Kendrick B. Gwynn|Michael Winter|Howard Cabral|Michael S. Wolf|Amresh Hanchate|Lori Henault|Katherine Waite|Timothy Bickmore|Michael K. Paasche?Orlow
Racial disparities in patient activation: Evaluating the mediating role of health literacy with path analyses
Boston Medical Center|Boston University|Boston University|Boston University|Northwestern University|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Northeastern University|Boston Medical Center|Boston University
aim study use path analysis methods determine health literacy mediates relationship race patient activation performed secondary analysis data randomized controlled trial elderly urban minority patients using path analysis path analysis used evaluate mediation race patient activation different variables several models tested best fit effects patient activation across models significant mediation paths identified race lower patient activation health literacy relationship remained significant throughout alternative model testing covariate combinations bestfit model included indirect effect sex patient activation health literacy indicating mediation effect health literacy patient activation profound african american males health literacy bigger influence patient activation participants greater comorbidity fewer conditions significant direct effect shown race patient activation models racial disparities patient activation fully mediated health literacy skills future interventions improve racial disparities patient activation need targeted improving health literacy