Health literacy and adherence to treatment of patients with heart failure

Oscalices, Monica Isabelle Lopes; Okuno, Meiry Fernanda Pinto; Lopes, Maria Carolina Barbosa Teixeira; Batista, Ruth Ester Assayag; Campanharo, Cássia Regina Vancini

doi:10.1590/s1980-220x2017039803447

Cited by 55 publications

(81 citation statements)

References 25 publications

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“…Determinants such as "educational or academic level" have also been directly related to HL level in several studies in heart failure patients conducted between 2014 and 2019 [33,40,41], indicating that academic achievements could explain about 60% of HL [33]. These results coincide with the data obtained in our study, where the level of education was significant for all dimensions of HL.…”

Section: Discussionsupporting

confidence: 91%

Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease

Cabellos-García

Castro-Sánchez

Martínez-Sabater

et al. 2020

IJERPH

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Background: Health literacy (HL) has been linked to empowerment, use of health services, and equity. Evaluating HL in people with cardiovascular health problems would facilitate the development of suitable health strategies care and reduce inequity. Aim: To investigate the relationship between different dimensions that make up HL and social determinants in patients with cardiovascular disease. Methods: Observational, descriptive, cross-sectional study in patients with cardiovascular disease, aged 50–85 years, accessing primary care services in Valencia (Spain) in 2018–2019. The Health Literacy Questionnaire was used. Results: 252 patients. Age was significantly related with the ability to participate with healthcare providers (p = 0.043), ability to find information (p = 0.022), and understanding information correctly to know what to do (p = 0.046). Level of education was significant for all HL dimensions. Patients without studies scored lower in all dimensions. The low- versus middle-class social relationship showed significant results in all dimensions. Conclusions: In patients with cardiovascular disease, level of education and social class were social determinants associated with HL scores. Whilst interventions at individual level might address some HL deficits, inequities in access to cardiovascular care and health outcomes would remain unjustly balanced unless structural determinants of HL are taken into account.

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Section: Discussionsupporting

confidence: 91%

Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease

Cabellos-García

Castro-Sánchez

Martínez-Sabater

et al. 2020

IJERPH

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“…Using a standardized questionnaire to evaluate the health literacy helped to correct the underestimation of the education level self-reported by the patients. It is well known that inadequate health literacy can be a barrier to self-reported and treatment of diseases, therefore health professionals must adopt strategies to minimize these effects that can be harmful to the health due to inadequate literacy 33 , 34 .…”

Section: Discussionmentioning

confidence: 99%

Cohort profile update: the main and new findings from the SaMi-Trop Chagas cohort

Oliveira

Cardoso

Baldoni

et al. 2021

Rev. Inst. Med. trop. S. Paulo

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The SaMi-Trop project is a cohort study conducted in 21 municipalities of endemic areas of Chagas disease, including 1,959 patients with chronic Chagas cardiomyopathy. In this article we updated the results of the project, adding information from the second cohort visit. Trypanosoma cruzi- seropositive patients were enrolled from the primary care Telehealth service in Minas Gerais State, Brazil. The eligibility criterium for the second visit was the participation in the baseline evaluation. Of 1,959 participants at the baseline assessment, 1,585 (79.9%) returned after two years for the second evaluation. The mortality rate was 6.7%, but varied from 0.9% to 18.2% when it was stratified by certain clinical characteristics. A lower age-adjusted NT-Pro-BNP level (less than 300) and a prior benznidazole treatment were associated with lower mortality. There was an improvement in most quality of life domain scores. Participants have also reported fewer signs and symptoms and greater use of medication. The second follow-up visit will be complete in Oct 2021.

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“…The four-item Morisky Green Test (Morisky Medication Adherence Scale - MMAS-4) was developed in 1986 ( 14 ) and is one of the most often used in Brazil ( 7 , 15 - 17 ) for the indirect measurement of pharmacological adherence behavior. It consists of four questions with dichotomous answers (yes/no).…”

Section: Methodsmentioning

confidence: 99%

Prevalence of pharmacological adherence in patients with coronary artery disease and associated factors

Padilha

Santos

Lopes

et al. 2021

Rev. Latino-Am. Enfermagem

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Objective: to assess the prevalence of pharmacological adherence in patients with coronary artery disease and to identify factors associated with adherence. Method: a crosssectional, correlational study, including 198 patients with a previous diagnosis of coronary artery disease. Pharmacological adherence was assessed by the four-item Morisky Green test, and the factors that potentially interfere with adherence were considered independent variables. The association between the variables was determined by the Cox model, with a 5% significance level. Results: 43% of the patients adhered to the treatment. Fatigue and palpitation, never having consumed alcohol and being served by medical insurance were associated with adherence. Lack of adherence was associated with considering the treatment complex, consumption of alcohol and being served by the public health care system. In the multiple analysis, the patients with fatigue and palpitations had a prevalence of adherence around three times higher and alcohol consumption was associated with a 2.88 times greater chance of non-adherence. Conclusion: more than half of the patients were classified as non-adherent. Interventions can be directed to some factors associated with lack of adherence.

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Health literacy and adherence to treatment of patients with heart failure

Cited by 55 publications

References 25 publications

Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease

Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease

Cohort profile update: the main and new findings from the SaMi-Trop Chagas cohort

Prevalence of pharmacological adherence in patients with coronary artery disease and associated factors

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