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Patients’ Health Literacy in Rehabilitation: Comparison between the Estimation of Patients and Health Care Professionals

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  • Mona Voigt-Barbarowicz

    (Junior Research Group for Rehabilitation Sciences, Department of Health Services Research, University of Oldenburg, 26129 Oldenburg, Germany)

  • Günter Dietz

    (Clinic for Orthopedic and Rheumatological Rehabilitation, Rehabilitation Centre Bad Zwischenahn, 26160 Bad Zwischenahn, Germany)

  • Nicole Renken

    (Clinic for Orthopedic and Rheumatological Rehabilitation, Rehabilitation Centre Bad Zwischenahn, 26160 Bad Zwischenahn, Germany)

  • Ruben Schmöger

    (Junior Research Group for Rehabilitation Sciences, Department of Health Services Research, University of Oldenburg, 26129 Oldenburg, Germany)

  • Anna Levke Brütt

    (Junior Research Group for Rehabilitation Sciences, Department of Health Services Research, University of Oldenburg, 26129 Oldenburg, Germany)

Abstract

The term health literacy (HL) comprises the handling of health information and disease-specific and generic self-management skills, especially relevant for patients with chronic conditions. Health care professionals (HCPs) should correctly identify patients’ communication needs and their HL levels. Therefore, the aims of the study were (1) to determine inpatient medical rehabilitation patients’ HL based on self-assessment, (2) to evaluate changes from admission to discharge, (3) to identify HCPs estimation of patients’ HL, and (4) to compare the estimated patient HL by patients and HCPs. A combined cross-sectional and longitudinal study was conducted in an orthopedic rehabilitation center in Germany. The multidimensional Health Literacy Questionnaire (HLQ) was filled in by patients (admission, discharge). An adapted version was administered to HCPs ( n = 32) in order to assess HL of individual patients. Data from 287 patients were used for the longitudinal analysis, and comparison was based on n = 278 cases with at least two HL estimations. The results showed a significant increase in HL in five of nine scales with small effect sizes. Moreover, HCPs mostly provided higher scores than patients, and agreement was poor to fair. Differences between the HL estimation might lead to communication problems, and communication training could be useful.

Suggested Citation

  • Mona Voigt-Barbarowicz & Günter Dietz & Nicole Renken & Ruben Schmöger & Anna Levke Brütt, 2022. "Patients’ Health Literacy in Rehabilitation: Comparison between the Estimation of Patients and Health Care Professionals," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3522-:d:772590
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    References listed on IDEAS

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    1. Marise S. Kaper & Andrea F. de Winter & Roberta Bevilacqua & Cinzia Giammarchi & Anne McCusker & Jane Sixsmith & Jaap A.R. Koot & Sijmen A. Reijneveld, 2019. "Positive Outcomes of a Comprehensive Health Literacy Communication Training for Health Professionals in Three European Countries: A Multi-centre Pre-post Intervention Study," IJERPH, MDPI, vol. 16(20), pages 1-14, October.
    2. Marise S. Kaper & Sijmen A. Reijneveld & Frank D. van Es & Janine de Zeeuw & Josué Almansa & Jaap A.R. Koot & Andrea F. de Winter, 2019. "Effectiveness of a Comprehensive Health Literacy Consultation Skills Training for Undergraduate Medical Students: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(1), pages 1-15, December.
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    Cited by:

    1. Bischof, Anja, 2023. "The power of knowledge: A survey on COPD patients' health literacy in Switzerland," Working Paper Series in Health Economics, Management and Policy 2023-04, University of St.Gallen, School of Medicine, Chair of Health Economics, Policy and Management.
    2. Jonas Lander & Marie-Luise Dierks & Melanie Hawkins, 2022. "Health Literacy Development among People with Chronic Diseases: Advancing the State of the Art and Learning from International Practices," IJERPH, MDPI, vol. 19(12), pages 1-5, June.

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