Une Elisabeth Stømer1,2, Astrid Klopstad Wahl3, Lasse Gunnar Gøransson2,4, Kristin Hjorthaug Urstad1. 1. Faculty of Health Science, University of Stavanger, Stavanger, Norway. 2. Department of Nephrology, Stavanger University Hospital, Stavanger, Norway. 3. Faculty of Medicine, University of Oslo, Oslo, Norway. 4. Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway.
Abstract
BACKGROUND: Health literacy (HL) is a multidimensional concept with significance for self-management and health outcomes in patients with chronic kidney disease (CKD); however, research with a multidimensional perspective on HL is scarce. OBJECTIVES: This study aimed to explore the relationship between multidimensional HL, quality of life (QoL) and adherence to long-term therapy in CKD patients. DESIGN: A descriptive single-centre cross-sectional study. PARTICIPANTS: Patients with CKD in stages 3-5 were recruited from the nephrology unit in a Norwegian hospital. MEASUREMENTS: The Health Literacy Questionnaire (HLQ) was used to assess HL, QoL was measured by the Short Form-12 (SF-12) and a Visual Analogue Scale (VAS-QoL). Adherence to long-term therapy was measured by the Medical Adherence Rating Scale 5 (MARS-5), participants' prescription withdrawals from pharmacies, and a VAS (VAS-adherence). Hierarchical cluster analysis was performed to group patients with similar HLQ scores, and multiple linear regression analysis was performed to identify the HL dimensions that were associated with QoL and adherence to long-term therapy. RESULTS: A total of 187 patients were included, 65% were male, and the mean (SD) age was 67 (13) years. The high-level HL group (N = 52) had significantly better QoL than patients in the mid-level (N = 106) and low-level (N = 27) HL groups. The HL dimensions "actively managing health," "actively engage with healthcare providers," "ability to find good health information" and "ability to understand health information" were predictive of QoL and adherence to long-term therapy. CONCLUSION: HL seems to be important for both QoL and adherence to long-term therapy.
BACKGROUND: Health literacy (HL) is a multidimensional concept with significance for self-management and health outcomes in patients with chronic kidney disease (CKD); however, research with a multidimensional perspective on HL is scarce. OBJECTIVES: This study aimed to explore the relationship between multidimensional HL, quality of life (QoL) and adherence to long-term therapy in CKDpatients. DESIGN: A descriptive single-centre cross-sectional study. PARTICIPANTS: Patients with CKD in stages 3-5 were recruited from the nephrology unit in a Norwegian hospital. MEASUREMENTS: The Health Literacy Questionnaire (HLQ) was used to assess HL, QoL was measured by the Short Form-12 (SF-12) and a Visual Analogue Scale (VAS-QoL). Adherence to long-term therapy was measured by the Medical Adherence Rating Scale 5 (MARS-5), participants' prescription withdrawals from pharmacies, and a VAS (VAS-adherence). Hierarchical cluster analysis was performed to group patients with similar HLQ scores, and multiple linear regression analysis was performed to identify the HL dimensions that were associated with QoL and adherence to long-term therapy. RESULTS: A total of 187 patients were included, 65% were male, and the mean (SD) age was 67 (13) years. The high-level HL group (N = 52) had significantly better QoL than patients in the mid-level (N = 106) and low-level (N = 27) HL groups. The HL dimensions "actively managing health," "actively engage with healthcare providers," "ability to find good health information" and "ability to understand health information" were predictive of QoL and adherence to long-term therapy. CONCLUSION: HL seems to be important for both QoL and adherence to long-term therapy.
Authors: Binh N Do; Tien V Tran; Dung T Phan; Hoang C Nguyen; Thao T P Nguyen; Huu C Nguyen; Tung H Ha; Hung K Dao; Manh V Trinh; Thinh V Do; Hung Q Nguyen; Tam T Vo; Nhan P T Nguyen; Cuong Q Tran; Khanh V Tran; Trang T Duong; Hai X Pham; Lam V Nguyen; Kien T Nguyen; Peter W S Chang; Tuyen Van Duong Journal: J Med Internet Res Date: 2020-11-12 Impact factor: 5.428
Authors: Ivana Skoumalova; Andrea Madarasova Geckova; Jaroslav Rosenberger; Maria Majernikova; Peter Kolarcik; Daniel Klein; Andrea F de Winter; Jitse P van Dijk; Sijmen A Reijneveld Journal: Int J Environ Res Public Health Date: 2020-10-28 Impact factor: 3.390
Authors: Ivana Skoumalova; Andrea Madarasova Geckova; Jaroslav Rosenberger; Maria Majernikova; Peter Kolarcik; Daniel Klein; Andrea F de Winter; Jitse P van Dijk; Sijmen A Reijneveld Journal: Int J Environ Res Public Health Date: 2022-01-06 Impact factor: 3.390