Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.pec.2012.12.018
Title: Communicative and critical health literacy, and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis
Authors: Lai, A.Y.
Ishikawa, H.
Kiuchi, T.
Mooppil, N.
Griva, K. 
Keywords: Diabetes
ESRD
Health communication
Health literacy
Self-management
Issue Date: May-2013
Source: Lai, A.Y., Ishikawa, H., Kiuchi, T., Mooppil, N., Griva, K. (2013-05). Communicative and critical health literacy, and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Education and Counseling 91 (2) : 221-227. ScholarBank@NUS Repository. https://doi.org/10.1016/j.pec.2012.12.018
Abstract: Objective: Health Literacy (HL) has been linked to disease self-management and various health outcomes, and can be separated into components of functional, communicative and critical skills. The high comorbidity between diabetes and end-stage renal disease (ESRD) poses concerns for compromised disease self-management. This study aimed to identify the relationships between HL and self-management behaviors in end-stage renal disease patients with diabetes. Methods: Self-report questionnaires measuring HL and self-management with the Functional, Communicative and Critical HL scale and Summary of Diabetes Self-Care Activities, respectively, were implemented with a sample of 63 patients. Socio-demographic and clinical characteristics were obtained from medical records. Results: Self-management in diabetes was associated with communicative and critical HL, but not functional HL. Educational attainment was associated only with functional HL. No relationship between HL and glycated hemoglobin (HbA1c) was identified. Conclusion: Communicative and critical HL skills are associated with self-management in ESRD patients with diabetes. Education levels are not related to self-management. Practice implications: Healthcare professionals and health information aiming to improve self-management in ESRD patients with diabetes should consider their capacities of communicative and critical HL instead of solely assessing functional HL. © 2013 Elsevier Ireland Ltd.
Source Title: Patient Education and Counseling
URI: http://scholarbank.nus.edu.sg/handle/10635/49840
ISSN: 07383991
DOI: 10.1016/j.pec.2012.12.018
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