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Mandarin multidimensional health literacy questionnaire for patient supporting groups: A quality improvement article

A patient support group (PSG) can serve the purposes of group therapy and education. However, how to evaluate outcome which can feedback to improve the PSG remains unclear. Health literacy, which is associated with patient outcome, has not been used in the evaluation of PSG. Since 2017, we had condu...

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Autores principales: Wu, Chieh-Liang, Liou, Chia-Hua, Liu, Shih-An, Sheu, Wayne H-H., Tsai, Shang-Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7647563/
https://www.ncbi.nlm.nih.gov/pubmed/33158005
http://dx.doi.org/10.1097/MD.0000000000023182
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author Wu, Chieh-Liang
Liou, Chia-Hua
Liu, Shih-An
Sheu, Wayne H-H.
Tsai, Shang-Feng
author_facet Wu, Chieh-Liang
Liou, Chia-Hua
Liu, Shih-An
Sheu, Wayne H-H.
Tsai, Shang-Feng
author_sort Wu, Chieh-Liang
collection PubMed
description A patient support group (PSG) can serve the purposes of group therapy and education. However, how to evaluate outcome which can feedback to improve the PSG remains unclear. Health literacy, which is associated with patient outcome, has not been used in the evaluation of PSG. Since 2017, we had conducted a working group dedicated to the creation and improvement of PSG. We applied a questionnaire (Mandarin Multidimensional Health Literacy Questionnaire, MMHLQ) for PSGs of all kinds of diseases (5 types, 8 diseases). The outcome was evaluated by the MMHLQ (5 dimensions, 20 variables). We determined factors (age, 1st-time/non-1st-time participation, and patient/family participation) that were associated with all 20 health literacy. We finally obtained 458 questionnaires, with a response rate as high as 91.1% in 8 PSGs. Participants were 55.30 ± 16.39 y/o. The highest score was with the dimension of understanding (12.25 ± 1.85) and the lowest score was with the dimension of appraisal (10.66 ± 2.33). Participating patients (compared to family) were associated with a higher score with “obey the instruction of medical personnel to care disease” but lower score with “find health information from the network”. Moreover, older participants (age ≥65 years) had lower scores for all questions in MMHLQ, within which the dimension of appraisal received the lowest scores (P < .001). We found that the highest score is with the dimension of understanding, and the lowest score with the dimension of appraisal. The elderly participants showed lower abilities in health literacy, especially with the dimension of the appraisal. Results from MMHLQ can be used to adjust the PSG curriculum to improve the health literacy of participants.
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spelling pubmed-76475632020-11-09 Mandarin multidimensional health literacy questionnaire for patient supporting groups: A quality improvement article Wu, Chieh-Liang Liou, Chia-Hua Liu, Shih-An Sheu, Wayne H-H. Tsai, Shang-Feng Medicine (Baltimore) 6600 A patient support group (PSG) can serve the purposes of group therapy and education. However, how to evaluate outcome which can feedback to improve the PSG remains unclear. Health literacy, which is associated with patient outcome, has not been used in the evaluation of PSG. Since 2017, we had conducted a working group dedicated to the creation and improvement of PSG. We applied a questionnaire (Mandarin Multidimensional Health Literacy Questionnaire, MMHLQ) for PSGs of all kinds of diseases (5 types, 8 diseases). The outcome was evaluated by the MMHLQ (5 dimensions, 20 variables). We determined factors (age, 1st-time/non-1st-time participation, and patient/family participation) that were associated with all 20 health literacy. We finally obtained 458 questionnaires, with a response rate as high as 91.1% in 8 PSGs. Participants were 55.30 ± 16.39 y/o. The highest score was with the dimension of understanding (12.25 ± 1.85) and the lowest score was with the dimension of appraisal (10.66 ± 2.33). Participating patients (compared to family) were associated with a higher score with “obey the instruction of medical personnel to care disease” but lower score with “find health information from the network”. Moreover, older participants (age ≥65 years) had lower scores for all questions in MMHLQ, within which the dimension of appraisal received the lowest scores (P < .001). We found that the highest score is with the dimension of understanding, and the lowest score with the dimension of appraisal. The elderly participants showed lower abilities in health literacy, especially with the dimension of the appraisal. Results from MMHLQ can be used to adjust the PSG curriculum to improve the health literacy of participants. Lippincott Williams & Wilkins 2020-11-06 /pmc/articles/PMC7647563/ /pubmed/33158005 http://dx.doi.org/10.1097/MD.0000000000023182 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. 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 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 6600
Wu, Chieh-Liang
Liou, Chia-Hua
Liu, Shih-An
Sheu, Wayne H-H.
Tsai, Shang-Feng
Mandarin multidimensional health literacy questionnaire for patient supporting groups: A quality improvement article
title Mandarin multidimensional health literacy questionnaire for patient supporting groups: A quality improvement article
title_full Mandarin multidimensional health literacy questionnaire for patient supporting groups: A quality improvement article
title_fullStr Mandarin multidimensional health literacy questionnaire for patient supporting groups: A quality improvement article
title_full_unstemmed Mandarin multidimensional health literacy questionnaire for patient supporting groups: A quality improvement article
title_short Mandarin multidimensional health literacy questionnaire for patient supporting groups: A quality improvement article
title_sort mandarin multidimensional health literacy questionnaire for patient supporting groups: a quality improvement article
topic 6600
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7647563/
https://www.ncbi.nlm.nih.gov/pubmed/33158005
http://dx.doi.org/10.1097/MD.0000000000023182
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