IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i5p1741-d329647.html
   My bibliography  Save this article

The Mediating Role of the Patient Health Engagement Model on the Relationship Between Patient Perceived Autonomy Supportive Healthcare Climate and Health Literacy Skills

Author

Listed:
  • Serena Barello

    (EngageMinds Hub – Consumer, Food & Health Engagement Research Center, Department of Psychology, Università Cattolica del Sacro Cuore, L.go Agostino Gemelli 1, 20143 Milano, Italy)

  • Lorenzo Palamenghi

    (EngageMinds Hub – Consumer, Food & Health Engagement Research Center, Department of Psychology, Università Cattolica del Sacro Cuore, L.go Agostino Gemelli 1, 20143 Milano, Italy)

  • Guendalina Graffigna

    (EngageMinds Hub – Consumer, Food & Health Engagement Research Center, Department of Psychology, Università Cattolica del Sacro Cuore, L.go Agostino Gemelli 1, 20143 Milano, Italy)

Abstract

Individuals with low health literacy (HL) are known to have poorer health outcomes and to have higher mortality rates compared to individuals with higher HL; hence, the improvement of HL is a key outcome in modern healthcare systems. Healthcare providers are therefore asked to support patients in becoming more and more engaged in their healthcare, thus augmenting their literacy skills. Our main hypothesis is that the well-known relationship between patients’ perceived autonomy supportive healthcare climate and HL skills is mediated by the Patient Health Engagement Model (PHE-model) which describes the patients’ progressive maturation of a psychological readiness to become active players in their healthcare. The purpose of this study was to formulate a hypothetical structural equation model (SEM) linking an autonomy-supportive healthcare climate to PHE-model and HL. A cross-sectional survey design was employed involving 1007 Italian chronic patients. The hypothetical model was tested using SEM to verify the hypothesized mediation of the PHE-model between autonomy-supportive healthcare climate and HL. Results show that the theoretical model has a good fit indexes and that PHE-model fully mediates the relationship between autonomy-supportive healthcare climate and HL. This finding suggests healthcare systems to implement a new paradigm where patients are supported to play an autonomous role in their own healthcare.

Suggested Citation

  • Serena Barello & Lorenzo Palamenghi & Guendalina Graffigna, 2020. "The Mediating Role of the Patient Health Engagement Model on the Relationship Between Patient Perceived Autonomy Supportive Healthcare Climate and Health Literacy Skills," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1741-:d:329647
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/5/1741/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/5/1741/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Rademakers, Jany & Nijman, Jessica & Brabers, Anne E.M. & de Jong, Judith D. & Hendriks, Michelle, 2014. "The relative effect of health literacy and patient activation on provider choice in the Netherlands," Health Policy, Elsevier, vol. 114(2), pages 200-206.
    2. Marie-Anne Durand & Lewis Carpenter & Hayley Dolan & Paulina Bravo & Mala Mann & Frances Bunn & Glyn Elwyn, 2014. "Do Interventions Designed to Support Shared Decision-Making Reduce Health Inequalities? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-13, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Determann, Domino & Lambooij, Mattijs S. & de Bekker-Grob, Esther W. & Hayen, Arthur P. & Varkevisser, Marco & Schut, Frederik T. & Wit, G. Ardine de, 2016. "What health plans do people prefer? The trade-off between premium and provider choice," Social Science & Medicine, Elsevier, vol. 165(C), pages 10-18.
    2. Fanni Rencz & Béla Tamási & Valentin Brodszky & László Gulácsi & Miklós Weszl & Márta Péntek, 2019. "Validity and reliability of the 9-item Shared Decision Making Questionnaire (SDM-Q-9) in a national survey in Hungary," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 43-55, June.
    3. Francesca Gallè & Patrizia Calella & Christian Napoli & Fabrizio Liguori & Eduardo Alfonso Parisi & Giovanni Battista Orsi & Giorgio Liguori & Giuliana Valerio, 2020. "Are Health Literacy and Lifestyle of Undergraduates Related to the Educational Field? An Italian Survey," IJERPH, MDPI, vol. 17(18), pages 1-9, September.
    4. Modigh, Anton & Sampaio, Filipa & Moberg, Linda & Fredriksson, Mio, 2021. "The impact of patient and public involvement in health research versus healthcare: A scoping review of reviews," Health Policy, Elsevier, vol. 125(9), pages 1208-1221.
    5. Dahl, Andrew J. & Milne, George R. & Peltier, James W., 2021. "Digital health information seeking in an omni-channel environment: A shared decision-making and service-dominant logic perspective," Journal of Business Research, Elsevier, vol. 125(C), pages 840-850.
    6. Louisa Blair & France Légaré, 2015. "Is Shared Decision Making a Utopian Dream or an Achievable Goal?," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 8(6), pages 471-476, December.
    7. Bakanauskienė Irena & Baronienė Laura, 2017. "Theoretical Background for the Decision-Making Process Modelling under Controlled Intervention Conditions," Management of Organizations: Systematic Research, Sciendo, vol. 78(1), pages 7-19, December.
    8. Joann Seo & Melody S. Goodman & Mary Politi & Melvin Blanchard & Kimberly A. Kaphingst, 2016. "Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients," Medical Decision Making, , vol. 36(4), pages 550-556, May.
    9. Dorthe Gaby Bove & Ann‐Britt Zakrisson & Julie Midtgaard & Kirsten Lomborg & Dorthe Overgaard, 2016. "Undefined and unpredictable responsibility: a focus group study of the experiences of informal caregiver spouses of patients with severe COPD," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(3-4), pages 483-493, February.
    10. Renata W. Yen & Jenna Smith & Jaclyn Engel & Danielle Marie Muscat & Sian K. Smith & Julien Mancini & Lilisbeth Perestelo-Pérez & Glyn Elwyn & A. James O’Malley & JoAnna K. Leyenaar & Olivia Mac & , 2021. "A Systematic Review and Meta-Analysis of Patient Decision Aids for Socially Disadvantaged Populations: Update from the International Patient Decision Aid Standards (IDPAS)," Medical Decision Making, , vol. 41(7), pages 870-896, October.
    11. Jany Rademakers & Monique Heijmans, 2018. "Beyond Reading and Understanding: Health Literacy as the Capacity to Act," IJERPH, MDPI, vol. 15(8), pages 1-12, August.
    12. Maarten Voorhaar & Erik WMA Bischoff & Guus Asijee & Jean Muris & Onno CP van Schayck & Annerika Slok & Anja Visser, 2020. "Validation of the Dutch version of the primary care resources and support for self-management tool: A tool to assess the quality of self-management support," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-11, March.
    13. Tamara Brown & Sarah Smith & Raj Bhopal & Adetayo Kasim & Carolyn Summerbell, 2015. "Diet and Physical Activity Interventions to Prevent or Treat Obesity in South Asian Children and Adults: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 12(1), pages 1-29, January.
    14. Kevin D. Li & Christopher S. Saigal & Megha D. Tandel & Lorna Kwan & Moira Inkelas & Dana L. Alden & Stanley K. Frencher & Kiran Gollapudi & Jeremy Blumberg & Jamal Nabhani & Jonathan Bergman, 2021. "Differences in Implementation Outcomes of a Shared Decision-Making Program for Men with Prostate Cancer between an Academic Medical Center and County Health Care System," Medical Decision Making, , vol. 41(2), pages 120-132, February.
    15. Palumbo, Rocco & Annarumma, Carmela & Adinolfi, Paola & Musella, Marco & Piscopo, Gabriella, 2016. "The Italian Health Literacy Project: Insights from the assessment of health literacy skills in Italy," Health Policy, Elsevier, vol. 120(9), pages 1087-1094.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1741-:d:329647. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.