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The Relationships Among Health Literacy, Patient Activation, and Self-Care Behaviors in Adults With Heart Failure: A Cross Sectional Study

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  • Rebecca Meraz
  • Elizabeth Perry Caldwell
  • Jocelyn Shealy McGee

Abstract

Despite current efforts, adherence to heart failure (HF) selfcare remains suboptimal. There is a need to identify modifiable factors that promote self-care adherence. Evidence suggests that patient activation and health literacy (HL) are modifiable and may be useful for improving HF self-care. However, more research is needed to understand the influences of these variables on HF self-care. The aim of this study was to examine the relationships between patient activation, health literacy, and self-care adherence in a diverse group of adults with HF. This study used a correlational, cross-sectional design. Correlation and regression tests were used to analyze associations among variables. Stratified random sampling was applied to attain a study sample that was 50% persons of color (POC). Of the 174 participants, 51% were female and 48.5% were POC with a mean age of 62 years. There was no significant relationship between HL and HF self-care adherence. There was a small, positive correlation between HL and dichotomized high/low activation levels ( r  = .163; p  

Suggested Citation

  • Rebecca Meraz & Elizabeth Perry Caldwell & Jocelyn Shealy McGee, 2023. "The Relationships Among Health Literacy, Patient Activation, and Self-Care Behaviors in Adults With Heart Failure: A Cross Sectional Study," SAGE Open, , vol. 13(1), pages 21582440231, March.
    • Handle: RePEc:sae:sagope:v:13:y:2023:i:1:p:21582440231163779
    DOI: 10.1177/21582440231163779
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    References listed on IDEAS

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    1. Samuel G Smith & Laura M Curtis & Jane Wardle & Christian von Wagner & Michael S Wolf, 2013. "Skill Set or Mind Set? Associations between Health Literacy, Patient Activation and Health," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    2. Foster Osei Baah & Jesse Chittams & Beverly Carlson & Kristen A. Sethares & Marguerite Daus & Debra K. Moser & Barbara Riegel, 2021. "Sociodemographic Indicators of Social Position and Self-care Maintenance in Adults with Heart Failure," Clinical Nursing Research, , vol. 30(6), pages 847-854, July.
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