Interventions for improving health literacy in people with chronic kidney disease

Campbell, Zoé; Dawson, Joseph; Kirkendall, Suzanne; McCaffery, Kirsten; Jansen, Jesse; Campbell, Katrina L.; Lee, Vincent; Webster, Angela C

doi:10.1002/14651858.cd012026.pub2

Cited by 14 publications

(6 citation statements)

References 279 publications

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“…A growing literature in the developing field of health literacy continues to demonstrate the effectiveness of interventions regarding behaviours that can ultimately decrease disease burden [ 48 , 49 ]. However, two recently published systematic literature reviews highlighted that the proportion of studies reporting on interventions aimed at improving health literacy in chronic conditions remains low, despite a rapid increase in the number of publications on this health determinant [ 50 , 51 ]. Since health literacy is a multifaceted and complex issue, a global approach may be necessary to effectively tackle its many challenges.…”

Section: Discussionmentioning

confidence: 99%

Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland

et al. 2023

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Background Health literacy is the ability to find, understand, assess, and apply health information. Individuals suffering from multiple chronic conditions have complex healthcare needs that may challenge their health literacy skills. This study aimed to investigate the relationship between multimorbidity, the number of chronic conditions, and health literacy levels in a sample of adults aged 58+ in Switzerland. Methods We used data from 1,615 respondents to a paper-and-pencil questionnaire administered as part of wave 8 (2019/2020) of the Survey of Health, Ageing and Retirement in Europe (SHARE) in Switzerland. Health literacy was measured using the short version of the European Health Literacy Survey questionnaire. The final score ranged from 0 to 16 and was categorised into three health literacy levels: inadequate (0–8), problematic (9–12), and sufficient (13–16). The number of chronic conditions was self-reported based on a pre-defined list. Associations were examined using multivariable ordinary least squares and ordered probit regression models, controlling for key socio-demographic characteristics. Results Overall, 63.5% of respondents reported having at least one chronic condition. Respondents who reported one, two, and three or more chronic conditions were more likely to have lower health literacy scores compared to respondents who did not report any chronic condition (p<0.05, p<0.01, and p<0.001, respectively). Suffering from two and three or more chronic conditions (vs. no chronic condition) was significantly associated with a higher likelihood of having inadequate or problematic health literacy levels (both p-values <0.01). Conclusions Our findings suggest a need to improve health literacy in older adults suffering from chronic conditions. Improved health literacy could constitute a promising lever to empower individuals to better self-manage their health to ultimately reduce the double burden of chronic diseases and insufficient health literacy in this vulnerable population.

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Section: Discussionmentioning

confidence: 99%

Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland

et al. 2023

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“…Effective interventions to enhance health literacy to achieve better outcomes in chronic kidney disease management are very broad and include educational interventions, self-management interventions and educational with self-management interventions. However, the review reported a lack of studies targeting a population with poor health literacy [35] Further research into interventions aimed at older adults with low health literacy and hemodialysis are needed. Some limitations should be considered such as a cross-sectional design, a convenience sample, and selfreport for measurements.…”

Section: Discussionmentioning

confidence: 99%

Health literacy in older adults receiving hemodialysis in Turkey: A cross‐sectional study

Uğurlu,

Kav,

Eler

et al. 2024

Ther Apher Dial

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IntroductionThis study aimed to determine the health literacy level and related factors of older adults receiving hemodialysis treatment.MethodsA cross‐sectional study was conducted at the five dialysis centers, using the information form and Turkish Health Literacy Survey‐32 (THLS‐32). A total of 336 older adults receiving hemodialysis treatment participated.ResultsThe general health literacy score was found to be 25.69 ± 14.47. Based on the health literacy assessment scores, 62.5% of the participants were in the category of inadequate and limited level of health literacy. The lower level of education, perceived health status, income, and getting help in reading and writing were statistically significant predictors of the health literacy score.ConclusionThe health literacy of older adults receiving hemodialysis treatment was inadequate and limited. Findings of this study emphasize the importance of integrating health literacy assessment in clinical care settings and supporting the health literacy of older adults receiving hemodialysis treatment.

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“…Health literacy interventions aimed at improving patients’ self-management knowledge and ability could be incredibly useful in patients with CKD at both the early and end stages. A Cochrane systematic review protocol suggested that health literacy interventions aim to mitigate the effects of low health literacy; facilitate literacy skill building; and improve knowledge about disease and treatment, self-care, and comprehension skills [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

User Evaluation of a Chat-Based Instant Messaging Support Health Education Program for Patients With Chronic Kidney Disease: Preliminary Findings of a Formative Study

Chen¹,

Huang²,

Fan³

et al. 2023

JMIR Form Res

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Background Artificial intelligence–driven chatbots are increasingly being used in health care, but few chat-based instant messaging support health education programs are designed for patients with chronic kidney disease (CKD) to evaluate their effectiveness. In addition, limited research exists on the usage of chat-based programs among patients with CKD, particularly those that integrate a chatbot aimed at enhancing the communication ability and disease-specific knowledge of patients. Objective The objective of this formative study is to gather the data necessary to develop an intervention program of chat-based instant messaging support health education for patients with CKD. Participants’ user experiences will form the basis for program design improvements. Methods Data were collected from April to November 2020 using a structured questionnaire. A pre-post design was used, and a total of 60 patients consented to join the 3-month program. Among them, 55 successfully completed the study measurements. The System Usability Scale was used for participant evaluations of the usability of the chat-based program. Results Paired t tests revealed significant differences before and after intervention for communicative literacy (t54=3.99; P<.001) and CKD-specific disease knowledge (t54=7.54; P<.001). Within disease knowledge, significant differences were observed in the aspects of CKD basic knowledge (t54=3.46; P=.001), lifestyle (t54=3.83; P=.001), dietary intake (t54=5.51; P<.001), and medication (t54=4.17; P=.001). However, no significant difference was found in the aspect of disease prevention. Subgroup analysis revealed that while the findings among male participants were similar to those of the main sample, this was not the case among female participants. Conclusions The findings reveal that a chat-based instant messaging support health education program may be effective for middle-aged and older patients with CKD. The use of a chat-based program with multiple promoting approaches is promising, and users’ evaluation is satisfactory. Trial Registration ClinicalTrials.gov NCT05665517; https://clinicaltrials.gov/study/NCT05665517

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Interventions for improving health literacy in people with chronic kidney disease

Abstract: Interventions for improving health literacy in people with chronic kidney disease.

Cited by 14 publications

References 279 publications

Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland

Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland

Health literacy in older adults receiving hemodialysis in Turkey: A cross‐sectional study

User Evaluation of a Chat-Based Instant Messaging Support Health Education Program for Patients With Chronic Kidney Disease: Preliminary Findings of a Formative Study

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