Sarah J. Schrauben|Kerri L. Cavanaugh|Angela Fagerlin|T. Alp ?kizler|Ana C. Ricardo|Nwamaka D. Eneanya|Julie Wright Nunes
The Relationship of Disease-Specific Knowledge and Health Literacy With the Uptake of Self-Care Behaviors in CKD
University of Pennsylvania|Vanderbilt University Medical Center|University of Utah|Vanderbilt University Medical Center|University of Illinois at Chicago|University of Pennsylvania|University of Michigan–Ann Arbor
individuals chronic kidney disease ckd generally poor participation selfcare hypothesized greater kidney disease knowledge health literacy would associate better selfcarewe enrolled 401 participants nondialysisdependent ckd one academic center crosssectional study validated surveys used assess health literacy level inadequate vs adequate rapid estimate adult literacy medicine perceived kidney disease knowledge perceived kidney disease knowledge survey piks objective kidney disease knowledge kidney disease knowledge survey kiks ckd selfcare measure constructed sum selfreported selfcare behaviors using adapted summary diabetes selfcare activities assessment association health literacy level piks scores kiks scores ckd selfcare measure assessed multivariable adjusted linear regression modelsparticipants mean age 57 years 177 inadequate health literacy piks scores positively associated ckd selfcare measure 105 95 confidence interval ci 050163 positive trend observed kiks scores ckd selfcare measure 030 95 ci 012 072 health literacy associated ckd selfcare measureobjective kidney disease knowledge likely necessary sufficient selfcare may depend level health literacy perceived kidney knowledge may offer novel target assess patients risk poor selfcare used targeted educational interventions