Can Health Literacy Be Improved by a Short-Term Intervention?: An Intervention to Improve Health Literacy in Korean-American Immigrants with Type 2 Diabetes Mellitus

2.50
Hdl Handle:
http://hdl.handle.net/10755/243437
Category:
Abstract
Type:
Presentation
Title:
Can Health Literacy Be Improved by a Short-Term Intervention?: An Intervention to Improve Health Literacy in Korean-American Immigrants with Type 2 Diabetes Mellitus
Author(s):
Kim, Miyong T.; Han, Hae-Ra; Nguyen, Tam Hieu
Author Details:
Kim, Miyong T., RN, PhD, FAAN, mkim@son.jhmi.edu; Han, Hae-Ra, RN, PhD, FAAN; Nguyen, Tam Hieu, RN, MSN/MPH;
Abstract:
Purpose:

The purpose of this study is to test the efficacy of a relatively short-term DM specific health literacy (HL) education intervention in improving health literacy and other relevant psycho- behavioral outcomes among a sample of Korean American immigrants (KAI) with type 2 diabetes mellitus (DM).

Methods:  

A randomized pilot trial tested a DM specific HL intervention for KAI with type 2 diabetes mellitus. The intervention consists with 6 x 2 group educations focus on activities to promote both print and functional literacy levels.  Print literacy was measured using a modified version of the Rapid Estimates of Adult Literacy in Medicine (REALM). Functional literacy was measured using a modified version of   the Test of Functional HL in Adults (TOFLHA) and the Newest Vital Signs. A series of analyses of covariance was performed to compare changes in study outcomes between groups, after controlling for baseline differences.

Results:

A total of 79 KAIs (intervention n=40, control n=39) completed the baseline evaluation and the 18-week and 30-week follow-ups. The sample included about an equal number of males and females, had resided in the US for more than 10 years (77%), although more than two-thirds (67.5%) indicated that they were not able to finish hospital appointments without an interpreter. The final analysis showed significantly improved scores for both print (p=0.05) and functional literacy levels (P=0.00) at the 30-week follow-up. Evaluation of other related outcomes also revealed positive results: as compared to the control group, the intervention group showed significant improvement in DM knowledge, DM-related self-efficacy, self-care activities and reduction of more than 1% in HbA1C levels.

Conclusion:

The intervention improved HLs, as well as psychosocial and behavioral outcomes. The level of HL can serve as a missing link between individual characteristics, psychosocial variables, and chronic disease management, particularly among immigrant populations.

Keywords:
Health Literacy; Diabetes; Intervention
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleCan Health Literacy Be Improved by a Short-Term Intervention?: An Intervention to Improve Health Literacy in Korean-American Immigrants with Type 2 Diabetes Mellitusen_GB
dc.contributor.authorKim, Miyong T.en_GB
dc.contributor.authorHan, Hae-Raen_GB
dc.contributor.authorNguyen, Tam Hieuen_GB
dc.author.detailsKim, Miyong T., RN, PhD, FAAN, mkim@son.jhmi.edu; Han, Hae-Ra, RN, PhD, FAAN; Nguyen, Tam Hieu, RN, MSN/MPH;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243437-
dc.description.abstract<b>Purpose: </b> <p class="BodyText21">The purpose of this study is to test the efficacy of a relatively short-term DM specific health literacy (HL) education intervention in improving health literacy and other relevant psycho- behavioral outcomes among a sample of Korean American immigrants (KAI) with type 2 diabetes mellitus (DM). <p><b>Methods: </b>&nbsp; <p>A randomized pilot trial tested a DM specific HL intervention for KAI with type 2 diabetes mellitus. The intervention consists with 6 x 2 group educations focus on activities to promote both print and functional literacy levels. &nbsp;Print literacy was measured using a modified version of the Rapid Estimates of Adult Literacy in Medicine (REALM). Functional literacy was measured using a modified version of&nbsp;&nbsp; the Test of Functional HL in Adults (TOFLHA) and the Newest Vital Signs. A series of analyses of covariance was performed to compare changes in study outcomes between groups, after controlling for baseline differences. <p><b>Results: </b> <p>A total of 79 KAIs (intervention n=40, control n=39) completed the baseline evaluation and the 18-week and 30-week follow-ups. The sample included about an equal number of males and females, had resided in the US for more than 10 years (77%), although more than two-thirds (67.5%) indicated that they were not able to finish hospital appointments without an interpreter. The final analysis showed significantly improved scores for both print (p=0.05) and functional literacy levels (P=0.00) at the 30-week follow-up. Evaluation of other related outcomes also revealed positive results: as compared to the control group, the intervention group showed significant improvement in DM knowledge, DM-related self-efficacy, self-care activities and reduction of more than 1% in HbA1C levels. <p><b>Conclusion: </b> <p>The intervention improved HLs, as well as psychosocial and behavioral outcomes. The level of HL can serve as a missing link between individual characteristics, psychosocial variables, and chronic disease management, particularly among immigrant populations.en_GB
dc.subjectHealth Literacyen_GB
dc.subjectDiabetesen_GB
dc.subjectInterventionen_GB
dc.date.available2012-09-12T09:22:16Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:22:16Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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