Relationship among patients’ perceived capacity for communication, health literacy, and diabetes self-care – 2014 [US]
The mechanisms underlying the relations among health literacy, perceived capacity for communication, diabetes knowledge, and diabetes self-care are unclear. This study, by Leung et al (2014), tested this relation using structural equation modeling with a sample of 137 Chinese patients 65 years of age or older with type 2 diabetes. The model showed that health literacy, knowledge, communication capacity, and diabetes self-care formed complex relations. The researchers concluded that to enhance self-care, interventions should be tailored to increase patient health literacy and perceived capacity for communication with health care providers. Training should be provided to patients to enhance their communication abilities.
A health literacy fable for tomorrow: help the world be healthy with health literacy. Discussion paper – 2014 [US]
This discussion paper (3 pages), by Andrew Pleasant, was written for the Institute of Medicine's Roundtable on Health Literacy. In this paper the author tells the story of an American town that lost health literacy and the health care system went from an emphasis on health care to sick care. The author argues that health literacy can create a path to a happy, healthy future in which good health is not only a human right but also well within everyone’s reach.
I Want to Walk with my Moko: Preventing Type 2 Diabetes – 2013 [NZ]
In New Zealand Type 2 diabetes is almost three times more common in Maori than non-Maori. Maori are diagnosed younger and are more likely to develop complications such as eye disease, kidney failure, stroke and heart disease. This documentary (23 minutes), from Alison Clark (University of Canterbury PhD candidate), focuses on some simple steps you can take to prevent Type 2 diabetes from affecting your whanau. It features real people making positive and realistic changes by eating good kai (food) and keeping active. This video resource is highly recommended for anyone teaching health and life skills in adult and youth education courses. The people featured discuss their real life experiences with diabetes and demonstrate cheap and easy strategies to improve health outcomes.
Health Literacy Action: Toolkit for Patient Educators – 2010 [US]
This toolkit, from the Cancer Patient Education Network, aims to help patient educators and health care providers promote understanding and awareness of health literacy within their organisations. The toolkit provides links to resources under the following topics: create awareness, provide health professional training, get patients involved, alternate document design, and committee member resource suggestions.
Health literacy implications of the Affordable Care Act – 2010 [US]
This paper, from the Center for Health Care Strategies, is written for organisations and advocacy groups with an interest in health literacy. This paper identifies the direct and indirect links to health literacy within the Affordable Care Act. These provisions fall into six health and healthcare domains including health care workforce training, patient information and quality improvements within the health care system. This paper discusses each link to health literacy in detail.
Let’s Ask 4: Questions for consumers and providers about health insurance – 2013 [US]
The world of health insurance will change on January 1, 2014, when all US residents will be required to have health insurance or pay a penalty. Easy to understand and easy to use tools are needed to provide clear information about how those changes affect consumers and providers. Two such tools are available: (1) slide sets that can be used to provide information for health care providers and students in health professions training and (2) a consumer guide. This Institute of Medicine Roundtable on Health Literacy paper, by Wu et al (2013) summarises key information from these tools that can be used to help start a conversation between providers and consumers about how to get and use health insurance under the Act.
Development and Evaluation of a Hypertension Knowledge Test for Korean Hypertensive Patients
Patients’ knowledge concerning high blood pressure (HBP) is a useful outcome measure in high blood pressure education programs. However, valid and easy-to-use HBP knowledge assessment tools are scarce. The purpose of the study was to validate the HBP Knowledge Test (HKT) in two independent samples of Korean Americans with HBP. Han et al (2011) concluded that the reliability and validity of the HKT was supported in this sample and was also sensitive in detecting differences among persons with and without adequate HBP control.
Comparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trial
Heart failure (HF) is common, costly and associated with significant morbidity and poor quality of life, particularly for patients with low socioeconomic status. Self-management training has been shown to reduce HF related morbidity and hospitalisation rates, but there is uncertainty about how best to deliver such training and what patients benefit. This study by DeWalt et al (2009) compares a single session self-management HF training program against a multiple session training intervention and examines whether their effects differ by literacy level.
Relationship Between Literacy, Knowledge, Self-Care Behaviors, and Heart Failure-Related Quality of Life Among Patients With Heart Failure
Macabasco-O’Connell et al (2011) sought to examine the relationship between literacy and heart failure related quality of life (HFQOL), and to explore whether literacy related differences in knowledge, self-efficacy and/or self-care behavior explained the relationship. The authors found that low literacy was associated with worse HFQOL and lower heart failure related knowledge, self-efficacy, and self-care behaviors, but differences in knowledge, self-efficacy and self-care did not explain the relationship between low literacy and worse HFQOL.
Low-Literacy Interventions to Promote Discussion of Prostate Cancer: A Randomized Controlled Trial
Professional organisations recommend that physicians discuss prostate cancer with patients to make individual screening decisions. However, few studies have tested strategies to encourage such discussions, particularly among high-risk populations. Kripalani et al (2007) examined the effects of two low-literacy interventions on the frequency of prostate cancer discussion and screening. It was found that two simple low-literacy interventions significantly increased discussion of prostate cancer and prostate specific antigen test orders, but not performance of digital rectal examinations. Both interventions were effective in empowering low-literacy patients to initiate conversations about prostate cancer with their physician.