Impact of health literacy on outcomes and effectiveness of an educational intervention in patients with chronic diseases

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• 作者：Mark H. Eckman^a ; ^c ; ^{mark.eckman@uc.edu} ; Ruth Wise^a ; ^c ; Anthony C. Leonard^d ; Estrelita Dixon^a ; Christine Burrows^a ; Faisal Khan^b ; Eric Warm^a
• 关键词：Health literacy ; Patient education ; Health behaviors ; Chronic disease management ; Shared decision-making ; Patient-centered decision making
• 刊名：Patient Education and Counseling
• 出版年：2012
• 出版时间：May, 2012
• 年：2012
• 卷：87
• 期：2
• 页码：143-151
• 全文大小：379 K

文摘

<h4 class=""h4"">Objectiveh4>Study impact of health literacy on educational intervention for patients ¡°Living with Coronary Artery Disease.?h4 class=""h4"">Methodsh4>

187 patients were randomized to: VHS/DVD plus printed booklet; or booklet alone prior to scheduled visit. Main outcome measures included CAD knowledge assessment, clinical outcomes (weigh and blood pressure) and health behaviors (diet, exercise, and smoking); while functional health literacy was assessed as a possible predictor variable.<h4 class=""h4"">Resultsh4>

Knowledge scores and health behaviors improved following both interventions. Those receiving the booklet and video also had a significant improvement in exercise, and weight loss. There was a trend (p = 0.07) towards greater improvement in test scores among those receiving the booklet plus video. Patients with lower health literacy benefited as much as higher literacy patients.<h4 class=""h4"">Conclusionsh4>

Incorporation of an educational program into clinical visits for patients with chronic disease improved disease-specific knowledge and prompted patients to become activated and involved in their care, improving health behaviors and outcomes. Lower health literacy was not a barrier to this beneficial effect.<h4 class=""h4"">Practice implicationsh4>

Patients with lower health literacy may also benefit from educational, shared decision-making interventions.