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Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study

The activities of daily living (ADL) in patients with cardiac disease tend to decline. A previous study revealed that ADL relates to physical and cognitive functions associated with health literacy (HL). However, the relationship between HL and ADL is not well documented. This study aimed to clarify...

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Autores principales: Kanejima, Yuji, Izawa, Kazuhiro P., Kitamura, Masahiro, Ishihara, Kodai, Ogura, Asami, Kubo, Ikko, Nagashima, Hitomi, Tawa, Hideto, Matsumoto, Daisuke, Shimizu, Ikki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779210/
https://www.ncbi.nlm.nih.gov/pubmed/36554430
http://dx.doi.org/10.3390/ijerph192416550
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author Kanejima, Yuji
Izawa, Kazuhiro P.
Kitamura, Masahiro
Ishihara, Kodai
Ogura, Asami
Kubo, Ikko
Nagashima, Hitomi
Tawa, Hideto
Matsumoto, Daisuke
Shimizu, Ikki
author_facet Kanejima, Yuji
Izawa, Kazuhiro P.
Kitamura, Masahiro
Ishihara, Kodai
Ogura, Asami
Kubo, Ikko
Nagashima, Hitomi
Tawa, Hideto
Matsumoto, Daisuke
Shimizu, Ikki
author_sort Kanejima, Yuji
collection PubMed
description The activities of daily living (ADL) in patients with cardiac disease tend to decline. A previous study revealed that ADL relates to physical and cognitive functions associated with health literacy (HL). However, the relationship between HL and ADL is not well documented. This study aimed to clarify this relationship among patients participating in cardiac rehabilitation. This multicenter study, the Kobe-Cardiac Rehabilitation project for people around the World (K-CREW), included patients who participated in cardiac rehabilitation from October 2020 to December 2021. Patients with probable dementia and difficulty walking alone were excluded. We used the 14-item Health Literacy Scale (HLS-14) to assess HL and the Functional Independence Measure (FIM) to assess ADL at discharge. Patients were divided by their HLS-14 score into the low HL group (<50 points) or the high HL group (≥50 points). We analyzed the relationship between the HLS-14 and FIM scores. We investigated 268 cardiac rehabilitation patients (median age, 71.0 years; male ratio, 76.9%). Low HL patients accounted for 51.1% of all patients and had significantly lower motor and cognitive FIM scores. Functional HL related better to the FIM scores (r = 0.28–0.36) than did other HL subclasses. Multiple regression analysis identified HLS-14 as an explanatory variable (p = 0.002) for the total FIM score. Patients with low HL had significantly lower ADL than those with high HL. These findings underscore the importance of considering HL in cardiac rehabilitation.
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spelling pubmed-97792102022-12-23 Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study Kanejima, Yuji Izawa, Kazuhiro P. Kitamura, Masahiro Ishihara, Kodai Ogura, Asami Kubo, Ikko Nagashima, Hitomi Tawa, Hideto Matsumoto, Daisuke Shimizu, Ikki Int J Environ Res Public Health Article The activities of daily living (ADL) in patients with cardiac disease tend to decline. A previous study revealed that ADL relates to physical and cognitive functions associated with health literacy (HL). However, the relationship between HL and ADL is not well documented. This study aimed to clarify this relationship among patients participating in cardiac rehabilitation. This multicenter study, the Kobe-Cardiac Rehabilitation project for people around the World (K-CREW), included patients who participated in cardiac rehabilitation from October 2020 to December 2021. Patients with probable dementia and difficulty walking alone were excluded. We used the 14-item Health Literacy Scale (HLS-14) to assess HL and the Functional Independence Measure (FIM) to assess ADL at discharge. Patients were divided by their HLS-14 score into the low HL group (<50 points) or the high HL group (≥50 points). We analyzed the relationship between the HLS-14 and FIM scores. We investigated 268 cardiac rehabilitation patients (median age, 71.0 years; male ratio, 76.9%). Low HL patients accounted for 51.1% of all patients and had significantly lower motor and cognitive FIM scores. Functional HL related better to the FIM scores (r = 0.28–0.36) than did other HL subclasses. Multiple regression analysis identified HLS-14 as an explanatory variable (p = 0.002) for the total FIM score. Patients with low HL had significantly lower ADL than those with high HL. These findings underscore the importance of considering HL in cardiac rehabilitation. MDPI 2022-12-09 /pmc/articles/PMC9779210/ /pubmed/36554430 http://dx.doi.org/10.3390/ijerph192416550 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kanejima, Yuji
Izawa, Kazuhiro P.
Kitamura, Masahiro
Ishihara, Kodai
Ogura, Asami
Kubo, Ikko
Nagashima, Hitomi
Tawa, Hideto
Matsumoto, Daisuke
Shimizu, Ikki
Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study
title Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study
title_full Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study
title_fullStr Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study
title_full_unstemmed Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study
title_short Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study
title_sort health literacy is associated with activities of daily living of patients participating in cardiac rehabilitation: a multicenter clinical study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779210/
https://www.ncbi.nlm.nih.gov/pubmed/36554430
http://dx.doi.org/10.3390/ijerph192416550
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