Literacy and health outcomes

DeWalt, Darren A.; Berkman, Nancy D; Sheridan, Stacey; Lohr, Kathleen N; Pignone, Michael

doi:10.1111/j.1525-1497.2004.40153.x

Cited by 1,664 publications

(674 citation statements)

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“…In multivariable analyses, the association between health literacy and task performance was substantially reduced once fluid and crystallized cognitive abilities were entered into models (without cognitive abilities: β=−28.9, 95 % Confidence Interval (CI) - 31.4 T he relationship between adult literacy skills, health knowledge, behaviors, and clinical outcomes has been repeatedly investigated. [1][2][3] More than 500 research publications have demonstrated associations between crude measures of reading and numeracy skills with various healthrelated outcomes, including risk of hospitalization and mortality. [4][5][6] This has been the foundation for the field now known as 'health literacy' research.…”

Section: Objectivementioning

confidence: 99%

Literacy, Cognitive Function, and Health: Results of the LitCog Study

et al. 2012

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BACKGROUND: Emerging evidence suggests the relationship between health literacy and health outcomes could be explained by cognitive abilities. OBJECTIVE:To investigate to what degree cognitive skills explain associations between health literacy, performance on common health tasks, and functional health status. DESIGN: Two face-to-face, structured interviews spaced a week apart with three health literacy assessments and a comprehensive cognitive battery measuring 'fluid' abilities necessary to learn and apply new information, and 'crystallized' abilities such as background knowledge. SETTING: An academic general internal medicine practice and three federally qualified health centers in Chicago, Illinois. PATIENTS: Eight hundred and eighty-two Englishspeaking adults ages 55 to 74. MEASUREMENTS: Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine (REALM), Test of Functional Health Literacy in Adults (TOFHLA), and Newest Vital Sign (NVS). Performance on common health tasks were globally assessed and categorized as 1) comprehending print information, 2) recalling spoken information, 3) recalling multimedia information, 4) dosing and organizing medication, and 5) healthcare problem-solving. RESULTS: Health literacy measures were strongly correlated with fluid and crystallized cognitive abilities (range: r=0.57 to 0.77, all p<0.001). Lower health literacy and weaker fluid and crystallized abilities were associated with poorer performance on healthcare tasks. In multivariable analyses, the association between health literacy and task performance was substantially reduced once fluid and crystallized cognitive abilities were entered into models (without cognitive abilities: β=−28.9, 95 % Confidence Interval (CI) -31.4

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Section: Objectivementioning

confidence: 99%

Literacy, Cognitive Function, and Health: Results of the LitCog Study

et al. 2012

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“…[4][5][6][7][8][9][10][11][12][13] For the purpose of our study, non-medical refers to all factors, other than a patient's clinical condition, that potentially influence admission decisions. In retrospective studies, non-medical factors associated with hospital admission include both patient-level (e.g., income, 4,5 insurance status, 6,7 homelessness, 8,9 spouse's health status, 10 health literacy 11 ) and system-level features (e.g., access to care, 12,13 provider continuity 14 ). But the role that these non-medical factors play in admission decisions is not well established.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Hospital Admission of Non-critically Ill Patients Presenting to the Emergency Department: a Cross-sectional Study

et al. 2015

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BACKGROUND:Little is known about the factors that influence physicians' admission decisions, especially among lower acuity patients. For the purpose of our study, non-medical refers to all of the factors-other than the patient's clinical condition-that could potentially influence admission decisions. OBJECTIVE: To describe the influence of non-medical factors on physicians' decisions to admit non-critically ill patients presenting to the ED. DESIGN: Cross-sectional study of hospital admissions at a single academic medical center. PARTICIPANTS: Non-critically ill adult patients admitted to the hospital (n=297) and the admitting emergency medicine physicians (n=34). MAIN MEASURES: A patient survey assessed nonmedical factors, including primary care access and utilization. A physician survey assessed clinical and nonmedical factors influencing the decision to admit. Based on physician responses, admissions were characterized as Bstrongly acuity-driven,^Bmoderately acuity-driven,ô r Bweakly acuity-driven.^Among these admission types, we compared length of stay, cost, and readmission within 30 days to the hospital or ED. KEY RESULTS: Based on the admitting physician's assessment, we categorized the motivation for admission as strongly acuity-driven in 185 (62 %) admissions, moderately acuity-driven in 92 (31 %), and weakly acuity-driven in 20 (7 %). Per the physician surveys, 51 % of hospitalizations were strongly or moderately influenced by one or more non-medical factors, including lack of information about baseline conditions (23 %); inadequate access to outpatient specialty care (14 %); need for a diagnostic testing or procedure (12 %); a recent ED visit (11 %); and inadequate access to primary care (10 %). Compared with strongly-acuity driven admissions, admissions that were moderately or weakly acuity-driven were shorter and less costly but were associated with similar rates of ED (35 %) and hospital (27 %) readmission. CONCLUSIONS: Non-medical factors are influential in the admission decisions for many patients presenting to the emergency department. Moderately and weakly acuity-driven admissions may represent a feasible target for alternative care pathways.KEY WORDS: non-medical factors; hospital admission decision; access to care; care transitions; decision making; emergency medicine; health care delivery; medical decision making; severity of illness; socioeconomic factors; utilization.

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“…Besides that, several other resources, such as education, word knowledge, and decision-making manner, contribute to health literacy and are connected to recollection or memory function. The research, however, did not attempt to explain the effects of health literacy on the memory function in the old age [9,12,13]. The understanding of the complicated interrelation between aging, recollection or memory function, and connected resources that contribute to health literacy is essential for developing targeted interventions, for improving the health literacy and thus, consequently, for better health and financial outcomes among the already large and fast-growing population of older adults [8].…”

Section: Pielęgniarstwo XXI Wiekumentioning

confidence: 99%

The role of the nurse in improving health literacy among older adults

Kolar

Kaučič

Kolnik

2017

Pielegniarstwo XXI Wieku / Nursing in the 21st Century

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STreSzczenierola pielęgniarki w zwiękSzaniu kompeTencji zdrowoTnych u oSób STarSzych Wprowadzenie. Poziom kompetencji zdrowotnych mówi o tym jak człowiek funkcjonuje w ramach systemu opieki zdrowotnej, jak dobrze rozumie zalecenia związane z ochroną zdrowia, oraz jak dba o własne zdrowie. Jednocześnie może być wskaźnikiem tego, jaki będzie stan zdrowia człowieka w przyszłości. W niniejszym badaniu podjęto próbę ustalenia jaka jest rola pielęgniarki w poprawie kompetencji zdrowotnych u osób starszych. Materiał i metoda. Badanie miało charakter ilościowy, użyto metody opisowej. Dane zostały zgromadzone za pomocą techniki ankietowej. Jako narzędzie pomiarowe zastosowano ankietę sporządzoną na podstawie przeglądu literatury naukowej, zarówno obcej, jak i krajowej. Użyto doboru celowego nielosowego, do którego zaliczono 148 osób będących w wieku 65 lat lub powyżej, które mieszkają w różnych środowiskach i nie cierpią na demencję. Otrzymano 140 poprawnie wypełnionych ankiet, co stanowi 94% całości. Wyniki. Osoby starsze biorące udział w badaniu osiągnęły ograniczony poziom kompetencji zdrowotnych w obszarach ogólnych kompetencji zdrowotnych (AV=27.0), ochrony zdrowia (AV=26.2), zapobiegania chorobom (AV=28.8) i promocji zdrowia (AV=26.6). W obszarze doradztwa ze strony pielęgniarek osiągnięto wystarczający poziom kompetencji zdrowotnych (AV=34.6). Wnioski. Kompetencje zdrowotne są jednym z czynników, które w znaczący sposób wpływają na jakość życia osób starszych. Ustalono, że osoby które brały udział w badaniu mają ograniczony poziom kompetencji zdrowotnych. Pielęgniarki mogą znacznie przyczynić się do wzrostu tych kompetencji u osób starszych poprzez edukację zdrowotną i promocję zdrowia. W przyszłości rola pielęgniarek w zakresie promocji zdrowia stanie się bardziej widoczna, zwłaszcza poprzez ich pracę w referencyjnych ośrodkach klinicznych do spraw promocji zdrowia. Słowa kluczowe: kompetencje zdrowotne, osoby starsze, pielęgniarka, promocja zdrowia, jakość życia abSTracTThe role of The nurSe in improving healTh liTeracy among older adulTS Introduction. The level of health literacy tells us how an individual functions within the healthcare system, how well he or she understands the instructions connected to health care, and how he or she looks after own health. However, at the same time, it can be an indicator of how healthy an individual is going to be in the future. In our research we wanted to establish the role of a nurse in improving health literacy among older adults. Method. The research was based on a quantitative research approach, using descriptive method. Data were collected with the interviewing technique. As a measuring instrument, a questionnaire formed on the basis of the review of domestic and foreign, professional and scientific literature, was used. We used a non-random purposive pattern, in which we included 148 older adults aged 65 years and above, who live in different residential environments and do not suffer from dementia. There were 140 correctly completed questionnaires, which represent ...

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Literacy and health outcomes

Abstract: Low literacy is associated with several adverse health outcomes. Future research, using more rigorous methods, will better define these relationships and guide developers of new interventions.

Cited by 1,664 publications

References 54 publications

Literacy, Cognitive Function, and Health: Results of the LitCog Study

Literacy, Cognitive Function, and Health: Results of the LitCog Study

Factors Influencing Hospital Admission of Non-critically Ill Patients Presenting to the Emergency Department: a Cross-sectional Study

The role of the nurse in improving health literacy among older adults

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