DOI QR코드

DOI QR Code

A study on the measuring health literacy in patients with diabetes in Korea

당뇨병 환자의 건강정보이해능력 측정을 위한 기초 연구

  • Received : 2016.07.20
  • Accepted : 2016.11.30
  • Published : 2016.12.31

Abstract

Objectives: To develop and evaluate the applicability of a health literacy instrument in patients with diabetes by measuring their ability to understand diabetes-related words. Methods: Diabetes-related words were extracted from the Korean Diabetes Association's website and literature reviews. In the first phase, three nursing researchers evaluated 2,661 diabetes-related words based on graded lexical vocabularies and what patients need to know about self-care, and the narrowed them to 255 words. In the second phase, a content validity assessment was conducted by an expert panel. In the third phase, the remaining 25 words were administered to 200 conscientious with type 2 patients aged 40 years old and using a Gallup survey from March 3 to 17, 2016 in Seoul, Korea. Descriptive analysis and Rasch analysis were performed to test psychometric properties. Results: The mean score was 21.47 with a range of 0 to 25. The Cronbach's ${\alpha}$ was .92. The health literacy instrument using diabetes-related words had a ceiling effect response. Conclusions: Diabetes-related words are useful and reliable items for testing the health literacy of diabetes patients. Future study is needed to develop and validate health literacy measures for diabetic patients.

Keywords

References

  1. Al Sayah, F., Majumdar, S. R., Williams, B., Robertson, S., & Johnson, J. A. (2013). Health literacy and health outcomes in diabetes: a systematic review. Journal of General Internal Medicine, 28(3), 444-452. https://doi.org/10.1007/s11606-012-2241-z
  2. Arozullah, A. M., Yarnold, P. R., Bennett, C. L., Soltysik, R. C., Wolf, M. S., Ferreira, R. M., & Davis, T. (2007). Development and validation of a short-form, rapid estimate of adult literacy in medicine. Med Care, 45(11), 1026-1033. https://doi.org/10.1097/MLR.0b013e3180616c1b
  3. Bailey, S. C., Brega, A. G., Crutchfield, T. M., Elasy, T., Herr, H., Kaphingst, K., . . . Schillinger, D. (2014). Update on health literacy and diabetes. The Diabetes Educator, 40(5), 581-604. https://doi.org/10.1177/0145721714540220
  4. Bass, P. F., Wilson, J. F., & Griffith, C. H. (2003). A shortened instrument for literacy screening. Journal of General Internal Medicine, 18(2), 1036-1038. https://doi.org/10.1111/j.1525-1497.2003.10651.x
  5. Bond, T. G., & Fox, C. M. (2001). Applying the Rasch model: fundamental measurement in the human sciences. Mahwah, NJ: Lawrence Erlbaum press.
  6. Choi, K. H., & Lee, J. O. (2013). Evaluation on validity of health literacy measurement scale. Journal of the korean Data, 24(2), 257-265.
  7. Davis, T. C., Long, S. W., Jackson, R. H., Mayeaux, R. G., Murphy, P. W., & Crouch, M. A. (1993). Rapid estimate of adult literacy in medicine: a shortened screening instrument. Fam Med, 25, 391-395.
  8. Fatima, A. I. S., Sumit, R. M., Beverly, W., Sandy, R., & Jeffery, A. J. (2013). Health literacy and health outcomes in diabetes: a systematic review. Journal of General Internal Medicine, 28(3), 444-452. https://doi.org/10.1007/s11606-012-2241-z
  9. Huizinga, M. M., Elasy, T. A., Wallston, K. A., Cavanaugh, K., Davis, D., Gregory, R. P., . . . Rothman, R. L. (2008). Development and validation of the diabetes numeracy test (DNT). BMC Health Services Research 2008, 8:96. https://doi.org/10.1186/1472-6963-8-96
  10. Institute of Medicine. (2004). Health literacy: a prescription to end confusion. Washington, DC: National Academies Press.
  11. Kang, S. J., & Chang, S. J. (2016). Experiences of diabetes education among educators of diabetes: a content analysis approach. Journal of Korean Public Health Nursing, 30(2), 222-232.
  12. Kim, S. S., Kim, S. H., & Lee, S. Y. (2005). Health literacy: development of a Korean health literacy assessment tool. Korean Journal of Health Education and Promotion, 22(4), 215-227.
  13. Korea Centers for Disease Control & Prevention. (2016). The management of noncommunicable disease. Retrieved from http://cdc.go.kr/CDC/contents
  14. Korean Language Education Research Institude. (2009). A Korean Thesaurus. Seoul: Natmal, Inc.
  15. Korean Ministry of Health and Welfare. (2016). Korean Community Health Survey, 2015. Sejong: MOHW.
  16. Lee, E., Lee, Y. W., & Moon, S. H. (2016). A structural equation model linking health literacy to self-efficacy, self-care activities, and health-related quality of life in patients with type 2 diabetes. Asian Nursing Research, 10(1), 82-87. https://doi.org/10.1016/j.anr.2016.01.005
  17. Lee, S. H., Choi, E. H. R., Je, M. J., Han, H. S., Park, B. K., & Kim, S. S. (2011). Comparison of two versions of KHLAT for improvement strategies. Korean Journal of Health Education and Promotion, 28(3), 57-65.
  18. Lee, Y. M., Son, Y. J., & Lee, E. J. (2012). Health literacy, disease-related knowledge, self-efficacy and self-care behavior in patients with diabetes mellitus. Journal of the Korean Data Analysis Society, 14(6), 3087-3101.
  19. Leung, A. Y., Lou, V. W., Cheung, M. K., Chan, S. S., & Chi, I. (2013). Development and validation of Chinese health literacy scale for diabetes. Journal of Clinical Nursing, 22(15-16), 2090-2099. https://doi.org/10.1111/jocn.12018
  20. Linacre, J. M. (2008). Winsteps: Rasch measurement computer program, version 3.60. Chicago, IL: Winsteps.com.
  21. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.
  22. McCleary Jones, V. (2011). Health literacy and its association with diabetes knowledge, self-efficacy and disease self-management among African Americans with diabetes mellitus, Journal of the Association of Black Nursing Faculty, 22(2), 25-32.
  23. Muthen, L. K., & Muthen, B. O. (1998). Mplus 7.3. Los Angeles, CA: Muthen & Muthen.
  24. Nath, C. R., Sylvester, S. T., Yasek, V., & Gunel, E. (2001). Development and validation of a literacy assessment tool for persons with diabetes. The Diabetes Educator, 27(6), 857-864. https://doi.org/10.1177/014572170102700611
  25. National Health Insurance Service. (2016). Annual report on the health insurance statistics 2015. Retrieved from http://www.nhis.or.kr/bbs7/boards/B0039/21843
  26. Norris, S. L., Lau, J., Smith, S. J., Schmid, C. H., & Engelgau, M. M. (2002). Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care, 25, 1159-1171. https://doi.org/10.2337/diacare.25.7.1159
  27. Parker, R. M., Baker, D. W., Williams, M. V., & Nurss, J. R. (1995). The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. Journal of General Internal Medicine, 10(10), 537-541. https://doi.org/10.1007/BF02640361
  28. Pleasant, A., McKinney, J., & Rikard, R. V. (2011). Health literacy measurement: a proposed research agenda. Journal of Health Communication, 16(3), 11-21. https://doi.org/10.1080/10810730.2011.604392
  29. Rothman, R., Malone, R., Bryant, B., Horlen, C., DeWalt, D., & Pignone, M. (2004), The relationship between literacy and glycemic control in a diabetes disease-management program. The Diabetes educator, 30(2), 263-273. https://doi.org/10.1177/014572170403000219
  30. Schillinger, D., Grumbach, K., Piette, J., Wang, F., Osmond, D., Daher, C., . . . Bindman, A. B. (2002). Association of health literacy with diabetes outcomes. Journal of the American Medical Association, 288(4), 475-482. https://doi.org/10.1001/jama.288.4.475
  31. Smith, R. M., Schumacker, R. E., & Bush, M. J. (1998). Using item mean squares to evaluate fit to the rasch model. Journal of Outcome Measurement, 2(1), 66-78.
  32. Statistics Korea. (2015). Annual report on the cause of death statistics 2014. Retrieved from http://kostat.go.kr/wnsearch/search.jsp
  33. Tang, Y. H., Pang, S. M., Chan, M. F., Yeung, G. S., & Yeung, V. T. (2008). Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. Journal of Advanced Nursing, 62(1), 73-84.
  34. Weiss, B. D., Mays, M. Z., Marts, W., Castro, K. M., DeWalt, D. A., & Hale, F. A. (2005). Quick assessment of literacy in primary care: the newest vital sign. Annals of family medicine, 3(6), 514-522. https://doi.org/10.1370/afm.405
  35. Won, A. L., Yoo, S. H., & You, M. S. (2014). Factors related to perceived health status in patients with type 2 diabetes. Korean Journal of Health Education and Promotion, 31(3), 1-13. https://doi.org/10.14367/kjhep.2014.31.3.1
  36. Wright, B. D., & Stone, M. H. (1979). Best test design Rasch measurement. Chicago: MESA press.
  37. Yamashita, T., & Kart, C. S. (2011). Is diabetes-specific health literacy associated with diabetes-related outcomes in older adults?. Journal of Diabetes, 3(2), 138-146. https://doi.org/10.1111/j.1753-0407.2011.00112.x