Patient empowerment interacts with health literacy to associate with subsequent self-management behaviors in patients with type 2 diabetes: A prospective study in Taiwan. Issue 10 (October 2016)

• Record Type: Journal Article
• Authors: Wang, Ruey-Hsia; Hsu, Hui-Chun; Lee, Yau-Jiunn; Shin, Shyi-Jang; Lin, Kun-Der; An, Ling-Wang
• Is Part Of: Patient education and counseling. Volume 99:Issue 10(2016)
• Page Start: 1626
• Page End: 1631
• Publication Date: 2016-10
• Subjects: Type 2 diabetes -- Self-management behaviors -- Patient empowerment -- Health literacy; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2016.04.001
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Empowerment interacts with health literacy to influence self-management behaviors of patients. Empowerment may improve self-management behaviors in patients with high health literacy. Empowerment may be useless on self-management behaviors in patients with low health literacy. Abstract: Objective: To examine association of interactions between patient empowerment (PE) and health literacy with 1-year-later self-management behaviors in patients with type 2 diabetes (T2DM). Methods: A prospective design was employed in this study. Overall, 395 patients with T2DM completed self-reported questionnaires at baseline and 1 year later. A hierarchical multiple regression was used to identify the association of interactions between PE and health literacy at baseline with the 1-year-later self-management behaviors. Results: Interactions between PE and communicative and critical health literacy (CCHL) at baseline significantly associated with the 1-year-later global self-management behaviors in patients with T2DM. Among the participants who exhibited high PE at baseline, the scores of 1-year-later global self-management behaviors of the participants with a high CCHL at baseline were significantly higher than those with a low CCHL at baseline. Nevertheless, among the participants who exhibited low PE at baseline, no significant differences were identified in the 1-year-later global self-management behaviors between the participants with high vs. low CCHL at baseline. Conclusions: PE may improve self-management behaviors in patients with high CCHL, but may prove useless in patients with low CCHL. Practice implications: Healthcare providers should ensure that patients with T2DM have adequate CCHL prior to empowering them.