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Skill Set or Mind Set? Associations between Health Literacy, Patient Activation and Health

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  • Samuel G Smith
  • Laura M Curtis
  • Jane Wardle
  • Christian von Wagner
  • Michael S Wolf

Abstract

Objective: There is ongoing debate on whether health literacy represents a skill-based construct for health self-management, or if it also more broadly captures personal ‘activation’ or motivation to manage health. This research examines 1) the association between patient activation and health literacy as they are most commonly measured and 2) the independent and combined associations of patient activation and health literacy skills with physical and mental health. Methods: A secondary analysis of baseline cross-sectional data from the LitCog cohort of older adults was used. Participants (n = 697) were recruited from multiple US-based health centers. During structured face-to-face interviews, participants completed the Test of Functional Health Literacy in Adults (TOFHLA), the Patient Activation Measure (PAM), the SF-36 physical health summary subscale, and Patient Reported Outcomes Measurement Information Service (PROMIS) short form subscales for depression and anxiety. Results: The relationship between health literacy and patient activation was weak, but significant (r = 0.11, p

Suggested Citation

  • Samuel G Smith & Laura M Curtis & Jane Wardle & Christian von Wagner & Michael S Wolf, 2013. "Skill Set or Mind Set? Associations between Health Literacy, Patient Activation and Health," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    • Handle: RePEc:plo:pone00:0074373
    DOI: 10.1371/journal.pone.0074373
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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. Cho, Young Ik & Lee, Shoou-Yih D. & Arozullah, Ahsan M. & Crittenden, Kathleen S., 2008. "Effects of health literacy on health status and health service utilization amongst the elderly," Social Science & Medicine, Elsevier, vol. 66(8), pages 1809-1816, April.
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    1. Sonja Spitzer & Daniela Weber, 2019. "Reporting biases in self-assessed physical and cognitive health status of older Europeans," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-22, October.
    2. Onur Demiray & Evrim D. Gunes & Ercan Kulak & Emrah Dogan & Seyma Gorcin Karaketir & Serap Cifcili & Mehmet Akman & Sibel Sakarya, 2023. "Classification of patients with chronic disease by activation level using machine learning methods," Health Care Management Science, Springer, vol. 26(4), pages 626-650, December.
    3. Rebecca Meraz & Elizabeth Perry Caldwell & Jocelyn Shealy McGee, 2023. "The Relationships Among Health Literacy, Patient Activation, and Self-Care Behaviors in Adults With Heart Failure: A Cross Sectional Study," SAGE Open, , vol. 13(1), pages 21582440231, March.
    4. Michael S. Wolf & Samuel G. Smith & Anjali U. Pandit & David M. Condon & Laura M. Curtis & James Griffith & Rachel O’Conor & Steven Rush & Stacy C. Bailey & Gordon Kaplan & Vincent Haufle & David Ma, 2018. "Development and Validation of the Consumer Health Activation Index," Medical Decision Making, , vol. 38(3), pages 334-343, April.
    5. Giuseppe Russo & Andrea Moretta Tartaglione & Ylenia Cavacece, 2019. "Empowering Patients to Co-Create a Sustainable Healthcare Value," Sustainability, MDPI, vol. 11(5), pages 1-20, March.
    6. Arina Anis Azlan & Mohammad Rezal Hamzah & Jen Sern Tham & Suffian Hadi Ayub & Abdul Latiff Ahmad & Emma Mohamad, 2021. "Associations between Health Literacy and Sociodemographic Factors: A Cross-Sectional Study in Malaysia Utilising the HLS-M-Q18," IJERPH, MDPI, vol. 18(9), pages 1-11, May.
    7. Su Hyun Kim & Sonja Utz, 2018. "Association of health literacy with health information‐seeking preference in older people: A correlational, descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(3), pages 355-360, September.
    8. Uday Narayan Yadav & Jane Lloyd & Hassan Hosseinzadeh & Kedar Prasad Baral & Narendra Bhatta & Mark Fort Harris, 2020. "Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-16, May.
    9. repec:plo:pone00:0179865 is not listed on IDEAS
    10. Trishul Siddharthan & Tracy Rabin & Maureen E Canavan & Faith Nassali & Phillip Kirchhoff & Robert Kalyesubula & Steven Coca & Asghar Rastegar & Felix Knauf, 2016. "Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.

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