Health Literacy Among Patients With Chronic Lung Disease Entering Pulmonary Rehabilitation and Their Resident Loved Ones. Issue 5 (30th September 2021)

• Record Type: Journal Article
• Authors: Coenjaerds, Miranda M. J.; Spruit, Martijn A.; Cleutjens, Fiona A. H. M.; Ponds, Rudolph W. H. M.; Franssen, Frits M. E.; Wouters, Emiel F. M.; Janssen, Daisy J. A.
• Is Part Of: Journal of cardiopulmonary rehabilitation and prevention. Volume 41:Issue 5(2021)
• Page Start: 336
• Page End: 340
• Publication Date: 2021-09-30
• Subjects: chronic lung diseases -- health education -- health literacy -- pulmonary rehabilitation -- reading; Cardiopulmonary system -- Diseases -- Patients -- Rehabilitation -- Periodicals; Cardiopulmonary system -- Diseases -- Prevention -- Periodicals; 616.103
• DOI: 10.1097/HCR.0000000000000596
• Languages: English
• ISSNs: 1932-7501

Abstract

Abstract : Supplemental Digital Content is Available in the Text. The prevalence of low health literacy (HL) and low reading ability among patients with chronic lung disease and their loved ones in the Netherlands was determined. Of all patients, 51% had low HL and 29% had low reading ability. Of all loved ones, 39% had low HL. Pulmonary rehabilitation outcomes were comparable. Abstract : Purpose: The objective of this study was determine the prevalence of low health literacy (HL) and low reading ability among patients with chronic lung disease referred for pulmonary rehabilitation (PR) in the Netherlands and their loved ones; and to understand whether low HL or low reading ability influence PR outcomes. Methods: Health literacy was measured using the Health Literacy Survey-Europe Q16 (HLS-EU-Q16). Reading ability and cognitive functioning were measured using the Rapid Estimate of Adult Literacy in Medicine-Dutch (REALM-D) and the Montreal Cognitive Assessment. Exercise capacity, health status, and symptoms of anxiety and depression were assessed. Results: Patients (n = 120) entering PR and loved ones (n = 41) participated. Of all patients, 51% had low HL and 29% had low reading ability. Also, 39% of all loved ones had low HL. PR outcomes were comparable between patients with low or adequate HL. Patients with adequate reading ability showed greater improvement in symptoms of depression than patients with low reading ability ( P = .047). Conclusion: Low HL and low reading ability are common among patients entering PR and their loved ones. For patients with low or adequate HL, PR is an effective treatment. Whether considering low HL and low reading ability by offering tailored education during treatment could augment the benefits of PR warrants further study.