The role of functional health literacy in long-term treatment outcomes in psychosocial care for adolescents.
Although among adolescents with psychosocial problems low health literacy may increase the risk of poor treatment outcomes, the contributing mechanisms within treatment remain unclear. A better understanding of these mechanisms could contribute to improved treatment processes and outcomes. This stud...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 29; no. 11; pp. 1547 - 1555 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146710274&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146710274 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Nov2020 vid: 29 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 146710274 144161905 146710274 146710274 10.1007/s00787-019-01464-9 146710274 ppf: 1547 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The role of functional health literacy in long-term treatment outcomes in psychosocial care for adolescents. aug: au: Beukema, L. Reijneveld, S. A. Jager, M. Metselaar, J. de Winter, A. F. affil: Department of Health Sciences, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1/FA10, 9713 AV, Groningen, The Netherlands sug: subj: Role Health Literacy Functional Status Treatment Outcomes Support, Psychosocial Psychiatric Care In Adolescence Human Child Adolescence Prospective Studies Descriptive Statistics Confidence Intervals Child: 6-12 years Adolescent: 13-18 years ab: Although among adolescents with psychosocial problems low health literacy may increase the risk of poor treatment outcomes, the contributing mechanisms within treatment remain unclear. A better understanding of these mechanisms could contribute to improved treatment processes and outcomes. This study aims to examine the relationship between functional health literacy, treatment processes (treatment adherence, learning processes), and treatment outcome (level of psychosocial problems) in adolescents in psychosocial care. We used data from a prospective cohort study among adolescents aged 12–18 (N = 390), collected in four successive measurements: at entry into care, and 3, 12, and 24 months thereafter. We used a mixed effect model to investigate the association between level of functional health literacy (adequate vs. inadequate) and treatment processes (treatment adherence, learning processes) and treatment outcome (level of psychosocial problems). Between adolescents with adequate and inadequate functional health literacy, we found no differences or change over time in adherence or learning processes. The level of psychosocial problems significantly declined over time (β = − 1.70, 95% CI [− 2.72, − 0.69], p =.001) to a similar degree in both groups, though, in all measurements, the level was consistently higher for adolescents with inadequate health literacy. We conclude that health literacy levels did not affect change in treatment processes nor in outcomes of psychosocial treatment. However, the consistently higher level of psychosocial problems among adolescents with inadequate health literacy suggests an unaddressed need in psychosocial care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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