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The power of knowledge: A survey on COPD patients' health literacy in Switzerland

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  • Bischof, Anja

Abstract

Background: Health literacy (HL) is one of the major levers to increase the self-management ca-pabilities of patients suffering from Chronic Obstructive Pulmonary Disease (COPD). However, HL is often insufficient in individuals suffering from COPD. Therefore, this study investigates which factors are associated with HL and whether patients with varying HL states desire different support in digital health interventions to better manage COPD-specific symptoms. Methods: In total, 203 participants completed a web-based survey that collected information on patient's health-related quality of life (HRQoL), possible impairments, and areas of improvement in their daily lives. The HLS-EU-Q16 was applied to assess HL. A chi-square test and an analysis of variances were performed to compare variable characteristics across COPD patients with dif-ferent HL. An ordinal logistic regression was used to identify variables significantly associated with HL. Based on the survey's responses, the patients' desire for daily support were identified. Results: Of the 203 participants, 53.2% demonstrated sufficient HL, 27.6% indicated problematic HL, and 19.2% displayed inadequate HL. Significant differences in the requirement of support in daily life (χ²=0.032), length of diagnosis (χ²=0.015), and confidence in medication intake (χ²﹤0.001) were observable. Furthermore, significant differences in age (p﹤0.001), EQ-5D-5L (p﹤0.001), EQ-VAS (p﹤0.001), and CAT (p=0.004) were identified. The ordinal logistic regression revealed age and the EQ-5D-5L as significantly associated with HL. COPD patients expressed consistent pref-erences for support in digital health interventions, irrespective of their HL state. Conclusion: The study reveals that age and HRQoL, represented by the EQ-5D-5L, are signifi-cantly associated with HL. Approaches to improving HRQoL might be considered to strengthen HL. Additionally, the study identifies desired support mechanisms for COPD patients when de-veloping digital health interventions for this patient group. Future research could explore the in-terplay between HRQoL, HL, and self-management and the potential of digital health interven-tion in this interplay.

Suggested Citation

  • Bischof, Anja, 2023. "The power of knowledge: A survey on COPD patients' health literacy in Switzerland," Working Paper Series in Health Economics, Management and Policy 2023-04, University of St.Gallen, School of Medicine, Chair of Health Economics, Policy and Management.
    • Handle: RePEc:zbw:hsgmed:202304
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    1. Uday Narayan Yadav & Jane Lloyd & Hassan Hosseinzadeh & Kedar Prasad Baral & Narendra Bhatta & Mark Fort Harris, 2020. "Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-16, May.
    2. Mona Voigt-Barbarowicz & Günter Dietz & Nicole Renken & Ruben Schmöger & Anna Levke Brütt, 2022. "Patients’ Health Literacy in Rehabilitation: Comparison between the Estimation of Patients and Health Care Professionals," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    3. Irene Bos-Touwen & Marieke Schuurmans & Evelyn M Monninkhof & Yvonne Korpershoek & Lotte Spruit-Bentvelzen & Inge Ertugrul-van der Graaf & Niek de Wit & Jaap Trappenburg, 2015. "Patient and Disease Characteristics Associated with Activation for Self-Management in Patients with Diabetes, Chronic Obstructive Pulmonary Disease, Chronic Heart Failure and Chronic Renal Disease: A ," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-15, May.
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