Multiple health literacy dimensions are associated with physicians' efforts to achieve shared decision-making

PATIENT EDUCATION AND COUNSELING

卷:102

Article

Ousseine, Youssoufa M.¹  Durand, Marie-Anne²  Bouhnik, Anne-Deborah¹  Smith, Allan 'Ben'^3,4,5  Mancini, Julien⁶ 

[1] Aix Marseille Univ, Canc Biomed & Soc Grp, SESSTIM, INSERM,IRD, Marseille, France

[2] Dartmouth Coll, Dartmouth Inst Hlth Policy & Clin Practice, Hanover, NH 03755 USA

[3] Univ New South Wales, Ingham Inst Appl Med Res, Ctr Oncol Educ & Res Translat CONCERT, Liverpool, NSW, Australia

[4] Univ New South Wales, South Western Sydney Clin Sch, Liverpool, NSW, Australia

[5] Univ Sydney, Sch Psychol, Psychooncol Cooperat Res Grp PoCoG, Sydney, NSW, Australia

[6] Aix Marseille Univ, Canc Biomed & Soc Grp, SESSTIM, BIOSTIC,APHM,INSERM,IRD, Marseille, France

关键词: Health literacy;    Numeracy;    Shared decision-making;    CollaboRATE;    Validation studies;    Psychometrics;   

DOI  :  10.1016/j.pec.2019.05.015

来源: Elsevier

【 摘 要 】

Objectives: Shared decision-making (SDM) in health care is widely encouraged. However, for SDM to occur patients need to be able to obtain, understand and apply medical information. Our aim was to assess the relationship between health literacy (HL), numeracy and SDM (using French translations of validated measures). Methods: A cross-sectional survey using a self-administered online questionnaire was proposed to all members of the Seintinelles association. Several scales were used to measure HL (FCCHL and 3HLQ/SILS), numeracy (SNS-3), the SDM process (CollaboRATE) and explore their inter-relationships. Results: Data from 2 299 respondents (96.7% women, 46.1% with a history of cancer) were analysed. All measurement scales showed adequate psychometric properties. Functional HL, communicative HL and numeracy were positively associated with SDM while no significant relation was observed between critical HL and SDM. Furthermore, perceived difficulties in asking physicians' questions and deprivation were negatively associated with SDM. Conclusion: Patient support to reach SDM requires high levels of HL, particularly in the functional and communicative domains. Efforts must be made to improve access and understanding of health information. Practice implications: Brief self-reported measures could be used to screen for low levels of health literacy, tailor information accordingly and improve patient involvement in healthcare decision-making. (C) 2019 Elsevier B.V. All rights reserved.

【 授权许可】

Free