Machiko Inoue|Miyako Takahashi|Ichiro Kai
Impact of communicative and critical health literacy on understanding of diabetes care and self-efficacy in diabetes management: a cross-sectional study of primary care in Japan
Teikyo University|Dokkyo Medical University|The University of Tokyo
role patients functional health literacy hl received much attention context diabetes education researchers fully investigated roles communicative critical hl especially primary care communicative hl skill extract health information derive meaning different forms communication apply information changing circumstances critical hl allows patient critically analyze information use information achieve greater control life events situations examined hl particularly communicative critical hl related patients understanding diabetes care selfefficacy diabetes management primary care settings also examined impact patientphysician communication factors outcomes taking hl account conducted crosssectional observational study 326 patients type 2 diabetes seen 17 primary care clinics japan patients completed selfadministered questionnaire assessed hl functional communicative critical understanding diabetes care selfefficacy diabetes management also examined perceived clarity physicians explanation assess patientphysician communication multivariate regression analyses performed determine whether hl patientphysician communication associated understanding diabetes care selfefficacy total 269 questionnaires analyzed communicative critical hl positively associated understanding diabetes care 0558 0451 p 0001 selfefficacy 0365 0369 p 0001 respectively clarity physicians explanation associated understanding diabetes care 0272 p 0001 selfefficacy 0255 p 0001 multivariate regression models hl perceived clarity physicians explanation independently associated understanding diabetes care selfefficacy communicative critical hl clear patientphysician communication independently associated patients understanding diabetes care selfefficacy potential impact communicative critical hl considered communications education patients diabetes primary care settings