Functional, Communicative and Critical Health Literacy Among Patient with Diabetes Type2 Referred To The Diabetes Clinic

Document Type : Original Article

Authors

1 Department of Nursing, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran

2 department of nursing faculty, Abadan University of Medical Sciences, Abadan, Iran

3 Ms.C of Epidemiology, Division Abadan of Medical Sciences university, Abadan, Iran

Abstract

Background and Objective: Diabetes is a chronic disease that can cause acute and debilitating complications such as cardiovascular disease, blindness, and kidney failure. Inadequate self-care and health literacy are major barriers to diabetes management and affect patients' participation in self-care activities. This study aims to evaluate the patient's health literacy status with type 2 diabetes in three areas of function, communication, and criticism and to determine the relationship between these factors and self-care behaviors in patients with diabetes.

Materials and Methods:  A cross-sectional study was conducted on 118 diabetic patients referred to diabetes clinic 2019 through a regular random sampling approach. The level of health literacy and its subscales in patients was assessed by a Functional, Communicative, and Critical Health Literacy standard questionnaire. In order to analyze the data, descriptive statistics including mean, standard deviation, and frequency and analytical statistics such as independent t-test and one-way analysis of variance, Chi-square test, and multivariate linear regression were performed by SPSS software version 16.

Results: the mean score for total health literacy was 25.51±5.7, which is rated as average.  The results showed a significant relationship between functional health literacy and communication health literacy (r = -0.481), communicative and critical health literacy (r = 0.726), and between functional and critical health literacy (r = -0.426). Total health literacy had a statistically significant relationship with functional health literacy (r = 0.456), communication (r = 0.496), and critical health literacy (r = 0.534). 

Conclusions: Considering that communication, critical and functional health literacy is related to total health literacy and preventive behaviors in diabetic patients, treatment seems necessary.

Keywords

References

1. Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annual Review of Public Health. 2021;42.
https://doi.org/10.1146/annurev-publhealth-090419-102529
PMid:33035427
 
2. Wang C, Lang J, Xuan L, Li X, Zhang L. The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: a cross-sectional study. International journal for equity in health. 2017 Dec;16(1):1-1.
https://doi.org/10.1186/s12939-017-0551-9
PMid:28666443 PMCid:PMC5493849  
 
3. Khorrami Z, Yarahmadi S, Etemad K, Khodakarim S, Kameli ME, Hazaveh AR. Urban-rural differences in the prevalence of self-reported diabetes and its risk factors: the WHO STEPS Iranian noncommunicable disease risk factor surveillance in 2011. Iranian journal of medical sciences. 2017 Sep;42(5):481.  
 
4. Chen YY, Li CM, Liang JC, Tsai CC. Health information obtained from the internet and changes in medical decision making: questionnaire development and cross-sectional survey. Journal of medical Internet research. 2018;20(2):e47.
https://doi.org/10.2196/jmir.9370
PMid:29434017 PMCid:PMC5826978  
 
5. Smith J, Griffiths K, Judd J, Crawford G, D'Antoine H, Fisher M, Bainbridge R, Harris P. Ten years on from the World Health Organization Commission of Social Determinants of Health: progress or procrastination?.  
 
6. Jafari Y, Vahedian-Shahroodi M, Tehrani H, Haresabadi M, Shariati M. The relationship between caregivers' health literacy and the behavior of women with multiple sclerosis. Iranian Journal of Obstetrics, Gynecology and Infertility. 2018;21(7):71-64.  
 
7. Reisi M, Fazeli H, Mahmoodi M, Javadzadeh H. Application of the Social Cognitive Theory to Predict Self-Care Behavior among Type 2 Diabetes Patients with Limited Health Literacy. Journal of Health Literacy. 2021;6(2):21-32.  
 
8. Khoshnoodi far M, Arabnezhad Z, Tehrani H, Akbari farmad S. The effect Blended training on comparison with in-person training on self-care behaviors in type 2 diabetes patients. Iranian Journal of Health Education and Health Promotion. 2019;7(4):333-42.
https://doi.org/10.29252/ijhehp.7.4.333  
 
9. Mohebi S, Rahbar A, Sharifirad G. Health literacy in type 2 diabetic women in Qom province in 2019. Journal of Health Literacy. 2020;5(1):50-60.  
 
10. Souza, J. G., Apolinario, D., Farfel, J. M., Jaluul, O., Magaldi, R. M., Busse, A. L., ... & Jacob-Filho, W. (2016). Applicability of the spoken knowledge in low literacy patients with diabetes in brazilian elderly. Einstein (São Paulo), 14(4), 513-519.
https://doi.org/10.1590/s1679-45082016ao3747
PMid:28076599 PMCid:PMC5221378  
 
11. Koops van't Jagt R, Tan SL, Hoeks J, Spoorenberg S, Reijneveld SA, de Winter AF, Lippke S, Jansen C. Using Photo Stories to Support Doctor-Patient Communication: Evaluating a Communicative Health Literacy Intervention for Older Adults. International journal of environmental research and public health. 2019 Jan;16(19):3726.
https://doi.org/10.3390/ijerph16193726
PMid:31623324 PMCid:PMC6801765  
 
12. Ishikawa H, Takeuchi T, Yano E. Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes care. 2008 May 1;31(5):874-9.
https://doi.org/10.2337/dc07-1932
PMid:18299446  
 
13. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Nursing Research. 2016 Jan 10;10(4):43-51.  
 
14. Masoodi R, Kheiri S, Rabiei L. Psychometric and validation of the Iranian version of the diabetes health literacy assessment questionnaire. Iranian Journal of Diabetes and Lipid Disorders. 2020;19(6).  
 
13. Yarmohammadi S, Momenyan S, Ghaffari M, Ali R, Azizpour M. Impact of functional, communicative and critical health literacy on glycemic control among patients with type 2 diabetes, and the mediating role of self-care. Psychology research and behavior management. 2019;12:427.
https://doi.org/10.2147/PRBM.S207466
PMid:31417324 PMCid:PMC6592064  
 
14. Jandorf S, Nielsen MK, Sørensen K, Sørensen TL. Low health literacy levels in patients with chronic retinal disease. BMC ophthalmology. 2019 Dec;19(1):1-5.
https://doi.org/10.1186/s12886-019-1191-1
PMid:31395040 PMCid:PMC6686552  
 
15. Stellefson ML, Shuster JJ, Chaney BH, Paige SR, Alber JM, Chaney JD, Sriram PS. Web-based health information seeking and eHealth literacy among patients living with chronic obstructive pulmonary disease (COPD). Health communication. 2018 Dec 2;33(12):1410-24.
https://doi.org/10.1080/10410236.2017.1353868
PMid:28872905 PMCid:PMC6097958  
 
16. Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient education and counseling. 2015 Jan 1;98(1):41-8.
https://doi.org/10.1016/j.pec.2014.10.006
PMid:25455794  
 
17. Khoie M, Jafary Nodoushan Z, Alipour Nodoushan K. Investigating the health literacy of addicts referring to addiction treatment centers in Qom city and its relationship with demographic variables. Journal of Health Literacy. 2019 Nov 22;4(3):9-16.
https://doi.org/10.22038/JHL.2019.42225.1073  
 
18. Kamalipour M, Mehralizade A, Choobin N, Esmaeel Zadeh Z. Evaluation of adults health literacy in Jahrom. Journal of Preventive Medicine. 2019 Aug 10;6(1):25-19.18-
https://doi.org/10.29252/jpm.6.1.25  
 
19. Marzangi A, Ahangarzadeh Rezaei S, Ghareagaji Asl R. health literacy in heart disease community that covered by health services centers in south of west Azarbayjan province. Nursing And Midwifery Journal. 2018 Apr 10;16(1):45-54.  
 
20. Olesen K, Reynheim AL, Joensen L, Ridderstråle M, Kayser L, Maindal HT, Osborne RH, Skinner T, Willaing I. Higher health literacy is associated with better glycemic control in adults with type 1 diabetes: a cohort study among 1399 Danes. BMJ Open Diabetes Research and Care. 2017 Aug 1;5(1).
https://doi.org/10.1136/bmjdrc-2017-000437
PMid:29225895 PMCid:PMC5706486  
 
Journal of Health Literacy
Volume 6, Issue 3 - Serial Number 23
December 2021
Pages 55-63

Files

Share

How to cite

Statistics