Literacy and health outcomes: a cross-sectional study in 1002 adults with diabetes

Morris, Nancy S.; MacLean, Charles D.; Littenberg, Benjamin

doi:10.1186/1471-2296-7-49

Cited by 125 publications

(121 citation statements)

References 31 publications

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“…In our study, only 30% of the patients reached this target, which is alarming. On the other hand, we did not find any relationship between literacy level and glycemic control, which is supported by other studies [12,19,20] while Jahanlou, et al [13] and Fisher [21] observed a moderate inverse relationship. The difference could be due to inclusion of illiterate patients in our study, while theirs was delimited to low literate and literate patients.…”

Section: Discussionsupporting

confidence: 81%

The Relationship between Literacy Level and Coronary Risk Factors in Diabetic Patients

Khademi¹,

As²

2015

J Gerontol Geriatr Res

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Background: Diabetes and illiteracy are common problems in developing countries. In studies on diabetes and cardiac risk factors, literacy level, especially illiteracy, is not adequately addressed. Coronary heart disease (CHD) is a major complication of diabetes and the leading cause of premature death. The purpose of the study was to examine the relationship between literacy level and coronary risk factors in Non-Insulin Dependent Diabetes Mellitus (NIDDM) patients.

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Section: Discussionsupporting

confidence: 81%

The Relationship between Literacy Level and Coronary Risk Factors in Diabetic Patients

Khademi¹,

As²

2015

J Gerontol Geriatr Res

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“…Although a previous study indicated that patients with limited functional HL experienced poor clinical outcomes such as higher A1C level (18), other studies did not support this association (12)(13)(14)19,20). Some researchers found higher rates of diabetes complications in patients with limited functional HL (12,18), but another study reported that the significant differences disappeared after adjusting for confounders (19).Inconsistent findings on the relationship between HL and diabetes care and outcome suggest that optimal selfmanagement of diabetes may not depend solely on a patient's ability to read health information (19). Greater value may be This study sought to examine the psychometric properties of three newly developed scales for measuring functional, communicative, and critical HL among patients with type 2 diabetes in order to propose a measure of HL that overcomes the limitations of previous studies.…”

mentioning

confidence: 40%

“…However, the diabetes self-efficacy score was not significantly different among those with different functional HL levels; instead, the self-efficacy score was associated with self-management behaviors (17). Although a previous study indicated that patients with limited functional HL experienced poor clinical outcomes such as higher A1C level (18), other studies did not support this association (12)(13)(14)19,20). Some researchers found higher rates of diabetes complications in patients with limited functional HL (12,18), but another study reported that the significant differences disappeared after adjusting for confounders (19).…”

Section: Diabetes Care 31:874-879 2008mentioning

confidence: 56%

mentioning

confidence: 64%

“…Inconsistent findings on the relationship between HL and diabetes care and outcome suggest that optimal selfmanagement of diabetes may not depend solely on a patient's ability to read health information (19). Greater value may be found in assessing HL beyond the functional level to explore barriers in selfmanagement for patients with diabetes, including the abilities to extract, communicate, critically analyze, and use health information, and to participate in their care and promote their health.…”

mentioning

confidence: 99%

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Measuring Functional, Communicative, and Critical Health Literacy Among Diabetic Patients

Ishikawa

Takeuchi²,

Yano³

2008

Diabetes Care

436

360

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OBJECTIVE -Health literacy (HL), the capacity of individuals to access, understand, and use health information to make informed and appropriate health-related decisions, has been recognized as an important concept in patient education and disease management. This study examined the psychometric properties of newly developed scales for measuring three different levels of HL (i.e., functional, communicative, and critical) in patients with diabetes.RESEARCH DESIGN AND METHODS -The reliability and validity of the three HL scales were evaluated in a sample of 138 outpatients with type 2 diabetes. In addition, sociodemographic and clinical characteristics, knowledge of diabetes, information-seeking behaviors, and self-efficacy were assessed for each patient through a self-report questionnaire and review of electronic medical records.RESULTS -Scale items were constructed to directly reflect the definition of HL. Internal consistency of functional, communicative, and critical HL scales was adequately high (␣ ϭ 0.84, ␣ ϭ 0.77, and ␣ ϭ 0.65, respectively). Three interpretable factors were identified in exploratory factor analysis. Correlations between HL scales and other measures supported the construct validity of the scales. The three HL scales were only moderately correlated with each other, suggesting that each represents a different domain of HL abilities and skills.CONCLUSIONS -Our newly developed HL scales are reliable and valid measures of three types of HL in diabetic patients. Exploring a patient's HL levels may provide a better understanding of the patient's potential barriers to self-management of disease and health-promoting behaviors. Diabetes Care 31:874-879, 2008O ver the past few decades, patient participation in the health care process has been recognized as a critical determinant of successful disease management. This is especially true for diabetes, which requires extensive, ongoing patient self-care. Health information is an important resource for helping patients understand and engage in the management of a health condition. Although physicians have historically been the primary source of health and medical information, other sources are becoming more available to the general public with the increase in media reports and rapid diffusion of information via the Internet (1-4). Thus, a patient's skills in understanding and applying information about health issues may have a substantial impact on his/ her behavior and health (5). These skills have recently been conceptualized as health literacy (HL).The National Library of Medicine refers to HL as "the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions" (6). Similarly, the World Health Organization defines HL as "the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand, and use information in ways which promote and maintain good health" (7). Based on this premise, Nutbeam (8) propos...

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Caring for Patients With Limited Health Literacy

Paasche‐Orlow¹

2011

JAMA

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Health literacy is the degree to which individuals have the capacity to obtain, process, and understand health information, skills, and services needed to make informed health decisions and take informed actions. Narratives from Mr J, a 76-year-old man with multiple medical problems and limited health literacy, and his physician exhibit some of the difficulties experienced by patients with limited health literacy. Clinicians can help patients with limited health literacy by removing unneeded complexity in their treatment regimens and in the health care system and by using teach-back methods to assess and improve understanding. Rather than a selective screening approach for limited health literacy, a patient-based universal precaution approach for confirming patient comprehension of critical self-care activities helps ensure that all patients have their health literacy needs identified.

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Literacy and health outcomes: a cross-sectional study in 1002 adults with diabetes

Abstract: Background: Inconsistent findings reported in the literature contribute to the lack of complete understanding of the association of literacy with health outcomes. We evaluated the association between literacy, physiologic control and diabetes complications among adults with diabetes.

Cited by 125 publications

References 31 publications

The Relationship between Literacy Level and Coronary Risk Factors in Diabetic Patients

The Relationship between Literacy Level and Coronary Risk Factors in Diabetic Patients

Measuring Functional, Communicative, and Critical Health Literacy Among Diabetic Patients

Caring for Patients With Limited Health Literacy

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