ArticleBMC family practice2018
The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study.
Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01719991 (Pragmatic Evaluation of Case Management and Self-management Support for Vulnerable People With Chronic Diseases in Primary Care), which is not on this map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Pragmatic Evaluation of Case Management and Self-management Support for Vulnerable People With Chronic Diseases in Primary Care
Who cites it
18 citing papers in PubMed.
- The relationship between patient activation levels and health literacy levels of hypertension patients in a family health centre in Turkey.BMC health services research · 2025Article
- Segmenting Preventive Health Behavior: Gender Disparities and Psychosocial Predictors in a Culturally Diverse Italian Region.European journal of investigation in health, psychology and education · 2025Article
- Primary and Emergency Care Use: The Roles of Health Literacy, Patient Activation, and Sleep Quality in a Latent Profile Analysis.Behavioral sciences (Basel, Switzerland) · 2025Article
- Health Information Use and Trust: The Role of Health Literacy and Patient Activation in a Multilingual European Region.International journal of environmental research and public health · 2025Article
- The role of patient activation in mediating the effects of health literacy level on quality of life among patients with gastrointestinal cancers.Scientific reports · 2025Article
- Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians.PEC innovation · 2023Article
- Parent Activation in the Neonatal Intensive Care Unit.American journal of perinatology · 2023Article
- Patient engagement in decision making and associated factors among outpatients with selected non-communicable chronic diseases in public hospitals of West Shoa, Ethiopia.PLOS global public health · 2023Article
- Profiles of Health-Related Patient Activation and Their Determinants: The Results of a Cluster Analysis of Older Adults-Conclusions for Patient Counselling.International journal of environmental research and public health · 2022Article
- Understanding the Current Landscape of Health Literacy Interventions within Health Systems.Perspectives in health information managemen · 2022Article
- Cancer follow-up supported by patient-reported outcomes in patients undergoing intended curative complex surgery for advanced cancer.Journal of patient-reported outcomes · 2021Article
- Predictors of Patient Portal Use Among Community-Dwelling Older Adults.Research in gerontological nursing · 2021Article
- Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal.BMC public health · 2020Article
- Do Chronic Obstructive Pulmonary Diseases (COPD) Self-Management Interventions Consider Health Literacy and Patient Activation? A Systematic Review.Journal of clinical medicine · 2020Review
- Effect of health literacy on quality of life among patients with chronic heart failure in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Development and initial testing of a Health Confidence Score (HCS).BMJ open quality · 2019Article
- Factors Associated with High Patient Activation Level among Individuals with Metabolic Syndrome at a Primary Care Teaching Clinic.Journal of primary care & community healthArticle
- How health literacy and patient activation play their own unique role in self-management of chronic obstructive pulmonary disease (COPD)?Chronic respiratory diseaseArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrequent users of healthcare services are a vulnerable population that deserves attention due to high costs and negative outcomes such as lower quality of life and higher mortality. Healthcare systems should offer interventions tailored to their needs and to their level of health literacy, including strategies to promote activation. The relationship between health literacy and patient activation remains to be explored. The aim of this study was to examine the association between health literacy and patient activation in a population of frequent users of healthcare services with chronic diseases.
methodsCross-sectional data were collected (before randomization) through a clinical trial evaluating a case management intervention in primary care. Participants (n = 247) were recruited from the list of frequent users of 4 Family Medicine Groups (FMG) in the Saguenay-Lac-St-Jean region of Québec (Canada). They completed questionnaires by self-report during an encounter with a research assistant: (1) the Newest Vital Sign (NVS) to evaluate health literacy (independent variable); and (2) the Patient Activation Measure-13 (PAM-13) to evaluate patient activation (dependent variable). The relationship between health literacy and activation was examined using biserial correlations.
resultsNo association was found between health literacy (independent variable) and patient activation (rb = 0.075, ρ = 0.07) for this population of frequent users of healthcare services.
conclusionsThis study suggests that there is no relationship between health literacy and patient activation among frequent users of healthcare services.
trial registrationNCT01719991 . Registered October 25, 2012.
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