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Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice
BACKGROUND: Caregivers play a major role in the healthcare of pediatric patients, particularly during childhood and adolescence. This study examined the impact of caregivers' functional literacy on the health outcomes of adolescents with chronic kidney disease (CKD) or end-stage kidney disease...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4886911/ https://www.ncbi.nlm.nih.gov/pubmed/27274841 http://dx.doi.org/10.1093/ckj/sfw015 |
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author | Rak, Eniko C. Hooper, Stephen R. Belsante, Michael J. Burnett, Otis Layton, Bradley Tauer, David Mantoo, Bradley DeWalt, Darren Ferris, Maria E. |
author_facet | Rak, Eniko C. Hooper, Stephen R. Belsante, Michael J. Burnett, Otis Layton, Bradley Tauer, David Mantoo, Bradley DeWalt, Darren Ferris, Maria E. |
author_sort | Rak, Eniko C. |
collection | PubMed |
description | BACKGROUND: Caregivers play a major role in the healthcare of pediatric patients, particularly during childhood and adolescence. This study examined the impact of caregivers' functional literacy on the health outcomes of adolescents with chronic kidney disease (CKD) or end-stage kidney disease (ESKD). METHODS: Caregiver–child dyads in a Southeastern US pediatric nephrology clinic participated in this cross-sectional study. We collected demographic information, data on caregivers' functional literacy skills (Wechsler Individual Achievement Test Word Reading Subtest) and child health outcomes (healthcare utilization and adherence). Negative binomial regression analyses were used to test the relationships. RESULTS: A total of 98 pediatric patients and their caregivers participated. Caregivers' word reading literacy was associated with their children's healthcare utilization. Patients whose caregivers had lower word reading literacy skills (<7th grade) had greater incidence of emergency room (ER) visits (adjusted incidence rate ratio = 2.05, 95% confidence interval: 1.007, 4.177, P < 0.05) after adjusting for major demographic factors. Patients' hospitalization rates and adherence to medication/diet/appointments were comparable in the two groups. CONCLUSIONS: Low caregiver functional word reading literacy was negatively related to health outcomes of adolescents with CKD/ESKD as reflected by greater ER visits. Educational materials and teaching strategies (dialysis training protocols, patient education materials) adjusted for low literacy levels may contribute to better outcomes. |
format | Online Article Text |
id | pubmed-4886911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-48869112016-06-03 Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice Rak, Eniko C. Hooper, Stephen R. Belsante, Michael J. Burnett, Otis Layton, Bradley Tauer, David Mantoo, Bradley DeWalt, Darren Ferris, Maria E. Clin Kidney J Psychosocial Issues BACKGROUND: Caregivers play a major role in the healthcare of pediatric patients, particularly during childhood and adolescence. This study examined the impact of caregivers' functional literacy on the health outcomes of adolescents with chronic kidney disease (CKD) or end-stage kidney disease (ESKD). METHODS: Caregiver–child dyads in a Southeastern US pediatric nephrology clinic participated in this cross-sectional study. We collected demographic information, data on caregivers' functional literacy skills (Wechsler Individual Achievement Test Word Reading Subtest) and child health outcomes (healthcare utilization and adherence). Negative binomial regression analyses were used to test the relationships. RESULTS: A total of 98 pediatric patients and their caregivers participated. Caregivers' word reading literacy was associated with their children's healthcare utilization. Patients whose caregivers had lower word reading literacy skills (<7th grade) had greater incidence of emergency room (ER) visits (adjusted incidence rate ratio = 2.05, 95% confidence interval: 1.007, 4.177, P < 0.05) after adjusting for major demographic factors. Patients' hospitalization rates and adherence to medication/diet/appointments were comparable in the two groups. CONCLUSIONS: Low caregiver functional word reading literacy was negatively related to health outcomes of adolescents with CKD/ESKD as reflected by greater ER visits. Educational materials and teaching strategies (dialysis training protocols, patient education materials) adjusted for low literacy levels may contribute to better outcomes. Oxford University Press 2016-06 2016-04-18 /pmc/articles/PMC4886911/ /pubmed/27274841 http://dx.doi.org/10.1093/ckj/sfw015 Text en © The Author 2016. Published by Oxford University Press on behalf of ERA-EDTA. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Psychosocial Issues Rak, Eniko C. Hooper, Stephen R. Belsante, Michael J. Burnett, Otis Layton, Bradley Tauer, David Mantoo, Bradley DeWalt, Darren Ferris, Maria E. Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice |
title | Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice |
title_full | Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice |
title_fullStr | Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice |
title_full_unstemmed | Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice |
title_short | Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice |
title_sort | caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice |
topic | Psychosocial Issues |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4886911/ https://www.ncbi.nlm.nih.gov/pubmed/27274841 http://dx.doi.org/10.1093/ckj/sfw015 |
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