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Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients

Author

Listed:
  • Ivana Skoumalova

    (Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands)

  • Andrea Madarasova Geckova

    (Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
    Olomouc University Social Health Institute, Palacky University, Univerzitní 22, 771 47 Olomouc, Czech Republic)

  • Jaroslav Rosenberger

    (Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Olomouc University Social Health Institute, Palacky University, Univerzitní 22, 771 47 Olomouc, Czech Republic
    FMC-Dialysis Services Slovakia, Trieda SNP 1, 040 11 Kosice, Slovakia)

  • Maria Majernikova

    (FMC-Dialysis Services Slovakia, Trieda SNP 1, 040 11 Kosice, Slovakia)

  • Peter Kolarcik

    (Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
    Olomouc University Social Health Institute, Palacky University, Univerzitní 22, 771 47 Olomouc, Czech Republic)

  • Daniel Klein

    (Institute of Mathematics, Faculty of Science, P. J. Safarik University, Jesenná 5, 040 01 Kosice, Slovakia)

  • Andrea F. de Winter

    (Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands)

  • Jitse P. van Dijk

    (Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
    Olomouc University Social Health Institute, Palacky University, Univerzitní 22, 771 47 Olomouc, Czech Republic)

  • Sijmen A. Reijneveld

    (Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands)

Abstract

Health-related quality of life (HRQoL) is likely to deteriorate with the progression of chronic kidney disease (CKD). This change may be worsened by low health literacy (HL). We performed a longitudinal study at over 20 dialysis clinics in Slovakia (n = 413; mean age = 64.8 years; males = 58.4%). We assessed the association of three HL groups with a change in HRQoL over two years using binary logistic regression adjusted for type of vascular access, dialysis effectiveness, comorbidity, age and gender. We found that patients with low HL had poorer HRQoL at baseline in comparison to high-HL patients. We did not find significant associations of lower HL with the deterioration of mental or physical HRQoL after two years. In the adjusted model, patients with lower HL were not more likely to have deteriorated physical (low-HL patients: odds ratio/95% confidence interval: 0.99/0.53–1.84; moderate-HL patients: 0.97/0.55–1.73) or mental HRQoL (low-HL patients: 1.00/0.53–1.87; moderate-HL patients: 0.95/0.53–1.70) in comparison to high-HL patients. The HRQoL of lower-HL patients is worse at baseline but develops similarly to that of high-HL patients during dialysis treatment. Their relative HRQoL, thus, does not worsen further, but it does not improve either. Tailoring care to their needs may help to decrease the burden of low HL in dialysed patients.

Suggested Citation

  • Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Peter Kolarcik & Daniel Klein & Andrea F. de Winter & Jitse P. van Dijk & Sijmen A. Reijneveld, 2022. "Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients," IJERPH, MDPI, vol. 19(2), pages 1-9, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:620-:d:718711
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    References listed on IDEAS

    as
    1. Peter Kolarcik & Eva Cepova & Andrea Madarasova Geckova & Gerald R. Elsworth & Roy W. Batterham & Richard H. Osborne, 2017. "Structural properties and psychometric improvements of the Health Literacy Questionnaire in a Slovak population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(5), pages 591-604, June.
    2. Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Peter Kolarcik & Daniel Klein & Andrea F. de Winter & Jitse P. van Dijk & Sijmen A. Reijneveld, 2020. "Does Depression and Anxiety Mediate the Relation between Limited Health Literacy and Diet Non-Adherence?," IJERPH, MDPI, vol. 17(21), pages 1-10, October.
    3. 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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