Mandarin multidimensional health literacy questionnaire for patient supporting groups

Wu, Chieh‐Liang; Liou, Chia-Hua; Liu, Shih–An; Sheu, Wayne H‐H; Tsai, Shang‐Feng

doi:10.1097/md.0000000000023182

Cited by 5 publications

(8 citation statements)

References 24 publications

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“…The lowest score was with subclass 3 (appraisal) (9.77 ± 2.39). These findings are with our previous report [9] that the lowest score of MMHLQ was with the dimension of appraisal (10.66 ± 2.33 of subscale 3). In general, patients or families who expressed a desire to join PSG exhibited an open-minded personality and a willingness to acquire new knowledge.…”

Section: Discussionsupporting

confidence: 92%

“…Health literacy encompasses 5 dimensions, which include knowledge, numeracy, navigation, communication, and decision making. [7] In our previous study, [9] we have found that the dimension of understanding had the highest score, while the dimension of appraisal had the lowest score. Elderly participants exhibited weaker health literacy, particularly in the dimension of the appraisal.…”

Section: Introductionmentioning

confidence: 92%

“…No reports have been published yet on the effects on effects of PSG intervention on health literacy. Building on our previous studies, [5,6,9] we investigated the impact of PSG on health literacy across 5 dimensions: accessing, understanding, appraising, and applying health information, and communication. Our objective was to determine which dimension(s) of health literacy showed improvement and identify associated factors.…”

Section: Introductionmentioning

confidence: 99%

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Effects of patient support group on health literacy: a study using the Multidimensional Health Literacy Questionnaire

Chen

Tsai

2023

Medicine

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Health literacy is important for patient care. Patient support group (PSG) is also crucial for patient education. Little is known about the effect of PSG on health literacy. We studied scores of health literacy before and after the intervention of a PSG. We also collected patient characteristics like age, gender, first-time participation or not, source of participants, and major diseases. We then identified factors associated with improved health literacy. A total of 43 participants (including patients and family) were studied with 100% response rate on questionnaires. Before PSG intervention, the highest score was the subscale 2 (understanding) (12.10 ± 1.53), followed by subclass 4 (application) (10.74 ± 2.34) and subclass 1 (accessing) (10.72 ± 2.32). The lowest score was subclass 3 (appraisal) (9.77 ± 2.39). After the statistical analyses, the final results in difference comparisons were subclass 2 = 5 > 4 = 1 = 3. The improved score of PSG was only noticed in subclass 3 (appraisal) after PSG intervention (9.77 ± 2.39 vs 10.74 ± 2.55, P = .015). Health literacy scores improvements were noticed in "Evaluate whether the health information can be used to solve medical problems" (2.51 ± 0.68 vs 2.74 ± 6.78, P = .048), and in "Evaluate the reliability of medical information from network" (2.28 ± 0.83 vs 2.64 ± 0.78, P = .006) (Table 3). Both scores belonged to subclass 3 (appraisal). We found no factor being associated with improved health literacy. This is the first study regarding the effect of PSG on health literacy. In all 5 dimensions of health literacy, the ability of appraising medical information is lacking in the current era. With suitable design of PSG, the PSG may improve health literacy improved literacy, including the dimension of appraisal.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Effects of patient support group on health literacy: a study using the Multidimensional Health Literacy Questionnaire

Chen

Tsai

2023

Medicine

Self Cite

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“…For four out of the five dimensions of health literacy, the scores were insufficient; of these, the lowest score was for the dimension “evaluating health information”. Among the five dimensions of health literacy, that is, (1) accessing health information, (2) understanding health information, (3) evaluating health information, (4) applying health information and (5) communication and interaction (Wu et al., 2020), only the dimension of communication and interaction showed an adequate level. The ability to communicate and interact with health care providers was consistent with that observed in patients with hypertension and diabetes.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing self‐management among Indonesian patients with early‐stage chronic kidney disease: A cross‐sectional study

Suarilah

Lin

2021

Journal of Clinical Nursing

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Aims and objectives:The purpose of this study was to explore the self-management of patients with early-stage chronic kidney disease (CKD) and its influencing factors. Methods: A convenient sample of 226 patients with early-stage CKD was recruited from 63 Public Health Centers in Indonesia, from June to September 2020. Demographic characteristics, health literacy, illness perception, self-efficacy and self-management were assessed using self-reported questionnaires. Stepwise multiple linear regression analysis was performed to identify the factors influencing selfmanagement. This study adhered to the EQUATOR checklist, STROBE. Results: The mean estimated glomerular filtration rate was 63.45 ml/min/1.73 m 2 (standard deviation [SD] = 15.34). The average scores for health literacy, illness perception, self-efficacy and self-management were 32.11 (SD = 4.46), 4.57 (SD = 1.46), 183.64 (SD = 38.23) and 76.92 (SD = 9.45), respectively. The influencing factors were education level, monthly income, family history of comorbidity, health literacy and self-efficacy, which accounted for 45% of total self-management score.Conclusions: Indonesian patients with early-stage CKD showed low level of health literacy, but positive illness perception and self-efficacy; these factors significantly affected CKD self-management. Health literacy was found to influence all dimensions of self-management: self-integration, problem-solving, seeking social support and adherence to the recommended regimen.Relevance to clinical practice: Adherence to the recommended regimen is the most challenging dimension of CKD self-management. Health literacy was found to be a major determinant of self-management. Improving health literacy and motivation of patients with early-stage CKD may help sustain positive illness perception and selfefficacy, and improve self-management.

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“…Later, we cataloged these scores into four levels: inadequate (≤25), limited/problematic (25 ≤ 33), sufficient (33 ≤ 42), and excellent (42 ≤ 50). Several studies have demonstrated that the MMHLQ is an adequate tool for health literacy ( 16 – 18 ). In addition, the Cronbach's alpha reliability of MMHLQ was 0.79 (alpha if item deleted was 0.77–0.94) which represented an acceptable range.…”

Section: Methodsmentioning

confidence: 99%

Modest association between health literacy and risk for peripheral vascular disease in patients with type 2 diabetes

Chiou

Chang

Liao

et al. 2022

Front. Public Health

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ObjectiveHealth literacy plays a crucial role in managing chronic health conditions. Previous studies have revealed the positive relationship between health literacy and diabetes knowledge but few studies have focused on peripheral vascular disease (PVD) in diabetes in relation to health literacy in diabetes management. This study investigated the relationship between the risk for PVD and health literacy level with other determining factors among patients with type 2 diabetes.MethodWe conducted a survey on health literacy using the Mandarin Multidimensional Health Literacy Questionnaire in the department of metabolism and endocrine systems at a regional hospital in northern Taiwan from December 2021 to May 2022 and obtained data from the hospital's health information system (HIS) from 2013 to 2020 to identify occurrences of PVD (n = 429). We performed logistic regression analysis to identify the relationship between PVD events and health literacy levels (overall and in five separate subdimensions) adjusted with other variables.ResultsA longer duration of diabetes increased the risk for PVD events (P = 0.044 and 0.028). In terms of health literacy, the overall level was not significant; however, the dimension of higher levels of health literacy in acquiring health information increased the risk for PVD events (P = 0.034). Other variables were not significantly associated with the risk for PVD events.ConclusionThis study examined the risk for PVD events in terms of the duration of diabetes and provided evidence across the range of dimensions of health literacy concerning the ability to control diabetes. Those with a higher level of health literacy may be more aware of their disease situation, seek and cooperate with their healthcare providers earlier, and have more opportunities to be made aware of their health status from regular checkups than those with inadequate health literacy. These results may help providers make available more self-management tools that are adequate and sustainable for diabetes patients with poor health literacy.

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Mandarin multidimensional health literacy questionnaire for patient supporting groups

Abstract: Supplemental Digital Content is available in the text

Cited by 5 publications

References 24 publications

Effects of patient support group on health literacy: a study using the Multidimensional Health Literacy Questionnaire

Effects of patient support group on health literacy: a study using the Multidimensional Health Literacy Questionnaire

Factors influencing self‐management among Indonesian patients with early‐stage chronic kidney disease: A cross‐sectional study

Modest association between health literacy and risk for peripheral vascular disease in patients with type 2 diabetes

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