Relationship between Health Literacy and Kidney Function

Devraj, Radhika; Borrego, Matthew E.; Vilay, A. Mary; Gordon, Elisa J.; Pailden, Junvie; Horowitz, B. Zane

doi:10.1111/nep.12425

Cited by 73 publications

(69 citation statements)

References 26 publications

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“…[18–21]). Rates of limited health literacy in kidney disease range from 10 to 40% and have been associated with worse eGFRs in CKD, higher mortality rates in dialysis patients, and higher creatinine levels in transplant recipients and affect whether a patient is listed for or receives a transplant [22–28]. To our knowledge, the effect of limited health literacy on immunosuppressant medication adherence in kidney recipients has not been reported to date.…”

Section: Introductionmentioning

confidence: 99%

An observational study of health literacy and medication adherence in adult kidney transplant recipients

2016

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BackgroundThere is a high prevalence of non-adherence to immunosuppressants in kidney transplant recipients. Although limited health literacy is common in kidney recipients and is linked to adverse outcomes in other medical populations, its effect on medication adherence in kidney transplant recipients remains poorly understood. The objective was to investigate the effect of lower health literacy on immunosuppressant adherence.MethodsKidney recipients who were at least 6 months post-transplant and outpatients of Vancouver General Hospital in B.C., Canada were recruited through invitation letters. A total of 96 recipients completed the Health Literacy Questionnaire, which provides a multifactorial profile of self-reported health literacy and the Transplant Effects Questionnaire-Adherence subscale measuring self-reported immunosuppressant adherence. Hierarchical linear regression was used to analyze the association between health literacy and adherence after controlling for identified risk factors of non-adherence.ResultsOur sample was on average 53 years old, 56% male and 9 years post-transplant. Kidney recipients reported low levels of health literacy on scales measuring active health management and critical appraisal of information and 75% reported non-perfect adherence. Worse adherence was associated with poorer overall health literacy (ΔR2 = 0.08, P = 0.004) and lower scores on six of nine of the health literacy factors.ConclusionsPoorer health literacy is associated with lower immunosuppressant adherence in adult kidney transplant recipients suggesting the importance of considering a recipient's level of health literacy in research and clinical contexts. Medication adherence interventions can target the six factors of health literacy identified as being risk factors for lower medication adherence.

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Section: Introductionmentioning

confidence: 99%

An observational study of health literacy and medication adherence in adult kidney transplant recipients

2016

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“…Comfort with telehealth may also be influenced by familiarity and prior access to technology . Data have suggested that low health literacy and limited formal education are quite prevalent among individuals with CKD and ESRD, potentially limiting the efficacy of telehealth for optimal RRT education …”

Section: Examples Of Rrt Education Using Telehealthmentioning

confidence: 99%

Role of telehealth in renal replacement therapy education

Malkina

Tuot

2018

Seminars in Dialysis

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The prevalence of end-stage renal disease is rising in the United States, which bears high financial and public health burden. The most common modality of renal replacement therapy (RRT) in the United States is in-center hemodialysis. Many patients report lack of comprehensive and timely education about their treatment options, which may preclude them from participating in home-based dialysis therapies and kidney transplantation evaluation. While RRT education has traditionally been provided in-person, the rise of telehealth has afforded new opportunities to improve upon the status quo. For example, technology-augmented RRT education has recently been implemented into telehealth nephrology clinics, informational websites and mobile applications maintained by professional organizations, patient-driven forums on social media, and multimodality programs. The benefits of technology in RRT education are increased access for geographically isolated and/or medically frail patients, versatility of content delivery, information repetition to enhance knowledge retention, and interpersonal connection for educational content and emotional support. Challenges center around privacy and accuracy of information sharing, in addition to differential access to technology due to age and socioeconomic status. A review of available scholarly and social media resources suggests that technology-aided delivery of education about treatment options for end-stage renal disease provides an important alternative and/or supplemental resource for patients and families.

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“…In conclusion, previous research has shown that people with higher self-efficacy and adequate kidney knowledge have better self-management of adherence to medication regimens, partnership in health care, open communication, and kidney function compared to those with lower self-efficacy and inadequate kidney knowledge (Curtin et al, 2008;Devraj et al, 2015). Increased CKD self-management skills requires both a better understanding of kidney disease and confidence to manage the disease, which in turn, may prevent further deterioration of kidney function, and also to maintain their overall health and well-being.…”

Section: 41mentioning

confidence: 99%

Self-Management Program for People with Chronic Kidney Disease in Vietnam: A Pragmatic Randomised Controlled Trial

Nguyen¹

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Relationship between Health Literacy and Kidney Function

Abstract: There is a small but significant association between HL and eGFR. Providers should use HL-tailored communication strategies in CKD patients. Larger multicentre studies are needed to substantiate this relationship.

Cited by 73 publications

References 26 publications

An observational study of health literacy and medication adherence in adult kidney transplant recipients

An observational study of health literacy and medication adherence in adult kidney transplant recipients

Role of telehealth in renal replacement therapy education

Self-Management Program for People with Chronic Kidney Disease in Vietnam: A Pragmatic Randomised Controlled Trial

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