Abstract
We explored the relationships among patients’ and family members’ (FMs) health literacy, heart failure (HF) knowledge, and self-care behaviors using baseline data from HF patients and their FMs (N = 113 pairs) in a trial of a self-care intervention. Measures included Rapid Estimate of Adult Literacy in Medicine, Atlanta HF Knowledge Test, a heart failure Medication Adherence Scale, and sodium intake (24-hr urine and 3-day food record). Patients with low health literacy (LHL) were more likely to have lower HF knowledge (p <.001) and trended to poorer medication adherence (p =.077) and higher sodium intake (p =.072). When FMs had LHL, FMs were more likely to have lower HF knowledge (p =.001) and patients trended toward higher sodium intake (p =.067). When both patients and FMs had LHL, lowest HF knowledge and poorest medication adherence were observed (p <.027). The health literacy of both patient and FM needs to be considered when designing interventions to foster self-care.
Original language | English |
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Pages (from-to) | 116-137 |
Number of pages | 22 |
Journal | Journal of Family Nursing |
Volume | 23 |
Issue number | 1 |
DOIs | |
State | Published - Feb 1 2017 |
Bibliographical note
Publisher Copyright:© 2017, © The Author(s) 2017.
Keywords
- family
- health literacy
- heart failure
- heart failure knowledge
- medication adherence
- self-care
- sodium intake
ASJC Scopus subject areas
- Community and Home Care
- Family Practice