Wim Ceelen, Kjetil Soreide
Randomized controlled trials and alternative study designs in surgical oncology
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
aim study analyze longitudinal development health literacy hl large cohort new mothers germany investigate determinants associated initial hl level change time longitudinal data 1363 mothers participating child kunokids health study used data collected birth child baseline 6 12 months using interviews selfreport questionnaires hl mothers assessed health care scale european health literacy survey questionnaire 16 items accessing understanding appraising applying health information health care setting latent growth curve models used analyze average trajectories predictors hl total sample subgroup firsttime mothers hl values increased baseline 3546 standard deviation sd 734 6 months 3731 sd 731 12 months 3801 sd 741 increase statistically significant total sample 1188 standard error se 0087 p 001 subgroup firsttime mothers 1357 se 0113 p 001 steeper trajectory mothers lower hl baseline several personal situational variables associated hl baseline eg education child health development eg number children overall new mothers became slightly health literate childs first year life however groups mothers could benefit support developing hl skills even childbirth hlrp health literacy research practice 202371e39e51 plain language summary investigated health literacy ability find understand apply health information develops new mothers germany mothers told us ability slightly improved childs first year life mothers still difficulties dealing health information mothers supported even childbirth