Impact of health literacy on outcomes and effectiveness of an educational intervention in patients with chronic diseases.
OBJECTIVE: Study impact of health literacy on educational intervention for patients 'Living with Coronary Artery Disease.' METHODS: 187 patients were randomized to: VHS/DVD plus printed booklet; or booklet alone prior to scheduled visit. Main outcome measures included CAD knowledge assessment, clini...
| Published in: | Patient Education & Counseling Vol. 87; no. 2; pp. 143 - 152 |
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| Main Authors: | , , , , , , |
| Format: | research randomized controlled trial Journal Article |
| Published: |
Elsevier B.V.
May2012
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104562283&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104562283 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07383991 3RX jtl: Patient Education & Counseling issn: 07383991 maglogo: N pubinfo: dt: May2012 vid: 87 iid: 2 pid: 1004 pub: Elsevier B.V. artinfo: ui: 104562283 104562283 2011541379 NLM21925823 104562283 ppf: 143 ppct: 9 formats: tig: atl: Impact of health literacy on outcomes and effectiveness of an educational intervention in patients with chronic diseases. aug: au: Eckman MH Wise R Leonard AC Dixon E Burrows C Khan F Warm E affil: Division of General Internal Medicine, University of Cincinnati, Cincinnati, USA; Center for Clinical Effectiveness, University of Cincinnati, Cincinnati, USA. sug: subj: Attitude to Health Coronary Arteriosclerosis Therapy Information Literacy Methods Outcome Assessment Patient Education Methods Health Literacy Adult Aged Aged, 80 and Over Chronic Disease Female Health Behavior Human Life Style Male Middle Age Pamphlets Program Evaluation Prospective Studies Questionnaires Randomized Controlled Trials Videorecording Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: OBJECTIVE: Study impact of health literacy on educational intervention for patients 'Living with Coronary Artery Disease.' METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. PRACTICE IMPLICATIONS: Patients with lower health literacy may also benefit from educational, shared decision-making interventions. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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