Aurelia Macabasco?O’Connell|Darren A. DeWalt|Kimberly A. Broucksou|Victoria Hawk|David W. Baker|Dean Schillinger|Bernice Ruo|Kirsten Bibbins?Domingo|Mark Holmes|Brian Erman|Morris Weinberger|Michael Pignone
Relationship Between Literacy, Knowledge, Self-Care Behaviors, and Heart Failure-Related Quality of Life Among Patients With Heart Failure
Olive View-UCLA Medical Center|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|Northwestern University|San Francisco General Hospital|University of California, San Francisco|Northwestern University|San Francisco General Hospital|University of California, San Francisco|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
sought examine relationship literacy heart failurerelated quality life hfqol explore whether literacyrelated differences knowledge selfefficacy andor selfcare behavior explained relationship recruited patients symptomatic heart failure hf four academic medical centers patients completed short version test functional health literacy adults tofhla questions hfrelated knowledge hfrelated selfefficacy selfcare behaviors assessed hfqol heart failure symptom scale hfss range 0100 higher scores denoting better quality life used bivariate ttests chisquare multivariate linear regression analyses estimate associations literacy hf knowledge selfefficacy selfcare behaviors hfqol controlling demographic characteristics structural equation modeling conducted assess whether general hf knowledge salt knowledge selfcare behaviors selfefficacy mediated relationship literacy hfqol enrolled 605 patients mean age 607 years 52 male 38 africanamerican 16 latino 26 less high school education 67 annual incomes 25000 overall 37 low literacy marginal inadequate tofhla patients adequate literacy higher general hf knowledge low literacy mean 66 vs 55 adjusted difference 063 p 001 higher selfefficacy 50 vs 41 adjusted difference 099 p 001 higher prevalence key selfcare behaviors p 0001 adequate literacy better hfqol scores compared low literacy 639 vs 554 adjusted difference 720 p 001 differences knowledge selfefficacy selfcare mediate difference hfqol low literacy associated worse hfqol lower hfrelated knowledge selfefficacy selfcare behaviors differences knowledge selfefficacy selfcare explain relationship low literacy worse hfqol