Assessing health literacy in safety net primary care practices

McCune, Renee L.; Lee, Hyunhwa; Pohl, Joanne M.

doi:10.1016/j.apnr.2015.04.004

Cited by 17 publications

(18 citation statements)

References 11 publications

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“…Nevertheless, successful health communication involves relationship management and persuasion, in turn reliant on trust, to frame discussions of diagnostic treatment if women are to acquiesce to testing and treatment. These relational aspects of health literacy may be overlooked by busy practitioners and yet are vital in enhancing health literacy (McCune, Lee, & Pohl, ). Given the links between obesity and endometrial cancer, it is essential that clinicians are skilful in communicating health advice (Kirk et al., ).…”

Section: Discussionmentioning

confidence: 99%

Exploring communication during the journey from noticing bodily changes to a diagnosis of endometrial cancer

Cook

Brunton

Pukepuke

et al. 2017

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Exploring communication during the journey from noticing bodily changes to a diagnosis of endometrial cancer

Cook

Brunton

Pukepuke

et al. 2017

Journal of Clinical Nursing

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“…The NVS is easily administered in 3 minutes and is a research tool that uses a patient’s ability to read and analyze a nutritional label to test prose literacy, numeracy, and document literacy (10). The NVS scores range from 0 to 6, with higher scores (≥4) associated with adequate health literacy (11). At baseline, all study participants were asked whether they currently use SMBG.…”

Section: Methodsmentioning

confidence: 99%

Health Literacy, Glycemic Control, and Physician-Advised Glucose Self-Monitoring Use in Type 2 Diabetes

et al. 2018

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Objective.To measure the association between health literacy and both patient-reported and clinical outcomes in patients with non–insulin-treated type 2 diabetes.Research Design and Methods.We surveyed patients with non–insulin-treated type 2 diabetes (n = 448) from 15 primary care practices. The association between health literacy and patient-reported and clinical outcomes, including numeracy of self-monitoring of blood glucose (SMBG) use, how often physicians advised patients to conduct SMBG testing, and glycemic control (as measured by A1C), was investigated.Results.Study participants included 448 patients with non–insulin-treated type 2 diabetes located within central North Carolina. Participants with limited health literacy had poorer glycemic control (A1C 7.7 ± 1.1% vs. 7.5 ± 1.0%, P = 0.016) despite using SMBG testing more frequently (daily SMBG testing 49.3 vs. 30.7%, P = 0.001) compared to individuals with adequate health literacy. The difference in how often physicians advised patients to conduct SMBG testing between limited and adequate health literacy groups was not significant (P = 0.68).Conclusion.Limited health literacy was associated with poorer glycemic control and an increased frequency of SMBG testing in patients with non–insulin-treated type 2 diabetes. There was no significant difference in how often physicians advised patients to conduct SMBG testing between patients with limited and adequate health literacy.

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“…The NVS is efficient to administer in primary care practices while maintaining work flow. 29 It has been used to measure medication health literacy, 20, 30 and has demonstrated high sensitivity across population. 31, 32 Particularly, the NVS has been recommended as a more sensitive measure of caregiver health literacy.…”

Section: Introductionmentioning

confidence: 99%

Health literacy and its correlates in informal caregivers of adults with memory loss

et al. 2018

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This secondary analysis examined health literacy among informal caregivers of community-dwelling older adults with memory loss and assessed correlates of caregiver health literacy using the Abilities, Skills and Knowledge Model. Caregiver health literacy (n = 91) was assessed by the Newest Vital Sign. Limited health literacy presented in 38.5% caregivers, with significantly low document literacy. Health literacy was associated bivariately with age, education, global cognitive function, executive function, and working memory (all ps < 0.001), as well as medication knowledge (p = 0.015). Hierarchical regression analyses revealed that older age (p = 0.017), and lower global cognitive function (p < 0.001), working memory (p = 0.001), and academic skills (years of education) (p = 0.004), independently predicted lower health literacy (R = 0.54). Medication knowledge, however, was not found to be an independent predictor in the model. Findings suggest limited health literacy is a potential issue among informal caregivers of adults with memory loss. Appropriate assessment and personalized support are needed for informal caregivers who are at high risk for poor health literacy.

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Assessing health literacy in safety net primary care practices

Cited by 17 publications

References 11 publications

Exploring communication during the journey from noticing bodily changes to a diagnosis of endometrial cancer

Exploring communication during the journey from noticing bodily changes to a diagnosis of endometrial cancer

Health Literacy, Glycemic Control, and Physician-Advised Glucose Self-Monitoring Use in Type 2 Diabetes

Health literacy and its correlates in informal caregivers of adults with memory loss

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