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

详细信息	查看全文 | 推荐本文 |

• 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
• 期刊代码：217_07383991
• 类别：med
• 出版时间：May, 2012
• 卷：87
• 期：2
• 页码：143-151
• 文件大小：379 K

摘要

Objective

Study impact of health literacy on educational intervention for patients 鈥淟iving with Coronary Artery Disease.鈥?h4 class="h4">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.