Evidence map›Paper›PMID 30081951›Full record

Trial reportBMC nephrology2018

Association between health literacy and self-care behaviors among patients with chronic kidney disease.

Karen K Wong, Alexandra Velasquez, Neil R Powe, Delphine S Tuot

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
7.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Karen K WongTouro University California College of Osteopathic Medicine, Vallejo, USA.
Alexandra VelasquezDivision of Nephrology, University of California, San Francisco, USA.
Neil R PoweDepartment of Medicine, University of California, San Francisco, USA.
Delphine S TuotDivision of Nephrology, University of California, San Francisco, USA. Delphine.tuot@ucsf.edu.ORCID 0000-0003-1484-8945
Aptiv (United States) · USSan Francisco General Hospital · USTouro University California · USUniversity of California, San Francisco · US

Funding

Kidney Awareness Registry and Education-2R01DK104130 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TUOT, DELPHINE · 2015 to 2019
$2.8M
CKD awareness and self-management: Interventions for Safety-Net PatientsK23DK094850 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TUOT, DELPHINE · 2012 to 2015
$754k
Health IT Enhanced for CKD in Safety-Net Primary CareR34DK093992 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POWE, NEIL R. · 2011 to 2013
$686k
NIDDK NIH HHS K23 DK094850NIDDK NIH HHS R01 DK104130NIDDK NIH HHS R34 DK093992
6 · The paper itself

Abstract

backgroundWe explored the association between health literacy and self-care behaviors among low-income patients with chronic kidney disease (CKD).

methodsWe used baseline data from the Kidney Awareness Registry and Education trial (n = 137 patients with CKD) and multivariable logistic regressions to cross-sectionally examine the association between health literacy, defined by a validated questionnaire, and healthy behaviors.

resultsStudy participants had a mean age of 55 years, were racially diverse (6% White, 36% Hispanic, 43% Black, 15% Asian) and 26% had low health literacy. Over one-third (38%) had hypertension, 51% had diabetes, and 67% had CKD stage 3 or 4. Compared to individuals with adequate health literacy, those with low health literacy had non-statistically significant higher tobacco use (adjusted odds ratio [aOR] = 2.33; 95% CI 0.90-6.06) and lower consumption of sugary beverages (aOR = 0.50; 0.20-1.23) and statistically significant decreased fast food intake (aOR = 0.38; 0.16-0.93). Health literacy was not associated with differences in medication adherence (0.84; 0.38-1.89) or physical activity (aOR = 2.39; 0.54-10.53).

conclusionsHealth literacy was not uniformly associated with all self-care behaviors important for CKD management. A more nuanced understanding of the association of health literacy and self-care may be necessary to promote participation in behaviors known to slow CKD progression.

Indexed as

AdultAgedCross-Sectional StudiesFemaleHealth LiteracyHumansMaleMiddle AgedPilot ProjectsRegistriesRenal Insufficiency, ChronicRetrospective StudiesSelf CareChronic kidney diseaseCKDHealth literacySelf-careSelf-management support

Identifiers

PMID30081951
PMCPMC6091174
OpenAlexW2885977606

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.