-0.85), Asian (OR=0.31, 95% CI 0.10, 0.94), and ‘Other’ race/ethnicity (OR=0.17, 95% CI 0.05-0.53) respondents had lower odds of HBV screening compared to non-Hispanic White respondents. Participants who had insurance had increased odds of HBV screening (OR=2.70, 95% CI 1.48-4.93).Conclusions: HBV screening disparities persist for African Americans, Asian Americans, Latinx, and the uninsured. Future studies should explore reasons why current strategies have not been implemented or are not successful, particularly in addressing racial/ethnic and insurance disparities.

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The roles of health literacy and social support in improving adherence to self‐care behaviours among older adults with heart failure

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Cited by 36 publications

References 45 publications

The Role of Self-Care Activities (SASS-14) in Depression (PHQ-9): Evidence From Slovakia During the COVID-19 Pandemic

The Role of Self-Care Activities (SASS-14) in Depression (PHQ-9): Evidence From Slovakia During the COVID-19 Pandemic

Health Literacy for Cardiac Rehabilitation: An Examination of Associated Illness Perceptions, Self-Efficacy, Motivation and Physical Activity

Exploring Factors Associated With Hepatitis B Screening Among a Multilingual and Diverse Population

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