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.
RCT Entities:
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.
Authors: Angela G Brega; Katherine A Pratte; Luohua Jiang; Christina M Mitchell; Sarah A Stotz; Crystal Loudhawk-Hedgepeth; Brad D Morse; Tim Noe; Kelly R Moore; Janette Beals Journal: Health Educ Res Date: 2013-06
Authors: Kendrick B Gwynn; Michael R Winter; Howard J Cabral; Michael S Wolf; Amresh D Hanchate; Lori Henault; Katherine Waite; Timothy W Bickmore; Michael K Paasche-Orlow Journal: Patient Educ Couns Date: 2016-01-08
Authors: Kevser Gülcihan Balci; Mustafa Mücahit Balci; Mehmet Kadri Akboğa; Fatih Sen; Burak Açar; Samet Yılmaz; Emek Ediboğlu; Orhan Maden; Hatice Selcuk; Mehmet Timur Selcuk; Ahmet Temizhan; Sinan Aydoğdu Journal: Cardiol Ther Date: 2015-09-14