Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review
Health literacy, multimorbidity, and patient-perceived treatment burden in individuals with cardiovascular disease. A Danish population-based study. / Friis, Karina; Lasgaard, Mathias; Pedersen, Marie Hauge; Duncan, Polly; Maindal, Helle Terkildsen.
In: Patient Education and Counseling, Vol. 102, No. 10, 10.2019, p. 1932-1938.Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review
}
TY - JOUR
T1 - Health literacy, multimorbidity, and patient-perceived treatment burden in individuals with cardiovascular disease.
T2 - A Danish population-based study
AU - Friis, Karina
AU - Lasgaard, Mathias
AU - Pedersen, Marie Hauge
AU - Duncan, Polly
AU - Maindal, Helle Terkildsen
N1 - Copyright © 2019. Published by Elsevier B.V.
PY - 2019/10
Y1 - 2019/10
N2 - OBJECTIVE: The aim was to investigate the association between: 1) multimorbidity and high treatment burden 2) health literacy and high treatment burden, and 3) the interaction between multimorbidity and health literacy in relation to high treatment burden.METHODS: We included respondents with cardiovascular disease who participated in a Danish population-based survey from 2017 (N = 2,111). Logistic regression analyses were used to study associations.RESULTS: The study showed that multimorbid individuals with cardiovascular disease were more likely to experience a high treatment burden than individuals with cardiovascular disease only (2+ additional conditions OR 4.16 [2.80-6.18]). Also, individuals with difficulties in understanding health information were more likely to report a high treatment burden than individuals who found it easy to understand information about health (OR 9.97 [6.23-15.95]). Finally, individuals with multimorbidity and difficulties in understanding health information had markedly higher odds of experiencing a high treatment burden.CONCLUSION: If individuals find it difficult to understand health information, there is a risk they might feel overwhelmed by the treatment.PRACTICE IMPLICATIONS: Healthcare professionals should be aware of health literacy challenges in planning medical treatment particularly for patients with both low health literacy levels and multimorbidity.
AB - OBJECTIVE: The aim was to investigate the association between: 1) multimorbidity and high treatment burden 2) health literacy and high treatment burden, and 3) the interaction between multimorbidity and health literacy in relation to high treatment burden.METHODS: We included respondents with cardiovascular disease who participated in a Danish population-based survey from 2017 (N = 2,111). Logistic regression analyses were used to study associations.RESULTS: The study showed that multimorbid individuals with cardiovascular disease were more likely to experience a high treatment burden than individuals with cardiovascular disease only (2+ additional conditions OR 4.16 [2.80-6.18]). Also, individuals with difficulties in understanding health information were more likely to report a high treatment burden than individuals who found it easy to understand information about health (OR 9.97 [6.23-15.95]). Finally, individuals with multimorbidity and difficulties in understanding health information had markedly higher odds of experiencing a high treatment burden.CONCLUSION: If individuals find it difficult to understand health information, there is a risk they might feel overwhelmed by the treatment.PRACTICE IMPLICATIONS: Healthcare professionals should be aware of health literacy challenges in planning medical treatment particularly for patients with both low health literacy levels and multimorbidity.
KW - Cardiovascular disease
KW - Health literacy
KW - Multimorbidity
KW - Treatment burden
U2 - 10.1016/j.pec.2019.05.013
DO - 10.1016/j.pec.2019.05.013
M3 - Journal article
C2 - 31151781
VL - 102
SP - 1932
EP - 1938
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 10
ER -