ArticleMayo Clinic proceedings2018
Health Literacy and Outcomes in Patients With Heart Failure: A Prospective Community Study.
Article in Mayo Clinic proceedings, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of health education in the self-care and adherence of patients with heart failure: a meta-analysis.Revista latino-americana de enfermagem · 2021Pooled it
- Health Literacy and Outcomes Among Patients With Heart Failure: A Systematic Review and Meta-Analysis.JACC. Heart failure · 2020Pooled it
- Effectiveness of a patient-centred sleep study report in the management of obstructive sleep apnoea.Sleep & breathing = Schlaf & Atmung · 2022Trial
- A multi-component, family-focused and literacy-sensitive intervention to improve medication adherence in patients with heart failure-A randomized controlled trial.Heart & lung : the journal of critical careTrial
- The Impact of Specific Prompt Engineering Techniques on the Readability of LLM-Generated Patient Materials in Gastroenterology and Hepatology.Digestive diseases and sciences · 2026Article
- General and disease-specific health literacy in patients with heart failure: an outcome analysis.ESC heart failure · 2026Observational
- Associations between death anxiety, health literacy, and illness perception in Iranian individuals with heart failure an analytical cross sectional study.Discover mental health · 2026Article
- ChatGPT Applications in Heart Failure: Patient Education, Readability Enhancement, and Clinical Utility.Journal of cardiovascular development and disease · 2025Review
- Using Codesign to Develop a Health Literacy Intervention to Improve the Accessibility and Acceptability of Cardiac Services: The Equal Hearts Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Cross-cultural insights into non-communicable disease perceptions: a five-nation survey.BMJ public health · 2025Article
- Health literacy and self-care in patients with heart failure: a cross-sectional study.Frontiers in public health · 2025Observational
- Association of Limited Health Literacy With Clinical and Patient-Reported Outcomes in Individuals With Systemic Lupus Erythematosus.ACR open rheumatology · 2024Article
- Preliminary Effects of a Structured Educational Program in Cardiac Patients at Different Stages of Enrollment in Cardiovascular Rehabilitation.Community health equity research & policy · 2024Article
- The Effect of Health Literacy on Health Status in Patients with Heart Failure: A Path Analysis.Journal of multidisciplinary healthcare · 2024Article
- The Brief Health Literacy Scale for Adults: Adaptation and Validation of the Health Literacy for School-Aged Children Questionnaire.International journal of environmental research and public health · 2023Article
- The Effectiveness of Improving Infectious Disease-Specific Health Literacy Among Residents: WeChat-Based Health Education Intervention Program.JMIR formative research · 2023Article
- Co-Occurrence of Social Risk Factors and Associated Outcomes in Patients With Heart Failure.Journal of the American Heart Association · 2023Article
- Measuring Medication Use, Obstacles, and Knowledge in Individuals With Cirrhosis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023Article
- Prognostic value of patient-reported outcomes in predicting 30 day all-cause readmission among older patients with heart failure.ESC heart failure · 2022Article
- New Strategies to Prevent Rehospitalizations for Heart Failure.Current treatment options in cardiovascular medicine · 2022Review
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo examine the impact of health literacy on hospitalizations and death in a population of patients with heart failure (HF). PATIENTS AND
methodsResidents from the 11-county region in southeast Minnesota with a first-ever International Classification of Diseases, Ninth Revision code 428 or Tenth Revision code 150 (n=5121) from January 1, 2013, through December 31, 2015, were identified and prospectively surveyed to measure health literacy using established screening questions. A total of 2647 patients returned the survey (response rate, 52%); 2487 patients with complete health literacy data were retained for analysis. Health literacy, measured as a composite score on three 5-point scales, was categorized as adequate (≥8) or low (<8). Cox proportional hazards regression and Andersen-Gill models were used to examine the association of health literacy with mortality and hospitalization.
resultsOf 2487 patients (mean age, 73.5 years; 53.6% male [n=1333]), 10.5% (n= 261) had low health literacy. After mean ± SD follow-up of 15.5±7.2 months, 250 deaths and 1584 hospitalizations occurred. Low health literacy was associated with increased mortality and hospitalizations. After adjusting for age, sex, comorbidity, education, and marital status, the hazard ratios for death and hospitalizations in patients with low health literacy were 1.91 (95% CI, 1.38-2.65; P<.001) and 1.30 (95% CI, 1.02-1.66; P=.03), respectively, compared with patients with adequate health literacy.
conclusionLow health literacy is associated with increased risks of hospitalization and death in patients with HF. The clinical evaluation of health literacy could help design interventions individualized for patients with low health literacy.
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