Introduction: Considering the importance of self-efficacy and since inadequate health literacy can be a serious barrier to the participation and ultimately affect the health of patients. The present research aimed to study the health literacy of cardiovascular patients and its relationship with awareness and self-efficacy. Methods: This research was a descriptive and cross-sectional study which was conducted on 138 cardiovascular patients visiting medical centers of Shahr-e Kord in 2016. The participants were selected using simple random sampling. To assess the health literacy of the participants, TOFHLA was used. The self-efficacy standard questionnaire was applied to measure the self-efficacy of participants. The obtained data were statistically analyzed using descriptive and analytical tests in SPSS-18. Participation in the present study was voluntary. Results: The mean age of participants was equal to 48.59±19.05. Based on the results, 64, 13 and 61 patients had an inadequate, marginal, and adequate level of health literacy, respectively. The mean score of awareness was 68.14±21.68 and the mean score of self-efficacy was obtained 37.90±32.65. There is a direct and significant relationship between awareness, self-efficacy, and health literacy (p=0.000), and awareness is a suitable predictor of health literacy. Conclusion: it is necessary to measure the health literacy and the relevant skills in patients before providing information to them in medical centers. Then, commensurate with their level of information, training programs should be planned to empower patients and increase their self-efficacy, so that they can achieve correct health information.
Health literacy

Health Literacy

Health Literacy ; Humans

Sarawak ; Literacy ; Health ; Food

No abstract available.
Brain-Computer Interfaces ; Literacy

Background: Health literacy is important in the self-management of hypertension. It is, thus, necessary to assess the health literacy of hypertensive patients to identify health literacy gaps and make appropriate interventions. A prerequisite to health literacy assessment is an accurate and efficient measurement of health literacy. Objective: This study examined the psychometric properties of the Filipino version of Health Literacy Short-Form 12 (HLS-SF12) among adult patients with hypertension. Methodology: A cross-sectional study was conducted among 47 hypertensive patients from a selected barangay who were registered in the local health center. Data were analyzed using correlation analysis, Cronbach's alpha test, and Mann-Whitney U test. Results: The acceptability was demonstrated by the absence of missing data, lack of significant floor and ceiling effects, and adequate distribution of scores. Cronbach's alpha was 0.78, and most corrected item-total correlations ranged from .31 to .58, which suggested satisfactory reliability. The pattern of interdomain correlations (r = .38-.69) and domain score-total score correlations (r = .76-.91) supported the construct validity of the instrument. Known-groups validity was also exhibited by the lower health literacy scores among those with primary education than those with secondary or tertiary education (median: 22.22 vs 29.17, p = 0.04). Conclusion Satisfying the set criteria, the Filipino version of HLS-SF12 is an acceptable, reliable, and valid instrument to measure the health literacy of adult hypertensive patients in a selected barangay in Manila.
Health Literacy ; Hypertension

Objectives: Effective communication has been correlated with improved outcomes in diabetes mellitus. Patient comprehension bears an effect on understanding, improving healthcare access and utilization, interaction with healthcare providers, caring for one’s own health, and shared decision making. Currently, there is a gamut of information on diabetes-related terms from various sources. However, no material has yet been available for clinical use in the third world setting. Hence, we explored the most common themes discussed during an outpatient diabetes consult in our hospital. Methodology: Consultation audio recordings (N = 96) and focus group discussions (N = 32) were conducted among adults with diabetes. Transcribed results underwent qualitative content and thematic analyses to develop the conceptual framework. Results: The study generated the following themes: diabetes mellitus diagnosis, lifestyle modification, treatment targets, hypoglycemia precautions, diabetes complications, and medication safety. There was a good understanding of these themes among patients with a higher educational attainment, however, among those with lower educational attainment, the attitude of patients toward diabetes care is paternalistic. Conclusion The themes discussed in outpatient diabetes consult reflects the dimensions of diabetes care mainly influenced by socio-cultural factors, patient-doctor relationships and adaptability to limitations of resources. The results will be used to develop and validate a culturally appropriate diabetes health literacy tool.
Diabetes Mellitus ; Health Literacy

Background: The index of dental care needs of children from year to year tend to increase as shown in the results of the National Basic Health Research (Riskesdas). Children are individuals who still need the involvement of parents, especially mothers, in determining the attitudes and actions they will take to manage their dental health. Methods: This study is a cross-sectional research in which a total of 108 women of childbearing age were randomly selected. An assessment was carried out on the actions taken by the mother in managing her child’s dental health using the HU-DBI instrument (Hiroshima University Dental Behavioral Inventory), and Health Literacy in Dentistry (HeLD), to see the relationship with the level of dental health literacy they have. Results: There was a significant difference in the aspect of understanding, in different decision making (p=0.044) between the group of mothers who had a low HeLD score (3.52±0.77) and the group of mothers who had a high HeLD score (3.70±0.46). Conclusion The results showed that the aspects of understanding, ability to receive-treat-translate dental health information, and literacy level would lead to different actions in managing children’s dental health.
Literacy ; Child ; Mothers

Studies demonstrate that there is a dearth of literature published in the local context regarding competencies in nursing informatics in Saudi Arabia. This study employs mixed method design (specifically, a sequential explanatory approach) in documenting the nursing informatics competencies of nurses. A total population was used for the quantitative aspect and purposive sampling was used for the qualitative. There were 295 nurses as respondents. This study commenced with the approval of the Ethics Review Board of the University of Hail. The study was conducted from October 2016 to March 2017 at King Khalid Hospital, Kingdom of SaudiArabia. The results show that nurses are competent in computer literacy (3.38), informatics management (3.49), and informatics literacy (3.27). Nationality and area of assignment proved to be significant in relation to nurses’ competencies. Three themes and six subthemes emerged which included: (a) uncertainty, with the subthemes of diffident and reticent; (b) uncovering the meaning of technology, with the subthemes of value for patients and technology for nurses; and, (c) streamlining Continuing Nursing Education, with the subthemes of competency perspective and the missing link. Nurses acknowledged the significance of nursing informatics in promoting safety and quality care to the patient. However, there can be improvement in the impact of the results of this study by focusing on what the nurses consider as contributory factor in the full achievement of competence in nursing informatics.
Computer Literacy ; Nursing Informatics

PURPOSE: The purpose of this study was to develop an instrument for measuring nursing information literacy competency, and then to examine the validity and reliability of the instrument. METHODS: The developmental process of the instrument includes construction of a conceptual framework, generation of initial items, verification of content validity, preliminary study, extraction of final items, and psychometric testing. Its content validity was verified by three experts from nursing and nursing informatics. Its construct, convergent, and discriminant validity was examined in confirmatory factor analysis. Finally, its criterion validity was measured with Pearson's correlation. The tool's reliability was examined by Cronbach's α. The participants include 382 nurses from four hospitals and one university hospital. RESULTS: Twenty seven items in total were selected for the final scale, and the results of the confirmatory factor analysis were supported with acceptable model fit, which were named competency for identifying problem, potential sources for information, searching fine information, evaluating information, acquising and managing of information, using information ethically, and integrating new information. The convergent, discriminant and criterion validities were also supported. The Cronbach's α coefficient was .93. CONCLUSION: The instrument is valid and reliable to comprehensively assess nurses' information literacy competency, and to provide a basic direction for developing nursing information literacy program.
Information Literacy ; Literacy ; Nursing Informatics ; Nursing ; Psychometrics ; Reproducibility of Results