Impact of health literacy on outcomes and effectiveness of an educational intervention in patients with chronic diseases

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Title: Impact of health literacy on outcomes and effectiveness of an educational intervention in patients with chronic diseases
Authors: Eckman, Mark H.1,2 mark.eckman@uc.edu, Wise, Ruth1,2, Leonard, Anthony C.3, Dixon, Estrelita1, Burrows, Christine1, Khan, Faisal4, Warm, Eric1
Source: Patient Education & Counseling. May2012, Vol. 87 Issue 2, p143-151. 9p.
Subject Terms: *Patient education, Health literacy, Chronically ill, Health outcome assessment, Blood pressure, Medical decision making, Physiological effects of tobacco
Abstract: Abstract: Objective: Study impact of health literacy on educational intervention for patients “Living with Coronary Artery Disease.” Methods: 187 patients were randomized to: VHS/DVD plus printed booklet; or booklet alone prior to scheduled visit. Main outcome measures included CAD knowledge assessment, clinical outcomes (weigh and blood pressure) and health behaviors (diet, exercise, and smoking); while functional health literacy was assessed as a possible predictor variable. Results: Knowledge scores and health behaviors improved following both interventions. Those receiving the booklet and video also had a significant improvement in exercise, and weight loss. There was a trend (p =0.07) towards greater improvement in test scores among those receiving the booklet plus video. Patients with lower health literacy benefited as much as higher literacy patients. Conclusions: Incorporation of an educational program into clinical visits for patients with chronic disease improved disease-specific knowledge and prompted patients to become activated and involved in their care, improving health behaviors and outcomes. Lower health literacy was not a barrier to this beneficial effect. Practice implications: Patients with lower health literacy may also benefit from educational, shared decision-making interventions. [Copyright &y& Elsevier]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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Header DbId: ehh
DbLabel: Education Research Complete
An: 74661983
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
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  Data: Impact of health literacy on outcomes and effectiveness of an educational intervention in patients with chronic diseases
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. May2012, Vol. 87 Issue 2, p143-151. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Patient+education%22">Patient education</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Chronically+ill%22">Chronically ill</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Blood+pressure%22">Blood pressure</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+decision+making%22">Medical decision making</searchLink><br /><searchLink fieldCode="DE" term="%22Physiological+effects+of+tobacco%22">Physiological effects of tobacco</searchLink>
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  Data: Abstract: Objective: Study impact of health literacy on educational intervention for patients “Living with Coronary Artery Disease.” Methods: 187 patients were randomized to: VHS/DVD plus printed booklet; or booklet alone prior to scheduled visit. Main outcome measures included CAD knowledge assessment, clinical outcomes (weigh and blood pressure) and health behaviors (diet, exercise, and smoking); while functional health literacy was assessed as a possible predictor variable. Results: Knowledge scores and health behaviors improved following both interventions. Those receiving the booklet and video also had a significant improvement in exercise, and weight loss. There was a trend (p =0.07) towards greater improvement in test scores among those receiving the booklet plus video. Patients with lower health literacy benefited as much as higher literacy patients. Conclusions: Incorporation of an educational program into clinical visits for patients with chronic disease improved disease-specific knowledge and prompted patients to become activated and involved in their care, improving health behaviors and outcomes. Lower health literacy was not a barrier to this beneficial effect. Practice implications: Patients with lower health literacy may also benefit from educational, shared decision-making interventions. [Copyright &y& Elsevier]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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