ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2018
Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Anxiety, Depression and Quality of Life-A Systematic Review of Evidence from Longitudinal Observational Studies.International journal of environmental research and public health · 2021Pooled it
- The relationship between health literacy and quality of life: a systematic review and meta-analysis.Health and quality of life outcomes · 2018Pooled it
- A mixed methods analysis of health literacy among adults with brachial plexus birth injury.Journal of pediatric rehabilitation medicine · 2026Article
- The Relationship Between Electronic Health Literacy and Health-Related Quality of Life Among Chinese Older Adults: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- The Effect of Elderly Patients' Health Information Literacy, Ageism, and Communication Skills on Clinical Nurses' Burnout: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- Impact of health literacy on healthcare outcomes in hospitalized patients in Lebanon including quality of life and antibiotic knowledge.Scientific reports · 2025Article
- Functionality and cognition of older adults hospitalized in a university hospital.Revista brasileira de enfermagem · 2025Article
- Exploring the Relationship between Health Literacy and Depression among Individuals with Chronic Conditions: Insights from the KCHS.Healthcare (Basel, Switzerland) · 2024Article
- Understanding the quality-of-life experiences of older or frail adults following a new dens fracture: Nonsurgical management in a hard collar versus early removal of collar.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Improving patients' experiences of diagnosis and treatment of vertebral fracture: co-production of knowledge sharing resources.BMC musculoskeletal disorders · 2024Article
- Health literacy mediates the relationships of cognitive and physical functions with health-related quality of life in older adults.Frontiers in public health · 2024Article
- Coping with identity threat and health literacy on the quality of life and mental health in students: Structural equation modeling.Neuropsychopharmacology reports · 2023Article
- Illness perception, health literacy, self-efficacy, adherence and quality of life in patients with intermittent claudication - a longitudinal cohort study.BMC nursing · 2023Article
- Examining the relationship between health literacy and quality of life: evidence from older people admitted to the hospital.BMC geriatrics · 2023Article
- Health Literacy, Social Networks, and Health Outcomes among Mental Health Clubhouse Members in Hawai'i.International journal of environmental research and public health · 2023Article
- Investigation of health literacy level and its effect on quality of life in patients with spinal cord injury.The journal of spinal cord medicine · 2023Article
- Understanding the Psychological Well-being of Patients With Locked-in Syndrome: A Scoping Review.Cureus · 2023Article
- Implementation of health literacy training for clinicians in a federally qualified health center.PEC innovation · 2022Article
- A Participatory Framework for Plain Language Clinical Management Guideline Development.International journal of environmental research and public health · 2022Article
- Community health literacy outcome measurement practices: A scoping review of recent interventions.Health science reports · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeThe levels of health literacy in patients with long-term conditions (LTCs) are critical for better disease management and quality of life (QoL). However, the impact of health literacy on QoL in older adults with LTCs is unclear. This study examined the association between health literacy and domains of QoL in older people with LTCs, investigating key socio-demographic and clinical variables, as confounders.
methodsA prospective cohort study was conducted on older adults (n = 4278; aged 65 years and over) with at least one LTC, registered in general practices in Salford, UK. Participants completed measures of health literacy, QoL, multi-morbidity, depression, social support, and socio-demographic characteristics. Multivariate linear regressions were performed to examine the effects of health literacy on four QoL domains at baseline, and then changes in QoL over 12 months.
resultsAt baseline, poor health literacy was associated with lower scores in all four QoL domains (physical, psychological, social relationships and environment), after adjusting for the effects of multi-morbidity, depression, social support and socio-demographic factors. At 12-month follow-up, low health literacy significantly predicted declines in the physical, psychological and environment domains of QoL, but not in social relationships QoL.
conclusionsThis is the largest, most complete assessment of the effects of health literacy on QoL in older adults with LTCs. Low health literacy is an independent indicator of poor QoL older patients with LTCs. Interventions to improve health literacy in older people with LTCs are encouraged by these findings.
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