Gin?Den Chen|Chien?Ning Huang|Yi?Sun Yang|Chin-Yin Lew-Ting
Patient perception of understanding health education and instructions has moderating effect on glycemic control
National Taiwan University|Chung Shan Medical University Hospital|Chung Shan Medical University Hospital|National Taiwan University
whether health literacy independently associated processes outcomes diabetesrelated care controversial tried demonstrate interaction health literacy understanding health education instructions achieving glycemic control five hundred one consecutive patients type 2 diabetes mellitus dm outpatient clinic metabolism department recruited pilot study demographic data collected patients selfreports clinical background information collected electronic medical records questionnaire derived part mandarin health literacy scale used measure numeracy functional health literacy people diabetes health literacy levels categorized inadequate marginal adequate patient selfratings perceived understanding health education information instructions provided case manager past categorized two subgroups better poor patients hba1c level equal 7 considered good glycemic control multivariate logistic regression used find associated factors health literacy understanding health education instructions genmod procedures used analyze repeated outcome measurements glycemic control higher educational attainment higher household income odds ratios 223 222 respectively significantly associated patients adequate health literacy higher educational attainment patients family history dm odds ratios 499 185 respectively significantly associated better understanding health education instructions adequate health literacy factor associated good glycemic control effect adequate health literacy achieving good glycemic control might masked patients better understanding health education instructions results revealed patients adequate health literacy associated good glycemic control patients marginal health literacy also able achieve good glycemic control adequate health literacy better understanding health education highly correlated role adequate health literacy glycemic control could suppressed variables overcontrolled analysis