ArticleBMC family practice2021
A cross-sectional analysis of health literacy: patient- versus family doctor-reported and associations with self-efficacy and chronic disease.
Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Health literacy and hypertension-related multimorbidity: unravelling the mediating role of self-management - insights from the lifelines cohort study.BMC public health · 2025Article
- Health Literacy and Related Factors in Perioperative Patients: A Cross-Sectional Descriptive Study.Yonago acta medica · 2025Article
- Why does health literacy matter, and for whom? Explaining the differentiating impact of health literacy on vaccine attitudes.Frontiers in psychology · 2025Article
- Relationship between big five personality and health literacy in elderly patients with chronic diseases: the mediating roles of family communication and self-efficacy.Scientific reports · 2024Article
- The mediating role of self-efficacy in the relationship between health literacy, health status and psychological well-being among German trainees and students in nursing.Frontiers in public health · 2024Article
- Testing a single item screener to support family doctors in identifying patients with limited health literacy: convergent validity of the SILS and the HLS-EU-Q16.BMC primary care · 2023Article
- Association between medication literacy and medication adherence and the mediating effect of self-efficacy in older people with multimorbidity.BMC geriatrics · 2023Article
- Gender differences in factors associated with the health literacy of hospitalized older patients with chronic diseases: A cross-sectional study.Frontiers in public health · 2022Article
- Differences in health literacy domains among migrants and their descendants in Germany.Frontiers in public health · 2022Article
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7 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAdequate health literacy (HL) levels contribute to good health outcomes and successful disease self-management in patients with chronic disease. Hence, it is essential that family doctors recognize patients with inadequate HL in need of additional support. This study had two aims: (1) to assess and compare patient self-reported versus family doctor-rated HL estimates, and (2) to explore associations between patient-reported HL, self-efficacy and chronic diseases.
methodsParticipants in this cross-sectional survey were recruited through general practices in North Rhine-Westphalia, Germany. Patient self-reported HL was measured using the European Health Literacy Survey-16. Family doctor-rated HL was measured with an adapted version of this instrument. Using crosstabulations patient-reported and family doctor-rated HL estimates were compared for 346 patient-family doctor pairs. Associations between HL, self-efficacy and chronic disease were investigated using regression analyses.
resultsPatient-reported and family doctor-rated HL estimates were concordant in 38% of all cases. On average family doctors rated their patients' HL lower than patients rated their own HL. The lower average family doctor ratings were more pronounced when patients were older, male and had more than one chronic disease. Female family doctors rated HL of male patients lower than their male colleagues. Patient reported HL had a significant positive association with self-efficacy. Mediation analysis provided support that self-efficacy acts as mediator between HL and the number of chronic diseases.
conclusionsOur study findings indicate a significant discrepancy between patients' self-reported HL and externally rated HL by family doctors. A more systematic utilization of HL screeners might help reduce this discrepancy. At the same time, consideration should be given to enhancing communication training for family doctors and addressing critical HL skills in patient education.
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