Publicatie

Publicatie datum

Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management.

Heijmans, M., Waverijn, G., Rademakers, J., Vaart, R. van der, Rijken, M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education and Counseling: 2015, 98(1), 41-48
Download de PDF
Objective
To provide insight into the level of health literacy among chronic disease patients in the Netherlands, to identify subgroups with low literacy and to examine the associations between health literacy and self-management.

Methods
Self-report questionnaires were sent to a nationwide sample of 1.341 chronic disease patients. The Dutch Functional Communicative and Critical Health Literacy scale (FCCHL), the Partners in Health scale (PIH) and Perceived Efficacy in Patient–Doctor Interactions (PEPPI-5) were used to assess health literacy and aspects of self-management.

Results
In general, health literacy skills were good. A higher age, lower education, lower income, multi-morbidity and/or functional limitations were associated with lower levels of health literacy. Communicative and critical health literacy were related to some aspects of self-management but not to all. Functional health literacy was less important.

Conclusion
Communicative and critical health literacy play a role in successful self-management of chronic disease but the impact differs by context. Health literacy levels vary according to socio-demographic and disease characteristics of patients.

Practice implications
Health care professionals should tailor their information and support to the health literacy skills and personal context of their patients. (aut. ref.)