Health literacy is independently associated with self-care behavior in patients with heart failure

Matsuoka, Satoshi; Tsuchihashi-Makaya, Miyuki; Kayane, Takahiro; Yamada, Michiyo; Wakabayashi, Rumi; Kato, Naoko; Yazawa, Miyuki

doi:10.1016/j.pec.2016.01.003

Cited by 97 publications

(81 citation statements)

References 37 publications

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“…To gain sufficient experience and skill, patients need to understand the advice and instructions related to their self-care behavior and understand health information. In several recent studies, it has been confirmed that health literacy is independently associated with self-care behavior as found in studies in different populations and subpopulations [8, 9]. …”

Section: Experience and Skillsmentioning

confidence: 71%

Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update

Jaarsma

Cameron

Riegel

et al. 2017

Curr Heart Fail Rep

190

177

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Purpose of the ReviewAs described in the theory of self-care in chronic illness, there is a wide range of factors that can influence self-care behavior. The purpose of this paper is to summarize the recent heart failure literature on these related factors in order to provide an overview on which factors might be suitable to be considered to make self-care interventions more successful.Recent FindingsRecent studies in heart failure patients confirm that factors described in the theory of self-care of chronic illness are relevant for heart failure patients.SummaryExperiences and skills, motivation, habits, cultural beliefs and values, functional and cognitive abilities, confidence, and support and access to care are all important to consider when developing or improving interventions for patients with heart failure and their families. Additional personal and contextual factors that might influence self-care need to be explored and included in future studies and theory development efforts.

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Section: Experience and Skillsmentioning

confidence: 71%

Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update

Jaarsma

Cameron

Riegel

et al. 2017

Curr Heart Fail Rep

190

177

View full text Add to dashboard Cite

show abstract

“…Health literacy is defined as is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions . Not surprisingly, limited health literacy is associated with poorer health, less efficient use of health care services, and higher mortality . Mere counseling by a doctor will not help spur change in the patient with poor health literacy.…”

Section: Recall Bias Poor Health Literacy and Behaviour Modificationsmentioning

confidence: 99%

“…22 Not surprisingly, limited health literacy is associated with poorer health, less efficient use of health care services, and higher mortality. [23][24][25][26][27] Mere counseling by a doctor will not help spur change in the patient with poor health literacy. These individuals need strategies, such as a focus on "need-toknow" and "need-to-do" use of teach-back methods and using clearly written educational materials.…”

Section: Rec Allb Ia S P Oorhe Alth Liter Ac Yandb Ehavi Our Modimentioning

confidence: 99%

Towards better blood pressure: Do non‐pharmacological strategies provide the right path?

Hiremath

2018

J of Clinical Hypertension

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A scene like this plays out many times every day: A patient with newly diagnosed hypertension, confirmed with out-of-office readings, is seen in the clinic. What happens next depends on the patient, the doctor, and other less understood dynamics of that interaction. In most settings, the patient walks out with a plan to change their lifestyle, a prescription for a pill, or sometimes both. On one hand, most individuals demonstrate significant pill disutility, defined as the longevity gain desired by an individual to offset the inconvenience of taking a preventative tablet for life.1 This can vary considerably, ranging from >1 month for about twothirds of patients, to 12% demonstrating extreme pill disutility (bordering on pill hatred), 2 actually desiring ≥10 year increased life expectancy before taking any new medication. 1 On the other hand, undoubtedly, giving a prescription for a medication is a much faster and easier option for the physician. Data from a large health maintenance organization, which has achieved an enviable 85% hypertension control, demonstrate that the path to lower blood pressure does go through optimal pharmacotherapy. 3 Additionally, a successful non-pharmacological strategy should take into account the patient motivation for lifestyle changes and the pieces needed for actual execution, not just counselling for eating less salt. The paper by Liu et al tackle the latter aspect, using data from the National Health and Nutrition Examination Survey (NHANES) 1999-2004 survey of the 4000 hypertensive patients who reported that a recommendation from their doctor for any 1 (or more) of 4 non-pharmacologic strategies (less sodium, less alcohol, more physical activity, or weight loss). 4 As expected, reducing sodium intake was the most common (68%) and alcohol reduction the most uncommon (26%)recommendation. The self-reported adoption rates of these strategies were very high (ranging from 59% to 87%), but despite this, almost half the patients (47%) still had uncontrolled hypertension.

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“…8,9 Low health literacy, which includes reading comprehension (or print literacy) in the health context, is associated with poor self-management of chronic diseases, including asthma. 10,11 Another health literacy component that contributes to self-management is numeracy, which includes basic arithmetic skills, in addition to health management tasks like timing medications and scheduling appointments. 12,13 Numeracy also includes higher level concepts like estimation, probability, problem-solving, understanding variability and error in measurement, and risk assessment.…”

Section: Introductionmentioning

confidence: 99%

A health care navigation tool assesses asthma self-management and health literacy

Perez

Morales

Klusaritz

et al. 2016

Journal of Allergy and Clinical Immunology

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BACKGROUND Self-management of moderate/severe asthma depends upon patients’ ability to: 1) navigate (access health care to obtain diagnoses and treatment), 2) use inhaled corticosteroids (ICS) properly, and 3) understand ICS function. OBJECTIVE To test whether navigation skills (medication recall, knowledge of copay requirements ability to provide information needed for a medical visit about a persistent cough unresponsive to medication), are related to other self-management skills and to health literacy. METHODS A 21-item Navigating Ability (NAV2) questionnaire was developed, validated, then read to adults with moderate/severe asthma. ICS technique was evaluated by scales derived from instructions in national guidelines; knowledge of ICS function by a validated 10-item questionnaire. Spearman correlation was computed between NAV2 score and these questionnaires and with numeracy (Asthma Numeracy Questionnaire) and print literacy (Short Test of Functional Health Literacy in Adults). RESULTS 250 adults participated: age 51±13 years, 72% female, 65% African-American, 10% Latino, 50% with less than $30,000 household income per year, 47% with no more than a 12th grade education, 29% experienced hospitalizations for asthma in the prior year. Higher NAV2 score was associated with correct ICS technique (ρ=0.24, p=0.0002), knowledge of ICS (ρ =0.35, p<0.001), better print literacy (ρ=0.44, p<0.001) and numeracy (ρ=0.41, p<0.001). CONCLUSIONS Patients with poor navigating ability are likely to have poor inhaler technique and limited understanding of ICS function, as well as limited numeracy and print literacy. Clinicians should consider these elements of self-management for their impact on asthma care and as a marker of more general health literacy deficits.

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Health literacy is independently associated with self-care behavior in patients with heart failure

Cited by 97 publications

References 37 publications

Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update

Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update

Towards better blood pressure: Do non‐pharmacological strategies provide the right path?

A health care navigation tool assesses asthma self-management and health literacy

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