Aanand D. Naik|Richard L. Street|Diana Castillo|Neena S. Abraham
Health literacy and decision making styles for complex antithrombotic therapy among older multimorbid adults
Baylor College of Medicine|Michael E. DeBakey VA Medical Center|Texas A&M University|Michael E. DeBakey VA Medical Center|Michael E. DeBakey VA Medical Center|Baylor College of Medicine|Michael E. DeBakey VA Medical Center
evaluate effect functional health literacy fhl preferences decisionmaking among initially preferring passive decisionmaking role explore preferences change physician actively encourages involvementconsecutive older adults cardiovascular disease receiving complex antithrombotic therapy completed comprehensive assessment including measures fhl preferences shared decision makinghalf participants inadequate marginal fhl inadequate fhl likely p001 prefer passive rather active decision making styles even controlling age education numeracy however 40 patients preferring passive styles adequate fhl patients significantly likely change preference active styles odds ratio717 p01 physician supportive encouraged participationscreening fhl provide insight patients preferences active participation decision making clinicians encouragement participation increase engagement patients adequate fhlwe propose algorithm screening fhl preferences participating decisions complex medication regimens