Aleda M.H. Chen|Karen S. Yehle|Nancy M. Albert|Kenneth F. Ferraro|Holly L. Mason|Matthew M. Murawski|Kimberly S. Plake
Relationships between health literacy and heart failure knowledge, self-efficacy, and self-care adherence
Cedarville University|Purdue University West Lafayette|Cleveland Clinic|Purdue University West Lafayette|Purdue University West Lafayette|Purdue University West Lafayette|Purdue University West Lafayette
argued 12 adults necessary health literacy manage health care effectively lead difficulties selfcare activities medication adherence prior research suggests health literacy may influence knowledge selfefficacy selfcare fully examined test model explain relationships health literacy heart failure knowledge selfefficacy selfcare prior receiving clinicbased education newly referred patients 3 heart failure clinics completed assessments health literacy heart failure knowledge selfefficacy selfcare demographics structural equation modeling completed examine strength intervariable relationships 81 participants recruited data 63 patients complete health literacy independently associated knowledge p 0001 health literacy related selfcare selfefficacy independentlyassociated selfcare adherence p 0016 relationships statistically significant model good fit comparative fit index 1000 explained 336 variance knowledge 276 selfcare health literacy influences knowledge heart failure selfcare adherence instead selfefficacy influenced selfcare adherence future research incorporate additional factors may better model relationships health literacy knowledge selfefficacy selfcare