Evidence map›Paper›PMID 31172962›Full record

ArticleJournal of medical Internet research2019

Association Between Health Literacy, Electronic Health Literacy, Disease-Specific Knowledge, and Health-Related Quality of Life Among Adults With Chronic Obstructive Pulmonary Disease: Cross-Sectional Study.

Michael Stellefson, Samantha R Paige, Julia M Alber, Beth H Chaney, Don Chaney, Avery Apperson, Arjun Mohan

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–field-weighted citation impact
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

49 citing papers in PubMed.

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  9. Latent class analysis of quality of life among patients with Kashin-Beck disease and its association with health literacy and social support.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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

7 authors.

Michael StellefsonDepartment of Health Education and Promotion, East Carolina University, Greenville, NC, United States.ORCID 0000-0003-1717-4114
Samantha R PaigeSTEM Translational Communication Center, College of Journalism and Communications, University of Florida, Gainesville, FL, United States.ORCID 0000-0001-6141-5099
Julia M AlberDepartment of Kinesiology and Public Health, College of Science & Mathematics, California Polytechnic State University, San Luis Obispo, CA, United States.ORCID 0000-0002-0822-846X
Beth H ChaneyDepartment of Health Education and Promotion, East Carolina University, Greenville, NC, United States.ORCID 0000-0003-1679-715X
Don ChaneyDepartment of Health Education and Promotion, East Carolina University, Greenville, NC, United States.ORCID 0000-0002-1342-5820
Avery AppersonDepartment of Health Education and Promotion, East Carolina University, Greenville, NC, United States.ORCID 0000-0003-2848-0133
Arjun MohanDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, East Carolina University Brody School of Medicine, Greenville, NC, United States.ORCID 0000-0002-6190-7592

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the relatively high prevalence of low health literacy among individuals living with chronic obstructive pulmonary disease (COPD), limited empirical attention has been paid to the cognitive and health literacy-related skills that can uniquely influence patients' health-related quality of life (HRQoL) outcomes.

objectiveThe aim of this study was to examine how health literacy, electronic health (eHealth) literacy, and COPD knowledge are associated with both generic and lung-specific HRQoL in people living with COPD.

methodsAdults from the COPD Foundation's National Research Registry (n=174) completed a cross-sectional Web-based survey that assessed sociodemographic characteristics, comorbidity status, COPD knowledge, health literacy, eHealth literacy, and generic/lung-specific HRQoL. Hierarchical linear regression models were tested to examine the roles of health literacy and eHealth literacy on generic (model 1) and lung-specific (model 2) HRQoL, after accounting for socioeconomic and comorbidity covariates. Spearman rank correlations examined associations between ordinal HRQoL items and statistically significant hierarchical predictor variables.

resultsAfter adjusting for confounding factors, health literacy, eHealth literacy, and COPD knowledge accounted for an additional 9% of variance in generic HRQoL (total adjusted R

conclusionsHealth literacy, but not eHealth literacy, was positively associated with generic HRQoL. However, both health literacy and eHealth literacy were positively associated with lung-specific HRQoL, with higher COPD knowledge indicative of lower lung-specific HRQoL. These results confirm the importance of considering health and eHealth literacy levels when designing patient education programs for people living with COPD. Future research should explore the impact of delivering interventions aimed at improving eHealth and health literacy among patients with COPD, particularly when disease self-management goals are to enhance HRQoL.

Indexed as

Health Knowledge, Attitudes, PracticeTelemedicineAgedComorbidityCross-Sectional StudiesDemographyFemaleHealth LiteracyHumansMalePulmonary Disease, Chronic ObstructiveQuality of LifeRegistriesSurveys and QuestionnairesUnited StatesCOPDeHealthhealth literacyhealth-related quality of lifehealth statusinternetpatient education

Identifiers

PMID31172962
PMCPMC6592488

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Registered trials

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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.