Ruey-Hsia Wang1, Hui-Chun Hsu2, Yau-Jiunn Lee3, Shyi-Jang Shin4, Kun-Der Lin5, Ling-Wang An6. 1. College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: wrhsia@kmu.edu.tw. 2. College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan; Lee's Endocrinology Clinic, Pingtung, Taiwan. Electronic address: huichun.hsu@leesclinic.org. 3. Lee's Endocrinology Clinic, Pingtung, Taiwan. Electronic address: t3275@ms25.hinet.net. 4. Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: sjshin@kmu.edu.tw. 5. Division of Endocrinology and Metabolism, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan. Electronic address: 890073@ms.kmuh.ors.tw. 6. Department of Medical Education, Beijing Ruijing Diabetes Hospital, Beijing, China. Electronic address: 962917477@qq.com.
Abstract
OBJECTIVE: To examine association of interactions between patient empowerment (PE) and health literacy with 1-year-later self-management behaviors in patients with type 2 diabetes (T2DM). METHODS: A prospective design was employed in this study. Overall, 395 patients with T2DM completed self-reported questionnaires at baseline and 1year later. A hierarchical multiple regression was used to identify the association of interactions between PE and health literacy at baseline with the 1-year-later self-management behaviors. RESULTS: Interactions between PE and communicative and critical health literacy (CCHL) at baseline significantly associated with the 1-year-later global self-management behaviors in patients with T2DM. Among the participants who exhibited high PE at baseline, the scores of 1-year-later global self-management behaviors of the participants with a high CCHL at baseline were significantly higher than those with a low CCHL at baseline. Nevertheless, among the participants who exhibited low PE at baseline, no significant differences were identified in the 1-year-later global self-management behaviors between the participants with high vs. low CCHL at baseline. CONCLUSIONS: PE may improve self-management behaviors in patients with high CCHL, but may prove useless in patients with low CCHL. PRACTICE IMPLICATIONS: Healthcare providers should ensure that patients with T2DM have adequate CCHL prior to empowering them.
OBJECTIVE: To examine association of interactions between patient empowerment (PE) and health literacy with 1-year-later self-management behaviors in patients with type 2 diabetes (T2DM). METHODS: A prospective design was employed in this study. Overall, 395 patients with T2DM completed self-reported questionnaires at baseline and 1year later. A hierarchical multiple regression was used to identify the association of interactions between PE and health literacy at baseline with the 1-year-later self-management behaviors. RESULTS: Interactions between PE and communicative and critical health literacy (CCHL) at baseline significantly associated with the 1-year-later global self-management behaviors in patients with T2DM. Among the participants who exhibited high PE at baseline, the scores of 1-year-later global self-management behaviors of the participants with a high CCHL at baseline were significantly higher than those with a low CCHL at baseline. Nevertheless, among the participants who exhibited low PE at baseline, no significant differences were identified in the 1-year-later global self-management behaviors between the participants with high vs. low CCHL at baseline. CONCLUSIONS: PE may improve self-management behaviors in patients with high CCHL, but may prove useless in patients with low CCHL. PRACTICE IMPLICATIONS: Healthcare providers should ensure that patients with T2DM have adequate CCHL prior to empowering them.
Authors: Yan Wei; Yingyao Chen; Yingnan Zhao; Russell Rothman; Jian Ming; Lei Wang; Xiaona Liu; Lizheng Shi; Wanghong Xu Journal: BMJ Open Diabetes Res Care Date: 2020-06