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Health and Functional Literacy in Physical Rehabilitation Patients

BACKGROUND: People with disabilities, who face multiple barriers to care, experience health disparities, yet few studies have measured health literacy in this population. OBJECTIVE: This study evaluated functional literacy, health literacy, fluid cognitive function, and self-reported health in peopl...

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Autores principales: Hahn, Elizabeth A., Magasi, Susan R., Carlozzi, Noelle E., Tulsky, David S., Wong, Alex, Garcia, Sofia F., Lai, Jin-Shei, Hammel, Joy, Miskovic, Ana, Jerousek, Sara, Goldsmith, Arielle, Nitsch, Kristian, Heinemann, Allen W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SLACK Incorporated 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6607848/
https://www.ncbi.nlm.nih.gov/pubmed/31294252
http://dx.doi.org/10.3928/24748307-20170427-02
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author Hahn, Elizabeth A.
Magasi, Susan R.
Carlozzi, Noelle E.
Tulsky, David S.
Wong, Alex
Garcia, Sofia F.
Lai, Jin-Shei
Hammel, Joy
Miskovic, Ana
Jerousek, Sara
Goldsmith, Arielle
Nitsch, Kristian
Heinemann, Allen W.
author_facet Hahn, Elizabeth A.
Magasi, Susan R.
Carlozzi, Noelle E.
Tulsky, David S.
Wong, Alex
Garcia, Sofia F.
Lai, Jin-Shei
Hammel, Joy
Miskovic, Ana
Jerousek, Sara
Goldsmith, Arielle
Nitsch, Kristian
Heinemann, Allen W.
author_sort Hahn, Elizabeth A.
collection PubMed
description BACKGROUND: People with disabilities, who face multiple barriers to care, experience health disparities, yet few studies have measured health literacy in this population. OBJECTIVE: This study evaluated functional literacy, health literacy, fluid cognitive function, and self-reported health in people who live in community dwellings with spinal cord injury, stroke, or traumatic brain injury. METHODS: Participants with a traumatic spinal cord injury, stroke, or traumatic brain injury, one-year postinjury, and age 18 to 85 years, completed a battery of instruments at three medical centers in the Midwestern U.S.: functional literacy (word recognition, vocabulary knowledge), health literacy (comprehension of prose, document, and quantitative health information), fluid cognitive function (memory, executive function, and processing speed), and patient-reported outcomes (mobility, fatigue, sadness, anxiety, social function, and overall health). KEY RESULTS: There were strong correlations between functional literacy, health literacy, and fluid cognitive function. After adjustment for sociodemographic and clinical characteristics, higher health literacy was associated with better mobility, less anxiety, and better overall health; higher functional literacy was associated with less anxiety and better overall health; and higher fluid cognitive function was associated with better mobility, less sadness, better social function, and better overall health. CONCLUSIONS: To effectively address limited health literacy among people with spinal cord injury, stroke, and traumatic brain injury, and ensure that they are able to be informed partners in their health care, intervention is required at the level of patients, providers, and health care delivery systems. A special consideration is to ensure that health information is both well-targeted to people's health literacy levels and accessible for people with a range of physical, cognitive, and sensory limitations. The multimedia self-administered health literacy measure used in this study could be useful to rehabilitation providers and designers of health information and interfaces. [Health Literacy Research and Practice. 2017;1(2):e71–e85.] PLAIN LANGUAGE SUMMARY: Health literacy represents people's abilities to obtain, understand, and use health information to make informed decisions about their health and health care. People with disabilities face physical, attitudinal, economic, and structural barriers to care. Consideration of health literacy in rehabilitation practice can enhance the effectiveness of the patient-clinician relationship and help address the needs of this population.
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spelling pubmed-66078482019-07-10 Health and Functional Literacy in Physical Rehabilitation Patients Hahn, Elizabeth A. Magasi, Susan R. Carlozzi, Noelle E. Tulsky, David S. Wong, Alex Garcia, Sofia F. Lai, Jin-Shei Hammel, Joy Miskovic, Ana Jerousek, Sara Goldsmith, Arielle Nitsch, Kristian Heinemann, Allen W. Health Lit Res Pract Original Research BACKGROUND: People with disabilities, who face multiple barriers to care, experience health disparities, yet few studies have measured health literacy in this population. OBJECTIVE: This study evaluated functional literacy, health literacy, fluid cognitive function, and self-reported health in people who live in community dwellings with spinal cord injury, stroke, or traumatic brain injury. METHODS: Participants with a traumatic spinal cord injury, stroke, or traumatic brain injury, one-year postinjury, and age 18 to 85 years, completed a battery of instruments at three medical centers in the Midwestern U.S.: functional literacy (word recognition, vocabulary knowledge), health literacy (comprehension of prose, document, and quantitative health information), fluid cognitive function (memory, executive function, and processing speed), and patient-reported outcomes (mobility, fatigue, sadness, anxiety, social function, and overall health). KEY RESULTS: There were strong correlations between functional literacy, health literacy, and fluid cognitive function. After adjustment for sociodemographic and clinical characteristics, higher health literacy was associated with better mobility, less anxiety, and better overall health; higher functional literacy was associated with less anxiety and better overall health; and higher fluid cognitive function was associated with better mobility, less sadness, better social function, and better overall health. CONCLUSIONS: To effectively address limited health literacy among people with spinal cord injury, stroke, and traumatic brain injury, and ensure that they are able to be informed partners in their health care, intervention is required at the level of patients, providers, and health care delivery systems. A special consideration is to ensure that health information is both well-targeted to people's health literacy levels and accessible for people with a range of physical, cognitive, and sensory limitations. The multimedia self-administered health literacy measure used in this study could be useful to rehabilitation providers and designers of health information and interfaces. [Health Literacy Research and Practice. 2017;1(2):e71–e85.] PLAIN LANGUAGE SUMMARY: Health literacy represents people's abilities to obtain, understand, and use health information to make informed decisions about their health and health care. People with disabilities face physical, attitudinal, economic, and structural barriers to care. Consideration of health literacy in rehabilitation practice can enhance the effectiveness of the patient-clinician relationship and help address the needs of this population. SLACK Incorporated 2017-06-14 /pmc/articles/PMC6607848/ /pubmed/31294252 http://dx.doi.org/10.3928/24748307-20170427-02 Text en © 2017 Hahn, Magasi, Carlozzi, et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International (https://creativecommons.org/licenses/by/4.0). This license allows users to copy and distribute, to remix, transform, and build upon the article, for any purpose, even commercially, provided the author is attributed and is not represented as endorsing the use made of the work.
spellingShingle Original Research
Hahn, Elizabeth A.
Magasi, Susan R.
Carlozzi, Noelle E.
Tulsky, David S.
Wong, Alex
Garcia, Sofia F.
Lai, Jin-Shei
Hammel, Joy
Miskovic, Ana
Jerousek, Sara
Goldsmith, Arielle
Nitsch, Kristian
Heinemann, Allen W.
Health and Functional Literacy in Physical Rehabilitation Patients
title Health and Functional Literacy in Physical Rehabilitation Patients
title_full Health and Functional Literacy in Physical Rehabilitation Patients
title_fullStr Health and Functional Literacy in Physical Rehabilitation Patients
title_full_unstemmed Health and Functional Literacy in Physical Rehabilitation Patients
title_short Health and Functional Literacy in Physical Rehabilitation Patients
title_sort health and functional literacy in physical rehabilitation patients
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6607848/
https://www.ncbi.nlm.nih.gov/pubmed/31294252
http://dx.doi.org/10.3928/24748307-20170427-02
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