Gabriele Sak|Fabia Rothenfluh|Peter Schulz
Assessing the predictive power of psychological empowerment and health literacy for older patients’ participation in health care: a cross-sectional population-based study
Università della Svizzera italiana|Università della Svizzera italiana|Università della Svizzera italiana
research confirmed positive link patient involvement decisionmaking improvements health outcomes objective study examine roles psychological empowerment health literacy elderlys willingness engage treatment decisions selfadministered questionnaire completed randomly selected sample swiss adults aged 6580 years old n 826 multivariate logistic regression applied determine contribution health literacy psychological empowerment trust physician participants preference active collaborative passive decisionmaking survey respondents preferred participation dealing health related decisions collaborative 51 active 356 twothirds sample satisfied current involvement medical decisionmaking 727 roughly onefifth 188 wished attain active engagement currently experienced remainder sample preferred opposite 85 due higher reported levels psychological empowerment health literacy swissgerman seniors significantly preferred assumed higher participation medical decisions swissitalians psychological empowerment correlated older adults preferred perceived involvement medical decisionmaking however health literacy predicted actual involvement last treatment decision made differentiating active passive involvement group additionally research showed health literacy mediated relationship psychological empowerment actual involvement last treatment decision made participant trust physician age appeared barriers involvement whereas education served facilitator older adults health literacy plays role individuals willingness attain active role health care decisionmaking public health efforts aim developing programs appropriate information facilitate process especially individuals moderate lower levels health literacy current investigation showed adequate health literacy levels essential sufficient order reach higher rates participation healthcare context research complements past evidence adding knowledge psychosocial antecedents combined effects patients involvement healthcare