The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study
Abstract Background Frequent users of healthcare services are a vulnerable population that deserves attention due to high costs and negative outcomes such as lower quality of life and higher mortality. Healthcare systems should offer interventions tailored to their needs and to their level of health...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-03-01
|
| Series: | BMC Family Practice |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12875-018-0724-7 |
| _version_ | 1811229094662111232 |
|---|---|
| author | Éva Marjorie Couture Maud-Christine Chouinard Martin Fortin Catherine Hudon |
| author_facet | Éva Marjorie Couture Maud-Christine Chouinard Martin Fortin Catherine Hudon |
| author_sort | Éva Marjorie Couture |
| collection | DOAJ |
| description | Abstract Background Frequent users of healthcare services are a vulnerable population that deserves attention due to high costs and negative outcomes such as lower quality of life and higher mortality. Healthcare systems should offer interventions tailored to their needs and to their level of health literacy, including strategies to promote activation. The relationship between health literacy and patient activation remains to be explored. The aim of this study was to examine the association between health literacy and patient activation in a population of frequent users of healthcare services with chronic diseases. Methods Cross-sectional data were collected (before randomization) through a clinical trial evaluating a case management intervention in primary care. Participants (n = 247) were recruited from the list of frequent users of 4 Family Medicine Groups (FMG) in the Saguenay-Lac-St-Jean region of Québec (Canada). They completed questionnaires by self-report during an encounter with a research assistant: (1) the Newest Vital Sign (NVS) to evaluate health literacy (independent variable); and (2) the Patient Activation Measure-13 (PAM-13) to evaluate patient activation (dependent variable). The relationship between health literacy and activation was examined using biserial correlations. Results No association was found between health literacy (independent variable) and patient activation (rb = 0.075, ρ = 0.07) for this population of frequent users of healthcare services. Conclusions This study suggests that there is no relationship between health literacy and patient activation among frequent users of healthcare services. Trial registration NCT01719991. Registered October 25, 2012. |
| first_indexed | 2024-04-12T10:08:41Z |
| format | Article |
| id | doaj.art-49bbcf8e06de4b89bffa3dc0f482a180 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-04-12T10:08:41Z |
| publishDate | 2018-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-49bbcf8e06de4b89bffa3dc0f482a1802022-12-22T03:37:22ZengBMCBMC Family Practice1471-22962018-03-011911610.1186/s12875-018-0724-7The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional studyÉva Marjorie Couture0Maud-Christine Chouinard1Martin Fortin2Catherine Hudon3Département de médecine de famille et de médecine d’urgence, Université de SherbrookeDépartement des sciences de la santé, Université du Québec à ChicoutimiDépartement de médecine de famille et de médecine d’urgence, Université de SherbrookeDépartement de médecine de famille et de médecine d’urgence, Université de SherbrookeAbstract Background Frequent users of healthcare services are a vulnerable population that deserves attention due to high costs and negative outcomes such as lower quality of life and higher mortality. Healthcare systems should offer interventions tailored to their needs and to their level of health literacy, including strategies to promote activation. The relationship between health literacy and patient activation remains to be explored. The aim of this study was to examine the association between health literacy and patient activation in a population of frequent users of healthcare services with chronic diseases. Methods Cross-sectional data were collected (before randomization) through a clinical trial evaluating a case management intervention in primary care. Participants (n = 247) were recruited from the list of frequent users of 4 Family Medicine Groups (FMG) in the Saguenay-Lac-St-Jean region of Québec (Canada). They completed questionnaires by self-report during an encounter with a research assistant: (1) the Newest Vital Sign (NVS) to evaluate health literacy (independent variable); and (2) the Patient Activation Measure-13 (PAM-13) to evaluate patient activation (dependent variable). The relationship between health literacy and activation was examined using biserial correlations. Results No association was found between health literacy (independent variable) and patient activation (rb = 0.075, ρ = 0.07) for this population of frequent users of healthcare services. Conclusions This study suggests that there is no relationship between health literacy and patient activation among frequent users of healthcare services. Trial registration NCT01719991. Registered October 25, 2012.http://link.springer.com/article/10.1186/s12875-018-0724-7Frequent usersPrimary careHealth literacyPatient activationChronic disease |
| spellingShingle | Éva Marjorie Couture Maud-Christine Chouinard Martin Fortin Catherine Hudon The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study BMC Family Practice Frequent users Primary care Health literacy Patient activation Chronic disease |
| title | The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study |
| title_full | The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study |
| title_fullStr | The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study |
| title_full_unstemmed | The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study |
| title_short | The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study |
| title_sort | relationship between health literacy and patient activation among frequent users of healthcare services a cross sectional study |
| topic | Frequent users Primary care Health literacy Patient activation Chronic disease |
| url | http://link.springer.com/article/10.1186/s12875-018-0724-7 |
| work_keys_str_mv | AT evamarjoriecouture therelationshipbetweenhealthliteracyandpatientactivationamongfrequentusersofhealthcareservicesacrosssectionalstudy AT maudchristinechouinard therelationshipbetweenhealthliteracyandpatientactivationamongfrequentusersofhealthcareservicesacrosssectionalstudy AT martinfortin therelationshipbetweenhealthliteracyandpatientactivationamongfrequentusersofhealthcareservicesacrosssectionalstudy AT catherinehudon therelationshipbetweenhealthliteracyandpatientactivationamongfrequentusersofhealthcareservicesacrosssectionalstudy AT evamarjoriecouture relationshipbetweenhealthliteracyandpatientactivationamongfrequentusersofhealthcareservicesacrosssectionalstudy AT maudchristinechouinard relationshipbetweenhealthliteracyandpatientactivationamongfrequentusersofhealthcareservicesacrosssectionalstudy AT martinfortin relationshipbetweenhealthliteracyandpatientactivationamongfrequentusersofhealthcareservicesacrosssectionalstudy AT catherinehudon relationshipbetweenhealthliteracyandpatientactivationamongfrequentusersofhealthcareservicesacrosssectionalstudy |