Heart Skills - A health literacy profile of 161 people referred to cardiac rehabilitation

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Background. Health literacy is defined by individual qualities but impacts also on health via people’s interaction with health care providers and a demanding and complex healthcare system. Health literacy profiles provide a deep understanding of the health literacy challenges within a population allowing development of targeted, context-sensitive interventions at individual and system level.
Objective. This study among people referred to a municipal cardiac rehabilitation programme aims to produce a health literacy profile describing clusters with specific socio-demographic and health related characteristics and unique health literacy patterns.
Methods. This cross-sectional study was based on survey-data from 161 people referred to the cardiac rehabilitation programme in Randers Municipal Rehabilitation Unit. Health literacy was measured using the Health Literacy Questionnaire (HLQ), which describes nine aspects of health literacy. Questions regarding socio-economic status, disease course, and health status (SF-12) was included. Hierarchical cluster analysis was performed based on the nine HLQ scale scores.
Preliminary results. Six clusters (A-F) were selected as the optimal cluster solution. Each cluster represented a unique health literacy pattern.
Of the six clusters cluster E (n=19) had the lowest mean age (63.5 y), the most females (47.4 %), and the lowest average physical health status (PCS 37.4) and mental health status (MCS 39.5). The cluster was characterized by low HLQ scores in navigating the health system (scale 7), as well as engaging actively with and feeling understood by healthcare providers (scale 6 and 1).
Of the six clusters cluster F (n=10) had fewest with high educational level and fewest who attended the rehabilitation services offered (exact values not reported due to small n). The cluster was characterized by low HLQ scales scores in finding, understanding and evaluating information (scale 8, 9 and 5) as well as navigating the health system (scale 7) and actively managing one’s health (scale 3).
Discussion. The health literacy profile has provided a thorough assessment of the context-specific needs and health literacy challenges among people with cardiovascular diseases referred to Randers Municipal Rehabilitation Unit. Our results can now guide future research interventions and quality improvement activities. The specific profile may be generalizable to other similar settings concerned with comparable populations.
Original languageEnglish
Publication yearMar 2019
Publication statusPublished - Mar 2019
Event4th European Health Literacy Conference 14-15 March 2019, Dublin. -
Duration: 14 Mar 201915 Mar 2019

Conference

Conference4th European Health Literacy Conference 14-15 March 2019, Dublin.
Period14/03/201915/03/2019

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