Diabetes self-management in patients with low health literacy: Ordering findings from literature in a health literacy framework

2012 ◽  
Vol 88 (1) ◽  
pp. 44-53 ◽  
Author(s):  
Mirjam P. Fransen ◽  
Christian von Wagner ◽  
Marie-Louise Essink-Bot
Keyword(s):  
Health Literacy ◽  
Self Management ◽  
Low Health Literacy ◽  
Literacy Framework

Patients’ Experiences of Diabetes Self-Management Education According to Health-Literacy Levels

2019 ◽  
Vol 29 (5) ◽  
pp. 285-292 ◽  
Author(s):  
Suhyun Kim ◽  
Yeoungsuk Song ◽  
Jihyun Park ◽  
Sonja Utz
Keyword(s):  
Health Literacy ◽  
Diabetes Management ◽  
Management Education ◽  
University Hospital ◽  
Self Management ◽  
Lifestyle Modifications ◽  
Low Health Literacy ◽  
Patients With Diabetes ◽  
Conventional Content Analysis ◽  
High Health Literacy

Diabetes self-management is an important part of patient care for those with diabetes. The purpose of this study was to explore patients’ experiences with diabetes self-management education and how these experiences differed by health-literacy levels. A descriptive qualitative design was conducted. In 2016, 20 patients with diabetes who took a formal diabetes self-management course at a university hospital in South Korea were interviewed. A conventional content analysis was conducted. Patients with low health-literacy misunderstood diabetes management, showed passive attitudes towards seeking information, and had difficulty obtaining detailed information. Patients with high health-literacy wanted systematic, in-depth, individualized counselling on lifestyle modifications and medications. Patients’ experiences with diabetes self-management education revealed differences in their health-literacy dimensions. In addition to practising health-literacy precautions, the content and delivery of diabetes self-management education need to be accommodated according to patients’ health-literacy levels to obtain better outcomes.

scholarly journals Intervention Based on Integration of Health Literacy and Health Outcomes in Hypertension “A Systematic Review”

2021 ◽  
Vol 9 (F) ◽  
pp. 486-491
Author(s):  
Samsiana Samsiana ◽  
Syamsiar Siang Russeng ◽  
Ridwan Amiruddin
Keyword(s):  
Health Literacy ◽  
Health Outcomes ◽  
Hypertensive Patient ◽  
Literacy Skills ◽  
Self Management ◽  
Bibliographic Databases ◽  
Hypertensive Patients ◽  
Adequate Health Literacy ◽  
Low Health Literacy ◽  
Patient Health

BACKGROUND: Hypertensive patients with low health literacy rarely visit health services, therefore, they have more chances of being hospitalized in comparison with those having a more adequate health literacy. AIM: This article aims to identify intervention based on integration of health literacy and its outcome in hypertensive patients. METHODS: Articles were searched using four bibliographic databases, namely, ProQuest, Science Direct, PubMed, and Google Scholar. PRISMA 2015 is used as a guideline for determining which articles are selected, one of the criteria being published on 2011–2021. RESULTS: A total of 25,264 articles were obtained from the four databases. Seven articles were selected after the extraction and incorporation of the inclusion criteria. The health outcomes of hypertension sufferers after receiving intervention based on integration of health literacy were divided into three groups; medical health outcomes, health literacy skills, and hypertension self-management behavioral. CONCLUSION: An intervention integrated with health literacy and considering the hypertensive patient health literacy in its own will increase the health outcomes of hypertensive patient.

scholarly journals The Effectiveness of Self-Management Interventions for Individuals with Low Health Literacy and/or Low Income: A Descriptive Systematic Review

2018 ◽  
Vol 33 (4) ◽  
pp. 510-523 ◽  
Author(s):  
Jamie Schaffler ◽  
Katerina Leung ◽  
Sarah Tremblay ◽  
Laura Merdsoy ◽  
Eric Belzile ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Literacy ◽  
Low Income ◽  
Self Management ◽  
Management Interventions ◽  
Low Health Literacy

scholarly journals Medication self-management support for people with diabetes and low health literacy: A needs assessment

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0232022 ◽  
Author(s):  
Boudewijn B. Visscher ◽  
Bas Steunenberg ◽  
Eibert R. Heerdink ◽  
Jany Rademakers
Keyword(s):  
Health Literacy ◽  
Needs Assessment ◽  
Self Management ◽  
Management Support ◽  
Low Health Literacy

A Culturally Appropriate Self-Management Program for Hispanic Adults With Type 2 Diabetes and Low Health Literacy Skills

2016 ◽  
Vol 28 (2) ◽  
pp. 187-194 ◽  
Author(s):  
Debra R Brunk ◽  
Ann Gill Taylor ◽  
Myra L. Clark ◽  
Ishan C. Williams ◽  
Daniel J. Cox
Keyword(s):  
Type 2 Diabetes ◽  
Health Literacy ◽  
Personal Responsibility ◽  
Community Health Center ◽  
Management Program ◽  
Literacy Skills ◽  
Self Management ◽  
Low Health Literacy ◽  
Hispanic Adults

Purpose: This study assessed the feasibility of adapting a patient-centered educational intervention for type 2 diabetes (T2D) self-management for a Hispanic population with low health literacy skills. Design: A descriptive qualitative study design and phenomenological analyses were used. Nine Hispanic adults with T2D recruited from a rural community health center participated in an educational program that instructed on low glycemic food choices, meaningful glucose self-monitoring, and physical activity to decrease blood glucose spikes. Participants’ feedback was recorded during four 2-hour focus group sessions. Findings/Results: Participants’ feedback clustered around four themes: information and knowledge, motivation and barriers to change, experiences with new behaviors, and personal responsibility. Discussion/Conclusions: Data support the feasibility of adapting an established health-enhancing approach for promoting self-management of T2D to a low health literacy Spanish-speaking population. Implications for Practice: The findings may help in further development of tools and strategies for improved T2D self-management in the study population.

scholarly journals The Influence of Health Literacy and Depression on Diabetes Self-Management: A Cross-Sectional Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
D. Maneze ◽  
B. Everett ◽  
C. Astorga ◽  
D. Yogendran ◽  
Y. Salamonson
Keyword(s):  
Health Literacy ◽  
Postsecondary Education ◽  
Depressed Mood ◽  
Diabetes Management ◽  
Cross Sectional Study ◽  
Self Management ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Low Health Literacy ◽  
Younger Age

Despite an increasing focus on health literacy in the clinical setting and in the literature, there is still ongoing debate about its influence on diabetes self-management. The aim of the study was to examine the relationships of sociodemographic, clinical, and psychological factors on health literacy and diabetes self-management. A cross-sectional survey was undertaken on 224 patients with type 2 diabetes at two diabetes centres in Sydney, Australia. Findings showed that people with low health literacy were more likely to (a) have lower educational attainment; (b) be migrants; and (c) have depressed mood. Unexpectedly, those who metHbA1cthreshold of good glucose control were more likely to have low health literacy. Predictors of low diabetes self-management included (a) younger age group (AOR: 2.58, 95% CI: 1.24–4.64); (b) having postsecondary education (AOR: 2.30, 95% CI: 1.05–5.01); (c) low knowledge of diabetes management (AOR: 2.29, 95% CI: 1.25–4.20); and (d) having depressed mood (AOR: 2.30, 95% CI: 1.30–4.06). The finding that depressed mood predicted both low health literacy and low diabetes self-management stresses the importance of screening for depression. Increasing people’s understanding of diabetes self-management and supporting those with depression are crucial to enhance participation in diabetes self-management.

Diabetes self-management support for patients with low health literacy: Perceptions of patients and providers针对低健康素养患者的糖尿病自我管理支持：患者与提供者的观念

2014 ◽  
Vol 7 (3) ◽  
pp. 418-425 ◽  
Author(s):  
Mirjam P. Fransen ◽  
Erik J.A.J. Beune ◽  
Abigail M. Baim-Lance ◽  
Raynold C. Bruessing ◽  
Marie-Louise Essink-Bot
Keyword(s):  
Health Literacy ◽  
Self Management ◽  
Management Support ◽  
Low Health Literacy

Gender Differences and Their Influences on T2DM Self-Management Among Spanish-Speaking Latinx Immigrants

2021 ◽  
pp. 154041532110117
Author(s):  
Cheryl A. Smith-Miller ◽  
Diane C. Berry ◽  
Cass T. Miller
Keyword(s):  
Gender Differences ◽  
Health Literacy ◽  
English Language ◽  
Educational Achievement ◽  
Self Management ◽  
Structured Interviews ◽  
Health Promoting Behaviors ◽  
History Of ◽  
Health Promoting ◽  
Excessive Alcohol

Introduction: Evidence suggests that gender may influence many aspects of type 2 diabetes (T2DM) self-management (SM) and we posit that limited English language–proficient Latinx immigrants face additional challenges. Methods: Instruments and semi-structured interviews were used to examine gender differences on health literacy, diabetes knowledge, health-promoting behaviors, diabetes, eating and exercise self-efficacy (SE), and T2DM SM practices among a cohort of limited English language–proficient Latinx immigrants. Statistical and qualitative analysis procedures were performed comparing males and females. Results: Thirty persons participated. Males tended to be older, have higher educational achievement, and more financial security than females. Physiologic measures tended worse among female participants. Health literacy and exercise SE scores were similar, but females scored lower on Eating and Diabetes SE. Forty-seven percent ( n= 9) of the women reported a history of gestational diabetes mellitus and a majority of men ( n = 7) cited difficulty with excessive alcohol. Consumption: Males appeared to receive more SM support compared to females. Females more frequently noted how family obligations and a lack of support impeded their SM. Work environments negatively influenced SM practices. Conclusion: Men and women have unique SM challenges and as such require individualized strategies and support to improve T2DM management.

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