Relationship between adult and family supporter health literacy levels and supporter roles in diabetes management.
Relationship between adult and family supporter health literacy levels and supporter roles in diabetes management.
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DOI：
10.1037/fsh0000503
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Rosland AM
中科院分区：
文献类型：
--
作者：
Fields B;Lee A;Piette JD;Trivedi R;Mor MK;Obrosky DS;Heisler M;Rosland AM
在2型糖尿病患者中，健康素养低（HL）是负面健康结果的风险因素。来自家人和朋友的支持可以改善成年人的自我管理和健康相关的结果。我们研究了支持者是否为糖尿病和低HL的成年人提供了独特的帮助，以及HL是否与成年人对支持者乐于助人的看法有关。我们使用了来自239名成年糖尿病患者的横断面基线调查数据，这些患者参加了一项有支持者的随机对照试验。患者报告的支持者参与自我管理的角色。使用经验证的HL筛查工具评估患者和支持者中的HL。患者感知的支持者乐于助人进行了评估与一个单一的项目。我们使用多变量逻辑回归来检验患者和支持者的HL水平与支持者角色和患者对支持者乐于助人的感知之间的关系。低HL患者更可能有低HL支持者（39% vs. 26%，p = 0.04）。低HL患者接受支持者帮助呼叫医疗保健提供者的几率较高（调整后的比值比[AOR] = 2.09，95% CI [1.00，4.39]），记住医疗预约（AOR = 2.24，95% CI [1.07，4.69]），并在血糖低时给予指导（AOR = 2.51，95% CI [1.20，5.37]）。无论是病人还是支持者HL与病人的支持者乐于助人的看法显着相关。糖尿病和低HL的成年人报告更多的支持者参与特定的自我管理任务比患者有足够的HL。提供者可以考虑让支持者有针对性地参与，以帮助慢性病和低HL患者，尽管他们应该意识到支持者可能会受到低HL的挑战。
Among adults with Type 2 diabetes, low health literacy (HL) is a risk factor for negative health outcomes. Support from family and friends can improve adults’ self-management and health-related outcomes. We examined whether supporters provided unique help to adults with diabetes and low HL and whether HL was associated with adults’ perception of supporter helpfulness. We used cross-sectional baseline survey data from 239 adult patients with diabetes enrolled in a randomized controlled trial with a support person. Patients reported level of supporter involvement with self-management roles. HL among patients and supporters was assessed using a validated HL screening tool. Patient perception of supporter helpfulness was assessed with a single item. We used multivariable logistic regression to examine associations of patient and supporter HL levels with supporter roles and patients’ perception of supporter helpfulness. Patients with low HL were more likely to have a supporter with low HL (39% vs. 26%, p = .04). Patients with low HL had higher odds of receiving supporter help with calling health care providers (adjusted odds ratio [AOR] = 2.09, 95% CI [1.00, 4.39]), remembering medical appointments (AOR = 2.24, 95% CI [1.07, 4.69]), and giving directions when blood sugars were low (AOR = 2.51, 95% CI [1.20, 5.37]). Neither patient nor supporter HL was significantly associated with patients’ perception of supporter helpfulness. Adults with diabetes and low HL reported more supporter involvement with specific self-management tasks than patients with adequate HL. Providers could consider targeted involvement of supporters to assist patients with chronic diseases and low HL, although they should be aware that supporters may be challenged by low HL.
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影响因子：
3.9
作者：
Beck, Joni;Greenwood, Deborah A.;Wang, Jing
通讯作者：
Wang, Jing
DOI：
10.1093/geronb/gbp050
发表时间：
2010-05-01
影响因子：
6.2
作者：
Nicklett, Emily J.;Liang, Jersey
通讯作者：
Liang, Jersey
影响因子：
5.7
作者：
Chew, Lisa D.;Griffin, Joan M.;VanRyn, Michelle
通讯作者：
VanRyn, Michelle
影响因子：
2.5
作者：
Rosland AM;Piette JD;Trivedi R;Kerr EA;Stoll S;Tremblay A;Heisler M
通讯作者：
Heisler M
影响因子：
8
作者：
DeWalt, Darren A;Hink, Ashley
通讯作者：
Hink, Ashley