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Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study

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  • Yuji Kanejima

    (Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Department of Rehabilitation, Kobe City Medical Center General Hospital, Kobe 650-0047, Japan)

  • Kazuhiro P. Izawa

    (Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan)

  • Masahiro Kitamura

    (Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Department of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, Fukuoka 811-0213, Japan)

  • Kodai Ishihara

    (Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Department of Rehabilitation, Sakakibara Heart Institute of Okayama, Okayama 700-0804, Japan)

  • Asami Ogura

    (Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Department of Rehabilitation, Sanda City Hospital, Sanda 669-1311, Japan)

  • Ikko Kubo

    (Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Department of Rehabilitation, Yodogawa Christian Hospital, Osaka 533-0024, Japan)

  • Hitomi Nagashima

    (Department of Rehabilitation, Shinyukuhashi Hospital, Yukuhashi 824-0026, Japan)

  • Hideto Tawa

    (Department of Cardiology, Sanda City Hospital, Sanda 669-1311, Japan)

  • Daisuke Matsumoto

    (Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka 533-0024, Japan)

  • Ikki Shimizu

    (Department of Diabetes, Sakakibara Heart Institute of Okayama, Okayama 700-0804, Japan)

Abstract

The activities of daily living (ADL) in patients with cardiac disease tend to decline. A previous study revealed that ADL relates to physical and cognitive functions associated with health literacy (HL). However, the relationship between HL and ADL is not well documented. This study aimed to clarify this relationship among patients participating in cardiac rehabilitation. This multicenter study, the Kobe-Cardiac Rehabilitation project for people around the World (K-CREW), included patients who participated in cardiac rehabilitation from October 2020 to December 2021. Patients with probable dementia and difficulty walking alone were excluded. We used the 14-item Health Literacy Scale (HLS-14) to assess HL and the Functional Independence Measure (FIM) to assess ADL at discharge. Patients were divided by their HLS-14 score into the low HL group (<50 points) or the high HL group (≥50 points). We analyzed the relationship between the HLS-14 and FIM scores. We investigated 268 cardiac rehabilitation patients (median age, 71.0 years; male ratio, 76.9%). Low HL patients accounted for 51.1% of all patients and had significantly lower motor and cognitive FIM scores. Functional HL related better to the FIM scores (r = 0.28–0.36) than did other HL subclasses. Multiple regression analysis identified HLS-14 as an explanatory variable ( p = 0.002) for the total FIM score. Patients with low HL had significantly lower ADL than those with high HL. These findings underscore the importance of considering HL in cardiac rehabilitation.

Suggested Citation

  • Yuji Kanejima & Kazuhiro P. Izawa & Masahiro Kitamura & Kodai Ishihara & Asami Ogura & Ikko Kubo & Hitomi Nagashima & Hideto Tawa & Daisuke Matsumoto & Ikki Shimizu, 2022. "Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study," IJERPH, MDPI, vol. 19(24), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16550-:d:998519
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    References listed on IDEAS

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    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. Stuck, Andreas E. & Walthert, Jutta M. & Nikolaus, Thorsten & Büla, Christophe J. & Hohmann, Christoph & Beck, John C., 1999. "Risk factors for functional status decline in community-living elderly people: a systematic literature review," Social Science & Medicine, Elsevier, vol. 48(4), pages 445-469, February.
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