A path model linking health literacy, medication self-efficacy, medication adherence, and glycemic control

2018 ◽  
Vol 101 (11) ◽  
pp. 1906-1913 ◽  
Author(s):  
Yen-Ming Huang ◽  
Olayinka O. Shiyanbola ◽  
Hsun-Yu Chan
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Path Model

scholarly journals Communication Skills Training for Physicians Improves Health Literacy and Medical Outcomes among Patients with Hypertension: A Randomized Controlled Trial

2019 ◽  
Author(s):  
Seyedeh Belin Tavakoly Sany ◽  
Fatemeh Behzhad ◽  
Gordon Ferns ◽  
Nooshin Peyman
Keyword(s):  
Randomized Controlled Trial ◽  
Medication Adherence ◽  
Health Literacy ◽  
Communication Skills ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Skills Training ◽  
Patient Communication ◽  
Communication Skills Training ◽  
Randomized Controlled

Abstract Background: Improving the training of physician about communication skills and patient health literacy (HL) is a major priority that remains an open question. We aimed to examine the effect of communication skills training for physicians on the HL skills and hypertension outcomes among patients with uncontrolled blood pressure (BP). Methods: A randomized controlled trial method was conducted to enroll 242 hypertensive patients and 35 physicians from healthcare clinics in the Mashhad, Iran. Regression model and bivariate analysis were used to assess whether the physician training improved physicians-patient communication skills, hypertension outcomes, self-efficacy, and patient medication adherence after intervention. Results: after the physician communication training, there was significant improvement in physicians-patient communication skills, hypertension outcomes, medication adherence, and self-efficacy among the patients being managed by the physicians receiving training, compared to the control group. Conclusion: The educational intervention leads to better BP control; it may have been sufficient training of physicians change to impact counseling, HL and self-efficacy and adherence. The quality of physician-patient relationship is an important modifiable element of the medical communication that may influences health outcomes in hypertensive Iranian patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20160710028863N24. Registered April 4, 2018 [retrospectively registered].

scholarly journals Self-Efficacy Links Health Literacy and Numeracy to Glycemic Control

2010 ◽  
Vol 15 (sup2) ◽  
pp. 146-158 ◽  
Author(s):  
Chandra Y. Osborn ◽  
Kerri Cavanaugh ◽  
Kenneth A. Wallston ◽  
Russell L. Rothman
Keyword(s):  
Health Literacy ◽  
Glycemic Control ◽  
Self Efficacy

scholarly journals Linking Health Literacy to Self-Care in Hypertensive Patients with Physical Disabilities: A Path Analysis Using a Multi-Mediation Model

2021 ◽  
Vol 18 (7) ◽  
pp. 3363
Author(s):  
Hye Jin Nam ◽  
Ju Young Yoon
Keyword(s):  
Health Literacy ◽  
Path Analysis ◽  
Self Efficacy ◽  
Physical Disability ◽  
Self Care ◽  
Path Model ◽  
Mediation Model ◽  
Hypertensive Patients ◽  
Patient Interactions ◽  
Care Behavior

Hypertension has been identified as the most prevalent chronic disease, accounting for the majority of premature deaths in people with physical disability in South Korea. Self-care is vital in controlling high blood pressure. Health literacy has been implicated in self-care behaviors; however, the mechanisms behind this relationship remain unclear. Therefore, the present study aimed to test a hypothetical path model estimating the association between health literacy and hypertension self-care behaviors and to verify the mediating effects of access to healthcare, provider–patient interactions, hypertension knowledge, and hypertension control self-efficacy in hypertensive people with physical disability. In total, 211 hypertensive adults with physical disability completed an online survey. A path analysis using a multi-mediation model was performed using AMOS 17.0 (IBM SPSS Inc., Chicago, IL, USA), and indirect effects were estimated using phantom variables. As a result, the model fit indices were deemed excellent. Significant indirect pathways were determined from health literacy to hypertension self-care behavior via provider–patient interactions, knowledge, and self-efficacy, although no direct association was found between health literacy and self-care behaviors. The study findings supported the importance of provider–patient interactions, knowledge, and self-efficacy, which play a role in linking health literacy and self-care behavior in hypertensive patients with physical disability.

scholarly journals Medication adherence, self-efficacy and health literacy among patients with glaucoma: a mixed-methods study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e039788
Author(s):  
Maria Achilleos ◽  
Anastasios Merkouris ◽  
Andreas Charalambous ◽  
Evridiki Papastavrou
Keyword(s):  
Social Support ◽  
Mixed Methods ◽  
Medication Adherence ◽  
Health Literacy ◽  
Focus Group ◽  
Self Efficacy ◽  
Mixed Methods Study ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Stage 1

IntroductionAs the world population ages, glaucoma is becoming an increasingly significant cause of blindness. A key component in the management of glaucoma is the use of prescribed medications and the adherence to treatment. However, there is evidence of low adherence to prescribed medication in chronic diseases, such as glaucoma. This study aims to explore the level of medication adherence, self-efficacy, social support and health literacy among the patients with glaucoma and to determine if there are any correlations between them. The ultimate aim is to use the information to develop an educational programme for patients with glaucoma at a later stage.Methods and analysisThis is a mixed-methods study which includes two stages: a descriptive study (stage 1) and focus group discussions (stage 2). Sample: Patients with glaucoma or ocular hypertension, using at least one kind of drops, from two ophthalmology clinics. Selected measures include: The Glaucoma Treatment Compliance Assessment Tool, The European Health Literacy Survey Questionnaire, The Glaucoma Medication Self-Efficacy Questionnaire and The Multidimensional Scale of Perceived Social Support. Two focus groups will be used for the collection of qualitative data, aiming to enrich the study with the patients’ experiences. The data will be analysed with SPSS, using descriptive and inferential statistics for stage 1 whereas content analysis will be used for the data from the focus group discussions (stage 2).Ethics and disseminationPermission to conduct the study was received from the National Bioethics Committee and the board of management of the two ophthalmology clinics. All participants will be informed fully on the purpose and methods of the study. Consent forms will be signed and at any time participants will have the right to withdraw. Confidentiality and the protection of data will be respected at all times.

scholarly journals Glycemic control among primary care patients with type 2 diabetes mellitus in the Gaza Strip, Palestine

2017 ◽  
Vol 9 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Mahmoud Radwan ◽  
Aymen Elsous ◽  
Hasnaa Al-Sharif ◽  
Ayman Abu Mustafa
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Health Literacy ◽  
Glycemic Control ◽  
Older Age ◽  
Good Glycemic Control ◽  
Factors Associated

Aim: In this study, we aimed to assess the level of good glycemic control, to determine association between adherence to antidiabetic medications and glycosylated hemoglobin (HbA1c) and to examine factors influencing good glycemic control. Materials and methods: A cross-sectional design was employed among 369 patients with type 2 diabetes mellitus (T2DM) from four Ministry of Health health centers in 2016. A sample of 3 ml blood was taken to measure the HbA1c, and patients were asked to fill out a pretested questionnaire. Univariate and multivariate logistic regressions, to identify independent factors associated with good glycemic control, were conducted using SPSS software version 22 (IBM Corp, Armonk, NY, USA). Results: Mean [±standard deviation (SD)] of HbA1c was 8.97 (2.02) and one fifth of patients had good glycemic control (HbA1c ⩽ 7%). Factors associated with good glycemic control were: older age [odds ratio (OR) = 0.96, 95% confidence interval (CI): 0.933–0.988), high medication adherence (OR: 2.757, 95% CI: 1.308–4.693), and better health literacy (OR= 2.124, 95% CI: 1.917–4.921). Duration of diabetes mellitus (DM > 7 years) was inversely related to good glycemic control (OR = 2.255, 95% CI: 1.189–4.276). Conclusion: Our study showed that glycemic control was suboptimal, and factors associated with that were: older age, high medication adherence, and better health literacy. Knowledge of these factors could be an entry toward helping patients and targeting interventions to improve glycemic control and prevent diabetes-related complications.

scholarly journals The association between health literacy levels and patient-reported outcomes in Japanese type 2 diabetic patients

2019 ◽  
Vol 7 ◽  
pp. 205031211986564 ◽  
Author(s):  
Haruka Ueno ◽  
Hirono Ishikawa ◽  
Ryo Suzuki ◽  
Yoshihiko Izumida ◽  
Yumiko Ohashi ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Diabetes Care ◽  
Self Efficacy ◽  
Well Being ◽  
Positive Influence ◽  
Covariance Structure Analysis ◽  
Time Points ◽  
Health And Well Being

Objectives: The aim of this study is to empirically examine a full pathway model of health literacy, and health and well-being outcomes among patients with type 2 diabetes. Methods: A three-wave longitudinal survey was administered to 148 patients with diabetes. Covariance structure analysis was conducted to create a path diagram, with health literacy and burden of medical expenses included as independent variables and with psychosocial factors, behaviors, and health and well-being outcomes included as dependent variables. Results: The model fit indices showed a comparative fit index of 0.985 at baseline, 0.959 after 3 months, and 0.948 after 6 months, with a root mean square error of approximation of 0.040 at baseline, 0.079 after 3 months, and 0.085 after 6 months. There were 14 significant paths across the three time points between health literacy and understanding of diabetes care, self-efficacy, communication with doctors, and medication adherence. Conclusion: The model fitness index showed an adequate result. Health literacy was significantly positively associated with understanding of diabetes care, self-efficacy, communication with doctors, and medication adherence. Health literacy had a direct positive influence on medication adherence and possibly an indirect positive influence on exercise/diet via self-efficacy. The results were generally consistent across the three time points, suggesting good reliability of the models. Improving health literacy may lead to better self-management of diabetes and favorable health outcomes.

scholarly journals Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Lilla Náfrádi ◽  
Elisa Galimberti ◽  
Kent Nakamoto ◽  
Peter J. Schulz
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Self Efficacy ◽  
Public Health Issue ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medication Beliefs ◽  
Psychological Determinants ◽  
Design And Methods

<em>Background</em>: Medication non-adherence is a major public health issue, creating obstacles to effective treatment of hypertension. Examining the underlying factors of deliberate and non-deliberate non-adherence is crucial to address this problem. Thus, the goal of the present study is to assess the socio-demographic, clinical and psychological determinants of intentional and unintentional non-adherence. <br /><em>Design and methods:</em> A cross-sectional survey was conducted between March, 2015 and April, 2016. The sample consisted of hypertension patients holding at least one medical prescription (N=109). Measurements assessed patients’ medication adherence, health literacy, empowerment, self-efficacy, medication beliefs, and patients’ acceptance of their doctor’s advice, socio-demographic and clinical characteristics. <br /><em>Results</em>: Patients who occasionally engaged in either intentional or unintentional non-adherence reported to have lower adherence selfefficacy, higher medication concern beliefs, lower meaningfulness scores and were less likely to accept the doctor’s treatment recommendations. Patients who occasionally engaged in unintentional nonadherence were younger and had experienced more side effects compared to completely adherent patients. Adherence self-efficacy was a mediator of the effect of health literacy on patients’ medication adherence and acceptance of the doctor’s advice was a covariate. <br /><em>Conclusions</em>: Regarding the research implications, health literacy and adherence self-efficacy should be assessed simultaneously when investigating the factors of non-adherence. Regarding the practical implications, adherence could be increased if physicians i) doublecheck whether their patients accept the treatment advice given and ii) if they address patients’ concerns about medications. These steps could be especially important for patients characterized with lower self-efficacy, as they are more likely to engage in occasional nonadherence.

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