Rachel O’Conor|Kimberly Muellers|Marina Arvanitis|Daniel P. Vicencio|Michael S. Wolf|Juan P. Wisnivesky|Alex D. Federman
Effects of health literacy and cognitive abilities on COPD self-management behaviors: A prospective cohort study
Northwestern University|Icahn School of Medicine at Mount Sinai|Northwestern University|Mercy Hospital and Medical Center|Northwestern University|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai
low rates adherence selfmanagement behaviors common among patients copd health literacy cognitive abilities may influence engagement selfmanagement behaviors sought assess association health literacy cognitive abilities selfmanagement behaviors patients copdwe conducted observational cohort study among american adults copd new york new york chicago illinois outcomes included adherence copd medication metered dose inhaler mdi dry powder inhaler dpi technique receipt vaccination routine healthcare appointments health literacy measured short test functional health literacy adults cognitive function assessed terms global fluid working memory processing speed executive function crystallized verbal abilityadequate health literacy associated adequate adherence copd medications 146 95 ci 102208 correct mdi 166 95 ci 113244 dpi 217 95 ci 130364 technique fluid abilities also associated medication behaviors visiting regular healthcare provider crystalized abilities global cognitive abilities associated correct inhaler technique associations found nonmedication selfmanagement behaviorscopd patients limited health literacy deficits fluid cognitive abilities lower rates adherence poorer inhaler technique individuals adequate health literacy greater fluid cognitive abilities findings highlight importance considering health literacy level cognitive ability caring educating patients copd