Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time
Background. Inadequate health literacy may be a barrier to gaining knowledge about heart failure (HF) self-care expectations, strengthening self-efficacy for self-care behaviors, and adhering to self-care behaviors over time. Objective. To examine if health literacy is associated with HF knowledge,...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/353290 |
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| author | Aleda M. H. Chen Karen S. Yehle Nancy M. Albert Kenneth F. Ferraro Holly L. Mason Matthew M. Murawski Kimberly S. Plake |
| author_facet | Aleda M. H. Chen Karen S. Yehle Nancy M. Albert Kenneth F. Ferraro Holly L. Mason Matthew M. Murawski Kimberly S. Plake |
| author_sort | Aleda M. H. Chen |
| collection | DOAJ |
| description | Background. Inadequate health literacy may be a barrier to gaining knowledge about heart failure (HF) self-care expectations, strengthening self-efficacy for self-care behaviors, and adhering to self-care behaviors over time. Objective. To examine if health literacy is associated with HF knowledge, self-efficacy, and self-care adherence longitudinally. Methods. Prior to education, newly referred patients at three HF clinics (N=51, age: 64.7±13.0 years) completed assessments of health literacy, HF knowledge, self-efficacy, and adherence to self-care at baseline, 2, and 4 months. Repeated measures analysis of variance with Bonferroni-adjusted alpha levels was used to test longitudinal outcomes. Results. Health literacy was associated with HF knowledge longitudinally (P<0.001) but was not associated with self-efficacy self-care adherence. In posthoc analyses, participants with inadequate health literacy had less HF knowledge than participants with adequate (P<0.001) but not marginal (P=0.073) health literacy. Conclusions. Adequate health literacy was associated with greater HF knowledge but not self-efficacy or adherence to self-care expectations over time. If nurses understand patients’ health literacy level, they may educate patients using methods that promote understanding of concepts. Since interventions that promote self-efficacy and adherence to self-care were not associated with health literacy level, new approaches must be examined. |
| format | Article |
| id | doaj-art-2cba5c7f7f1a4132bedf36d792c61f0b |
| institution | Kabale University |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-2cba5c7f7f1a4132bedf36d792c61f0b2025-02-03T01:07:47ZengWileyNursing Research and Practice2090-14292090-14372013-01-01201310.1155/2013/353290353290Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over TimeAleda M. H. Chen0Karen S. Yehle1Nancy M. Albert2Kenneth F. Ferraro3Holly L. Mason4Matthew M. Murawski5Kimberly S. Plake6Assistant Professor of Pharmacy Practice, School of Pharmacy, Cedarville University, 251 N. Main Street, Cedarville, OH 45314, USASchool of Nursing, Purdue University, 502 N. University Street, JNSN 238, West Lafayette, IN 47907, USAOffice of Research & Innovation, Nursing Institute and CNS, Kaufman Center for Heart Failure, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, J3-4, Cleveland, OH 44195, USACenter on Aging and the Life Course, Purdue University, West Lafayette, IN 47907, USAPharmacy Administration, College of Pharmacy, Purdue University, Heine Pharmacy Building, 575 Stadium Mall Drive, West Lafayette, IN 47907, USAPharmacy Administration, College of Pharmacy, Purdue University, Heine Pharmacy Building, 575 Stadium Mall Drive, West Lafayette, IN 47907, USACenter on Aging and the Life Course, Purdue University, West Lafayette, IN 47907, USABackground. Inadequate health literacy may be a barrier to gaining knowledge about heart failure (HF) self-care expectations, strengthening self-efficacy for self-care behaviors, and adhering to self-care behaviors over time. Objective. To examine if health literacy is associated with HF knowledge, self-efficacy, and self-care adherence longitudinally. Methods. Prior to education, newly referred patients at three HF clinics (N=51, age: 64.7±13.0 years) completed assessments of health literacy, HF knowledge, self-efficacy, and adherence to self-care at baseline, 2, and 4 months. Repeated measures analysis of variance with Bonferroni-adjusted alpha levels was used to test longitudinal outcomes. Results. Health literacy was associated with HF knowledge longitudinally (P<0.001) but was not associated with self-efficacy self-care adherence. In posthoc analyses, participants with inadequate health literacy had less HF knowledge than participants with adequate (P<0.001) but not marginal (P=0.073) health literacy. Conclusions. Adequate health literacy was associated with greater HF knowledge but not self-efficacy or adherence to self-care expectations over time. If nurses understand patients’ health literacy level, they may educate patients using methods that promote understanding of concepts. Since interventions that promote self-efficacy and adherence to self-care were not associated with health literacy level, new approaches must be examined.http://dx.doi.org/10.1155/2013/353290 |
| spellingShingle | Aleda M. H. Chen Karen S. Yehle Nancy M. Albert Kenneth F. Ferraro Holly L. Mason Matthew M. Murawski Kimberly S. Plake Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time Nursing Research and Practice |
| title | Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time |
| title_full | Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time |
| title_fullStr | Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time |
| title_full_unstemmed | Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time |
| title_short | Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time |
| title_sort | health literacy influences heart failure knowledge attainment but not self efficacy for self care or adherence to self care over time |
| url | http://dx.doi.org/10.1155/2013/353290 |
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