Aleda M.H. Chen|Karen S. Yehle|Nancy M. Albert|Kenneth F. Ferraro|Holly L. Mason|Matthew M. Murawski|Kimberly S. Plake
Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time
Cedarville University|Purdue University West Lafayette|Cleveland Clinic|Purdue University West Lafayette|State Street (United States)|Purdue University West Lafayette|Purdue University West Lafayette|Purdue University West Lafayette
background inadequate health literacy may barrier gaining knowledge heart failure hf selfcare expectations strengthening selfefficacy selfcare behaviors adhering selfcare behaviors time objective examine health literacy associated hf knowledge selfefficacy selfcare adherence longitudinally methods prior education newly referred patients three hf clinics mmlmath xmlnsmmlhttpwwww3org1998mathmathml idm1mmlminmmlmimmlmommlmommlmn51mmlmnmmlmath agemmlmath xmlnsmmlhttpwwww3org1998mathmathml idm2mmlmn647mmlmnmmlmommlmommlmn130mmlmnmmlmathyears completed assessments health literacy hf knowledge selfefficacy adherence selfcare baseline 2 4 months repeated measures analysis variance bonferroniadjusted alpha levels used test longitudinal outcomes results health literacy associated hf knowledge longitudinally mmlmath xmlnsmmlhttpwwww3org1998mathmathml idm3mmlmipmmlmimmlmoltmmlmommlmn0001mmlmnmmlmath associated selfefficacy selfcare adherence posthoc analyses participants inadequate health literacy less hf knowledge participants adequate mmlmath xmlnsmmlhttpwwww3org1998mathmathml idm4mmlmipmmlmimmlmoltmmlmommlmn0001mmlmnmmlmath marginal mmlmath xmlnsmmlhttpwwww3org1998mathmathml idm5mmlmipmmlmimmlmommlmommlmn0073mmlmnmmlmath health literacy conclusions adequate health literacy associated greater hf knowledge selfefficacy adherence selfcare expectations time nurses understand patients health literacy level may educate patients using methods promote understanding concepts since interventions promote selfefficacy adherence selfcare associated health literacy level new approaches must examined