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,...

Full description

Saved in:
Bibliographic Details
Main Authors: Aleda M. H. Chen, Karen S. Yehle, Nancy M. Albert, Kenneth F. Ferraro, Holly L. Mason, Matthew M. Murawski, Kimberly S. Plake
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/353290
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565432928698368
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
work_keys_str_mv AT aledamhchen healthliteracyinfluencesheartfailureknowledgeattainmentbutnotselfefficacyforselfcareoradherencetoselfcareovertime
AT karensyehle healthliteracyinfluencesheartfailureknowledgeattainmentbutnotselfefficacyforselfcareoradherencetoselfcareovertime
AT nancymalbert healthliteracyinfluencesheartfailureknowledgeattainmentbutnotselfefficacyforselfcareoradherencetoselfcareovertime
AT kennethfferraro healthliteracyinfluencesheartfailureknowledgeattainmentbutnotselfefficacyforselfcareoradherencetoselfcareovertime
AT hollylmason healthliteracyinfluencesheartfailureknowledgeattainmentbutnotselfefficacyforselfcareoradherencetoselfcareovertime
AT matthewmmurawski healthliteracyinfluencesheartfailureknowledgeattainmentbutnotselfefficacyforselfcareoradherencetoselfcareovertime
AT kimberlysplake healthliteracyinfluencesheartfailureknowledgeattainmentbutnotselfefficacyforselfcareoradherencetoselfcareovertime