T. M. van Schaik|HT Jørstad|Th.B. Twickler|R. J. G. Peters|Jan Tijssen|M. L. Essink-Bot|Mirjam P. Fransen
Cardiovascular disease risk and secondary prevention of cardiovascular disease among patients with low health literacy
University of Amsterdam|University of Amsterdam|Antwerp University Hospital|University of Amsterdam|University of Amsterdam|University of Amsterdam|University of Amsterdam
explore association health literacy risk cardiovascular disease cvd assess differential effects health literacy level nursecoordinated secondary prevention program ncpp patients coronary artery disease caddata collected two medical centres participating response trial randomised evaluation secondary prevention outpatient nurse specialists cvd risk profiles assessed baseline 12month followup using systematic coronary risk evaluation score health literacy assessed short rapid estimate adult literacy medicine realmd newest vital sign nvsd selfreported health literacy evaluated set brief screening questions sbsqdamong 201 cad patients 18 exhibited reading difficulties 52 difficulty understanding applying written information 5 scored low selfreported health literacy patients low nvsd scores higher cvd risk mean score 52 sd 48 versus 33 sd 41 p 001 nursecoordinated care seemed reduce cvd risk irrespective health literacy levels without significant differencesinadequate health literacy prevalent cad patients netherlands associated less favourable cvd risk profiles many forms cvd prevention fail nursecoordinated care seems effective among patients inadequate health literacy