ArticleInternational journal of environmental research and public health2018
Health Literacy but Not Frailty Predict Self-Care Behaviors in Patients with Heart Failure.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Cognition and Frailty in Patients With Heart Failure: A Systematic Review of the Association Between Frailty and Cognitive Impairment.Frontiers in psychiatry · 2021Pooled it
- Association Between Health Literacy and Frailty in Older Adults: A Study in Two Brazilian Municipalities.International journal of environmental research and public health · 2026Article
- Factors Influencing Self-Care Among Patients With Heart Failure Based on the Situation-Specific Theory: A Cross-Sectional Study.International journal of nursing practice · 2026Article
- The effect of health literacy on quality of life in patients with heart failure: the mediating role of self-care confidence.Frontiers in cardiovascular medicine · 2026Article
- Article
- The Relationship Between Personality and Self-Management Behavior in Chinese Young and Middle-Aged People with Chronic Illness: The Chain Mediating Role of Family Health and Health Literacy.Patient preference and adherence · 2025Article
- A Concept Analysis of Self-Management of Physical Frailty.Yonago acta medica · 2024Review
- Individual and systems-related factors associated with heart failure self-care: a systematic review.BMC nursing · 2024Article
- Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Exploring health literacy in patients with chronic diseases in Chongqing, China: a cross-sectional study.BMJ open · 2023Article
- Improving heart failure care with an Experience-Based Co-Design approach: what matters to persons with heart failure and their family members?BMC health services research · 2023Article
- Investigating the predictive role of spiritual health, social support, and quality of life in self-care behaviors among heart failure patients.Journal of education and health promotion · 2023Article
- Examining the underlying processes of different dimensions of self-care behavior among persons with heart failure.BMC cardiovascular disorders · 2022Article
- Adherence to Immunosuppressive Therapies after Kidney Transplantation from a Biopsychosocial Perspective: A Cross-Sectional Study.Journal of clinical medicine · 2022Article
- Literacy critical to heart failure management: a scoping review.Heart failure reviews · 2021Article
- The relationship between frailty syndrome and self-care ability in the elderly with heart failure.Journal of education and health promotion · 2021Article
- The roles of health literacy and social support in improving adherence to self-care behaviours among older adults with heart failure.Nursing open · 2020Article
- Association between Anemia and Cognitive Impairment among Elderly Patients with Heart Failure.International journal of environmental research and public health · 2019Article
- Is Polypharmacy Associated with Cognitive Frailty in the Elderly? Results from the Korean Frailty and Aging Cohort Study.The journal of nutrition, health & aging · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Heart failure (HF) is a chronic condition requiring continuous self-care. Health literacy is increasingly recognized as a key factor of self-care behaviors in patients with chronic diseases. Recently, frailty in chronic diseases has also been associated with self-care behaviors. However, relationships among health literacy, frailty, and self-care in the HF population are not well understood. Therefore, this cross-sectional study aimed to identify the impact of health literacy and frailty on self-care behaviors in patients with HF. Data were collected from 281 adults attending a cardiovascular outpatient clinic in Korea. Health literacy, frailty, and self-care behaviors were measured using Korean-validated instruments. The mean scores of health literacy and self-care behaviors were 8.89 (±3.44) and 31.49 (±5.38), respectively. The prevalence of frailty was around 26.3%. Health literacy was significantly associated with frailty and self-care behaviors. In a hierarchical linear regression analysis, health literacy was a significant determinant of self-care behaviors after adjusting for confounding variables, but frailty was not. Educational level was also a significant predictor of self-care behaviors. Our main findings showed that health literacy can facilitate improvements in HF self-care behaviors. Healthcare professionals should assess patients' health literacy and educational backgrounds when designing self-management programs.
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Registered trials
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.