Eniko Rak|Stephen R. Hooper|Michael Belsante|Otis Benjamin Burnett|J. Bradley Layton|David Tauer|Bradley Mantoo|Darren A. DeWalt|Maria Ferris
Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
caregivers play major role healthcare pediatric patients particularly childhood adolescence study examined impact caregivers functional literacy health outcomes adolescents chronic kidney disease ckd endstage kidney disease eskd caregiverchild dyads southeastern us pediatric nephrology clinic participated crosssectional study collected demographic information data caregivers functional literacy skills wechsler individual achievement test word reading subtest child health outcomes healthcare utilization adherence negative binomial regression analyses used test relationships total 98 pediatric patients caregivers participated caregivers word reading literacy associated childrens healthcare utilization patients whose caregivers lower word reading literacy skills 7th grade greater incidence emergency room er visits adjusted incidence rate ratio 205 95 confidence interval 1007 4177 p 005 adjusting major demographic factors patients hospitalization rates adherence medicationdietappointments comparable two groups low caregiver functional word reading literacy negatively related health outcomes adolescents ckdeskd reflected greater er visits educational materials teaching strategies dialysis training protocols patient education materials adjusted low literacy levels may contribute better outcomes