Relationship of Health Literacy of Heart Failure Patients and Their Family Members on Heart Failure Knowledge and Self-Care

Jia Rong Wu, Carolyn M. Reilly, James Holland, Melinda Higgins, Patricia C. Clark, Sandra B. Dunbar

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

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 languageEnglish
Pages (from-to)116-137
Number of pages22
JournalJournal of Family Nursing
Volume23
Issue number1
DOIs
StatePublished - 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

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