Lilla Náfrádi1, Kent Nakamoto2, Márta Csabai3, Orsolya Papp-Zipernovszky3, Peter J Schulz2. 1. Institute of Communication and Health, Università della Svizzera italiana, Lugano, Switzerland. Electronic address: lilla.nafradi@usi.ch. 2. Institute of Communication and Health, Università della Svizzera italiana, Lugano, Switzerland. 3. Institute of Psychology, University of Szeged, Szeged, Hungary.
Abstract
OBJECTIVE: The Health Empowerment Model (Schulz & Nakamoto, 2013) advocates that the effects of health literacy and empowerment are intertwined on health outcomes. This study aims to test this assumption in the context of health status as a patient outcome. METHODS: A cross-sectional study was conducted with a sample of 302 participants between June and December 2015. The participants' health literacy (using the NVS and S-TOFHLA tests), empowerment and self-reported health status were assessed. RESULTS: The participants having a high level of patient empowerment and concurrent adequate health literacy (the so-called 'effective self-managers') reported better health status compared to patients who had either lower health literacy and/or lower empowerment scores (P<0.05). Moreover, the meaningfulness (b=0.053, t(297)=2.29, P=0.02) and competence (b=0.07, t(297)=2.47, P=0.01) sub-dimensions of patient empowerment moderated the effect of the NVS on current health status. CONCLUSION: The study provides evidence for the independence of health literacy and empowerment and partial evidence for their interaction predicting health status. PRACTICE IMPLICATIONS: Our findings highlight that health literacy and patient empowerment (in particular its competence and meaningfulness sub-facets) are crucial patient-related variables, to be taken into consideration simultaneously, during screening and health promotion campaigns fostering health status in the general population.
OBJECTIVE: The Health Empowerment Model (Schulz & Nakamoto, 2013) advocates that the effects of health literacy and empowerment are intertwined on health outcomes. This study aims to test this assumption in the context of health status as a patient outcome. METHODS: A cross-sectional study was conducted with a sample of 302 participants between June and December 2015. The participants' health literacy (using the NVS and S-TOFHLA tests), empowerment and self-reported health status were assessed. RESULTS: The participants having a high level of patient empowerment and concurrent adequate health literacy (the so-called 'effective self-managers') reported better health status compared to patients who had either lower health literacy and/or lower empowerment scores (P<0.05). Moreover, the meaningfulness (b=0.053, t(297)=2.29, P=0.02) and competence (b=0.07, t(297)=2.47, P=0.01) sub-dimensions of patient empowerment moderated the effect of the NVS on current health status. CONCLUSION: The study provides evidence for the independence of health literacy and empowerment and partial evidence for their interaction predicting health status. PRACTICE IMPLICATIONS: Our findings highlight that health literacy and patient empowerment (in particular its competence and meaningfulness sub-facets) are crucial patient-related variables, to be taken into consideration simultaneously, during screening and health promotion campaigns fostering health status in the general population.
Authors: V Baccolini; A Rosso; C Di Paolo; C Isonne; C Salerno; G Migliara; G P Prencipe; A Massimi; C Marzuillo; C De Vito; P Villari; F Romano Journal: J Gen Intern Med Date: 2021-01-05 Impact factor: 5.128
Authors: Pia Braun; Marie Drüge; Severin Hennemann; Felix Jan Nitsch; Robert Staeck; Jennifer Apolinário-Hagen Journal: Front Digit Health Date: 2022-02-28