Association of Numeracy and Diabetes Control

Cavanaugh, Kerri L.; Huizinga, Mary Margaret; Wallston, Kenneth A.; Gebretsadik, Tebeb; Shintani, Ayumi; Davis, Dianne; Gregory, Rebecca; Fuchs, Lynn S.; Malone, Robb; Cherrington, Andrea; Pignone, Michael; DeWalt, Darren A.; Elasy, Tom A.; Rothman, Russell L.

doi:10.7326/0003-4819-148-10-200805200-00006

Cited by 359 publications

(383 citation statements)

References 25 publications

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“…Health numeracy refers to 'the degree to which individuals have the capacity to access, process, interpret, communicate, and act on numerical, quantitative, graphical, biostatistical, and probabilistic health information needed to make effective health decisions' [9]. Patients with a low level of numeracy have a lower ability to perform a number of tasks required for their treatment, such as carbohydrate counting, identification of self-monitored blood glucose values within the target range and adjustment of insulin doses [10].…”

Section: In Hismentioning

confidence: 99%

Linguistic barriers in diabetes care

Réach

2009

Diabetologia

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For a message to be conveyed successfully, both the words (translation step) and the meaning (interpretation step) of what is said need to be understood. This holds true even when the patient and healthcare provider speak the same language, in that the message can be lost if the patient is unable to put it into context. Linguistic barriers can pose major problems. Patient education needs to avoid jargon, and when introducing a new concept to the patient, the healthcare provider needs to check that it is understood.

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Section: In Hismentioning

confidence: 99%

Linguistic barriers in diabetes care

Réach

2009

Diabetologia

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“…Data in adults with diabetes has found that low health literacy has been associated with less diabetes knowledge (DeWalt, Boone, & Pignone, 2007) poorer diabetes selfcare (Cavanaugh et al, 2008), worse diabetes control (Powell, Hill, & Clancy, 2007) and a 2-fold increase in retinopathy complication (Schillinger et al, 2002).…”

Section: Association Of Health Literacy and Health Outcomesmentioning

confidence: 99%

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Howe

Cipher

LeFlore

et al. 2015

Journal of Health Communication

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“…16,17 More research is emerging, which demonstrates that one's cognitive abilities, as measured by executive functioning (i.e., the ability to regulate behavior, metacognition, and cognitive autonomy) also play a role in successful diabetes self-care, beyond the influence of youth age. 16,18 Diabetes numeracy, the numerical skills needed to complete diabetes self-management tasks, has also been found to be related to improved diabetes knowledge, self-efficacy, and glycemic control in adults, 19 yet this body of research needs to be extended to youth with type 1 diabetes.…”

Section: Individualmentioning

confidence: 99%

Behavioral Factors Influencing Health Outcomes in Youth with Type 1 Diabetes

Kichler¹,

Moss²,

Kaugars³

2012

US Endocrinology

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Adherence to medical regimen is often identified as a hallmark modifiable factor that impacts health outcomes for those with chronic medical illnesses. Rapoff suggests that adherence to medical regimens is estimated to be between 50-55 % for all chronically ill patients. 1 He describes a number of patient and family (e.g., demographic, adjustment/coping, family involvement), disease-and regimen-related correlates to adherence; however, correlates do not imply causation and should be interpreted cautiously.1 Researchers have rated non-adherence rates to be between 20 to 93 % 1-3 for youth with type 1 diabetes and have found that adherence is widely accepted as related to diabetes control. 4In a recent review article, Modi et al. make a distinction between two constructs: self-management (i.e., the interactions of health behaviors and related processes that patients and families engage in to carefor chronic medical conditions) and adherence (i.e., the extent to which a person's behavior coincides with medical or health advice). 5 In their Pediatric Self-Management Model, self-management influences adherence, which then affects outcomes, including health outcomes. The authors also suggest that there may be certain self-management factors that impact outcomes without the mediating role of adherence in pediatric conditions. 5This present review article will focus on the first two of three stages in the Pediatric Self-Management Model, self-management and adherence, to discuss the behavioral factors that may influence health outcomes for youth with type 1 diabetes during adolescence (see Figure 1). Findings from individual, family, peer, and group therapy interventions that have targeted these behavioral factors in order to improve health outcomes will then be outlined. Self-managementModi et al. describe the construct of self-management as having three components. 5 The first component is self-management behaviors, which are the actual behaviors performed by the youth and/or family in order to care for a chronic medical illness. Secondly, there are contextual variables, which are four systems that impact how the self-management behaviors occur. These include individual, family, community, and healthcare domains. Finally, there are processes that link the self-management behaviors with the contextual systems.These processes include individuals' cognitive, emotional, and social perceptions. Three components of self-management, self-management behaviors, contextual variables, and processes as they relate to youth with type 1 diabetes, will be reviewed below (see Table 1). Self-management BehaviorsSelf-management behaviors, defined as examples of the 'neutral'behaviors that are employed to help manage a chronic medical illness, have been widely examined in youth with type 1 diabetes.Some examples of self-management behaviors that researchers have repeatedly identified as relevant to the management of diabetes are parental involvement and collaboration, the division of diabetes responsibility in the family and subsequent ...

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Association of Numeracy and Diabetes Control

Abstract: Poor numeracy skills were common in patients with diabetes. Low diabetes-related numeracy skills were associated with worse perceived self-efficacy, fewer self-management behaviors, and possibly poorer glycemic control.

Cited by 359 publications

References 25 publications

Linguistic barriers in diabetes care

Linguistic barriers in diabetes care

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Behavioral Factors Influencing Health Outcomes in Youth with Type 1 Diabetes

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