The Impact of Health Literacy and Patient Trust on Glycemic Control

2.50
Hdl Handle:
http://hdl.handle.net/10755/147625
Type:
Presentation
Title:
The Impact of Health Literacy and Patient Trust on Glycemic Control
Abstract:
The Impact of Health Literacy and Patient Trust on Glycemic Control
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Mancuso, Josephine M., PhD
P.I. Institution Name:Marquette University
Title:Adult Nurse Practitioner
[Invited Poster or Paper Session] Diabetes with its consequence of premature death, complications, economic costs, and societal burden is antecedent to a public health crisis. Improvement of diabetic outcomes, specifically glycemic control measured by HbA1c, can impact this situation. Thus, establishing determinants of glycemic control is imperative. Research demonstrates that health literacy and patient trust influence health outcomes. This study examined health literacy and patient trust as predictors of glycemic control. Related factors of demographics, socioeconomic status, diabetes knowledge, self-care activities, and depression were also considered. Constructed from theory synthesis, the conceptual framework postulates that patient trust and health literacy are associated with HbA1c. Socioeconomic status and demographics influence health literacy and patient trust subsequently shaping diabetes knowledge. Diabetes knowledge is related to performance of self-care activities, which in turn, affects diabetes complications, specifically depression, thereby impacting HbA1c. Implementing a cross-sectional design, a convenience sample of 102 uninsured patients with diabetes was recruited from two urban primary care clinics. Multiple regression was calculated to predict the impact of health literacy, patient trust, self-care activities, diabetes knowledge, and depression on HbA1c. Correlations, requiring a corrected significance of p<0.01, were analyzed among socioeconomic status, demographics, health literacy, patient trust, diabetes knowledge, self-care activities, depression, and HbA1c. The regression model was significant with patient trust and depression accounting for 28.5% of the variance in HbA1c. There was a significant positive correlation between socioeconomic status and health literacy (rho=.35), diabetes knowledge and health literacy (rho=.30), and depression and HbA1c (r=.34). There was a significant negative correlation between patient trust and HbA1c (rho=-.43). Results support promotion of the patient/provider relationship, depression screening within the diabetic population, and exploration of new strategies for diabetes education. Future research is needed to advance the framework, ascertain what defines and engenders patient trust, and to determine the role of health literacy in glycemic control.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Impact of Health Literacy and Patient Trust on Glycemic Controlen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147625-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Impact of Health Literacy and Patient Trust on Glycemic Control</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mancuso, Josephine M., PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Adult Nurse Practitioner</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jmurphy1@wi.rr.com</td></tr><tr><td colspan="2" class="item-abstract">[Invited Poster or Paper Session] Diabetes with its consequence of premature death, complications, economic costs, and societal burden is antecedent to a public health crisis. Improvement of diabetic outcomes, specifically glycemic control measured by HbA1c, can impact this situation. Thus, establishing determinants of glycemic control is imperative. Research demonstrates that health literacy and patient trust influence health outcomes. This study examined health literacy and patient trust as predictors of glycemic control. Related factors of demographics, socioeconomic status, diabetes knowledge, self-care activities, and depression were also considered. Constructed from theory synthesis, the conceptual framework postulates that patient trust and health literacy are associated with HbA1c. Socioeconomic status and demographics influence health literacy and patient trust subsequently shaping diabetes knowledge. Diabetes knowledge is related to performance of self-care activities, which in turn, affects diabetes complications, specifically depression, thereby impacting HbA1c. Implementing a cross-sectional design, a convenience sample of 102 uninsured patients with diabetes was recruited from two urban primary care clinics. Multiple regression was calculated to predict the impact of health literacy, patient trust, self-care activities, diabetes knowledge, and depression on HbA1c. Correlations, requiring a corrected significance of p&lt;0.01, were analyzed among socioeconomic status, demographics, health literacy, patient trust, diabetes knowledge, self-care activities, depression, and HbA1c. The regression model was significant with patient trust and depression accounting for 28.5% of the variance in HbA1c. There was a significant positive correlation between socioeconomic status and health literacy (rho=.35), diabetes knowledge and health literacy (rho=.30), and depression and HbA1c (r=.34). There was a significant negative correlation between patient trust and HbA1c (rho=-.43). Results support promotion of the patient/provider relationship, depression screening within the diabetic population, and exploration of new strategies for diabetes education. Future research is needed to advance the framework, ascertain what defines and engenders patient trust, and to determine the role of health literacy in glycemic control.</td></tr></table>en_GB
dc.date.available2011-10-26T09:34:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:34:26Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.