Samuel G. Smith|Laura M. Curtis|Jane Wardle|Christian von Wagner|Michael S. Wolf
Skill Set or Mind Set? Associations between Health Literacy, Patient Activation and Health
University College London|Northwestern University|University College London|University College London|Northwestern University
ongoing debate whether health literacy represents skillbased construct health selfmanagement also broadly captures personal activation motivation manage health research examines 1 association patient activation health literacy commonly measured 2 independent combined associations patient activation health literacy skills physical mental healtha secondary analysis baseline crosssectional data litcog cohort older adults used participants n 697 recruited multiple usbased health centers structured facetoface interviews participants completed test functional health literacy adults tofhla patient activation measure pam sf36 physical health summary subscale patient reported outcomes measurement information service promis short form subscales depression anxietythe relationship health literacy patient activation weak significant r 011 p001 models adjusted participant characteristics lower health literacy associated worse physical health 013 p0001 depression 016 p0001 lower patient activation associated worse physical health 019 p0001 depression 027 p0001 anxiety 024 p0001the common measures health literacy patient activation weakly correlated also independently correlated health outcomes suggests health literacy represents distinct skillbased construct supporting institute medicines definition deficits either construct could useful targets behavioral intervention