ArticleInternational journal of environmental research and public health2022
Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Low health literacy limits behavioral changes during phase I cardiac rehabilitation: a multicenter clinical study.Heart and vessels · 2026Article
- Self-Monitoring and Its Effects on Physical Activity, Health Literacy, and Health-Related Quality of Life in Older Adults Receiving Long-Term Care.International journal of behavioral medicine · 2025Article
- Association of food group with the changes in sarcopenia parameters over 1 year in older outpatients in a frailty clinic.European geriatric medicine · 2024Article
- Health Literacy Levels of Patients With Juvenile Idiopathic Arthritis and Their Parents.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Relation of sedentary behaviour to physical function in phase I cardiac rehabilitation.Scientific reports · 2023Article
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Authors and funding
10 authors.
Funding
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Abstract
The activities of daily living (ADL) in patients with cardiac disease tend to decline. A previous study revealed that ADL relates to physical and cognitive functions associated with health literacy (HL). However, the relationship between HL and ADL is not well documented. This study aimed to clarify this relationship among patients participating in cardiac rehabilitation. This multicenter study, the Kobe-Cardiac Rehabilitation project for people around the World (K-CREW), included patients who participated in cardiac rehabilitation from October 2020 to December 2021. Patients with probable dementia and difficulty walking alone were excluded. We used the 14-item Health Literacy Scale (HLS-14) to assess HL and the Functional Independence Measure (FIM) to assess ADL at discharge. Patients were divided by their HLS-14 score into the low HL group (<50 points) or the high HL group (≥50 points). We analyzed the relationship between the HLS-14 and FIM scores. We investigated 268 cardiac rehabilitation patients (median age, 71.0 years; male ratio, 76.9%). Low HL patients accounted for 51.1% of all patients and had significantly lower motor and cognitive FIM scores. Functional HL related better to the FIM scores (r = 0.28-0.36) than did other HL subclasses. Multiple regression analysis identified HLS-14 as an explanatory variable (
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