Effect of a community-based participatory health literacy program on health behaviors and health empowerment among community-dwelling older adults: A quasi-experimental study

Lin, Sz-Ching; Chen, I-Ju; Yu, Wen-Ry; Lee, Shoou Yih D.; Tsai, Tzu-I

doi:10.1016/j.gerinurse.2019.03.013

Cited by 28 publications

(28 citation statements)

References 58 publications

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“…Regarding the international setting related to functional health literacy, it is worth mentioning that this literacy is known to be important in several aspects of health promotion and diseases treatment. Thus, functional inadequate health literacy is associated with a lower level of physical activity, lower fruit and vegetable consumption, poor adherence to drug treatment, poorer chronic diseases control, worse postoperative evolution, higher health care costs, and higher mortality, including in the elderly (7)(8)(9)(10) .…”

Section: Introductionmentioning

confidence: 99%

Functional health literacy in hypertensive elders at primary health care

Costa

Nakano

et al. 2019

Rev. Bras. Enferm.

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Objective: to assess the relationship between inadequate functional health literacy and inadequate blood pressure control in older people with hypertension in Primary Health Care. Method: a cross-sectional study with sample calculated at 392. SAHLPA-18 tool was used for functional health literacy; blood pressure was measured; sociodemographic and clinical data were collected. Hierarchical logistic regression was used. Results: (high) inadequate blood pressure and (low) functional inadequate health literacy were present in 41.6% and 54.6% of the people, respectively. Factors associated with inadequate blood pressure were: inadequate functional health literacy, black-brown skin color, overweight-obesity, hypertension diagnosis time, non-adherence to exercise/diet, drug treatment. Schooling had no association with inadequate blood pressure Conclusion: hypertensive elderly people with inadequate health literacy were more likely to have inadequate blood pressure. Thus, health professionals need to value functional health literacy as a possible component to control blood pressure.

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Section: Introductionmentioning

confidence: 99%

Functional health literacy in hypertensive elders at primary health care

Costa

Nakano

et al. 2019

Rev. Bras. Enferm.

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“…Examples of papers in Information Science reporting on intergenerational research include Bratianu and Leon (2015), Harvey (2012), Henner (2009) and Large et al (2006). Lin et al (2019) is one of few examples reporting on a community-based participatory health literacy programme for older adultsbut does not include the intergenerational element. Rubin (1999) published a biographical paper on intergenerational library programmes.…”

Section: Application Of the Applied Information Flow-serendipitous Knmentioning

confidence: 99%

Innovative methods in health information behaviour research

Fourie

Julien

2019

AJIM

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“…"people's knowledge, motivation and competencies to access, understand, appraise, and apply health information in order to make judgments and take decisions in everyday life concerning healthcare, disease prevention and health promotion to maintain or improve quality of life during the life course." [1, p. 3] Understood in this way, HL may be a key factor in how people manage their health [2]. Since the level of HL will vary across individuals in a population; it might be one factor contributing to unequal access to health services, and inequalities in health outcomes [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Like literacy in general, HL is thought to be a learned skill [6], and it is positively associated with level of education in many studies [5]. A systematic review aimed at establishing the efficacy of interventions to improve health literacy and health behavior, concluded that HL interventions hold potential to combat health inequalities [2,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Of the studies that have investigated HL and family carers, some have found that increased HL among family carers' improves knowledge about existing health services and the importance of keeping up to date about services [9], and improves communication with health personnel [10]. Higher levels of HL have also been associated with better access to carer support services [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Is health literacy of family carers associated with carer burden, quality of life, and time spent on informal care for older persons living with dementia?

2020

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Introduction Family carers are cornerstones in the care of older people living with dementia. Family carers report extensive carer burden, reduced health-related quality of life (HRQoL), and extensive time spent on informal care (Time). Health literacy (HL) is a concept associated with people’s ability to access health services, and navigate the healthcare system. This study’s aim was to investigate HL among family carers, and investigate the associations between HL and carer burden, HRQoL, and Time spent on informal care. Method We designed a self-administered survey comprising validated instruments, including the Health Literacy Scale (HLS-N-Q12) to measure HL, Relative Stress Scale (RSS) to measure carer burden, the EQ-5D-5L instrument to measure HRQoL, and some modified questions from the Resource Utilization in Dementia (RUD) questionnaire to measure time spent on informal care (Time). Descriptive analysis in addition to bivariate and multiple linear regressions were undertaken. In multiple linear regression analysis, we used HL as the independent variable to predict the outcomes (carer burden, HRQoL, Time). Analyses were adjusted for the effects of explanatory independent variables: age, gender, education levels, urban residency, having worked as health personnel, caring for someone with severe/mild dementia, and being born abroad. Findings In a non-probability sample of 188 family carers from across Norway, most of them female and over the age of 60, we found high levels of HL. In the bivariate analysis, carer burden and HRQoL (EQvalue) showed significant associations with HL. In the multiple regression analyses, HL was statistically significantly associated with carer burden (B = -0.18 CI:-0.33,-0.02 p = 0.02), HRQoL (EQvalue: B = 0.003 with 95% CI: 0.001, 0.006 p = 0.04), and Time (B = -0.03 with 95% CI: -0.06, 0.000, p = 0.046), after adjusting for the effect of independent variables. Conclusion This is one of the first studies to investigate the associations between HL and different outcomes for family carers of older people living with dementia. Additional research into the associations identified here is needed to further develop our understanding of how to support family carers in their roles. Targeted support that increases family carers’ HL may have potential to enhance their ability to provide sustainable care over time.

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Effect of a community-based participatory health literacy program on health behaviors and health empowerment among community-dwelling older adults: A quasi-experimental study

Cited by 28 publications

References 58 publications

Functional health literacy in hypertensive elders at primary health care

Functional health literacy in hypertensive elders at primary health care

Innovative methods in health information behaviour research

Is health literacy of family carers associated with carer burden, quality of life, and time spent on informal care for older persons living with dementia?

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