TY - JOUR
T1 - The relationship between health literacy and perceived shared decision making in patients with breast cancer
AU - Shen, Hsiu Nien
AU - Lin, Chia Chen
AU - Hoffmann, Tammy
AU - Tsai, Chia Yin
AU - Hou, Wen Hsuan
AU - Kuo, Ken N.
N1 - Funding Information:
This study was supported by research grants from Taipei Medical University ( TMUTOP103004- ), Chi Mei Medical Center ( 106CM-TMU-01 and 107CM-TMU-02 ), and E-Da Cancer Hospital ( EDCHT-106011 and EDCHT-107002 ). The funders had no role in conducting or submitting this work.
Publisher Copyright:
© 2018 Elsevier B.V.
PY - 2019/2
Y1 - 2019/2
N2 - Objectives: We explored the relationship between patient-perceived shared decision making (SDM) and three domains of health literacy (HL) in patients with breast cancer. Methods: In this cross-sectional study, we prospectively recruited a convenience sample of 511 breast cancer patients from 3 hospitals in Taiwan. Patients completed questionnaires about HL and perceived SDM in a recent consultation. Sequential regressions, controlling for International Classification of Functioning, Disability and Health (ICF)-related factors) were conducted. Interactions of each HL domain with age or education were also assessed for the relationship with perceived SDM. Results: Higher scores in the HL domains of healthcare and disease prevention, but lower scores in the health promotion domain, were significantly associated with a higher perceived level of SDM after controlling for ICF-related factors (R 2 = 33.44%). The association of SDM with two domains of HL varied with age, while the relationship between the 3 HL domains and SDM differed across education levels. Conclusion: Each HL domain was significantly associated with perceived SDM after controlling for the ICF-related factors and across different age- and education-stratifications. Practice implications: Clinicians should be cognizant of patients’ HL levels and incorporate HL best practices into consultations and interactions with patients with breast cancer to facilitate SDM.
AB - Objectives: We explored the relationship between patient-perceived shared decision making (SDM) and three domains of health literacy (HL) in patients with breast cancer. Methods: In this cross-sectional study, we prospectively recruited a convenience sample of 511 breast cancer patients from 3 hospitals in Taiwan. Patients completed questionnaires about HL and perceived SDM in a recent consultation. Sequential regressions, controlling for International Classification of Functioning, Disability and Health (ICF)-related factors) were conducted. Interactions of each HL domain with age or education were also assessed for the relationship with perceived SDM. Results: Higher scores in the HL domains of healthcare and disease prevention, but lower scores in the health promotion domain, were significantly associated with a higher perceived level of SDM after controlling for ICF-related factors (R 2 = 33.44%). The association of SDM with two domains of HL varied with age, while the relationship between the 3 HL domains and SDM differed across education levels. Conclusion: Each HL domain was significantly associated with perceived SDM after controlling for the ICF-related factors and across different age- and education-stratifications. Practice implications: Clinicians should be cognizant of patients’ HL levels and incorporate HL best practices into consultations and interactions with patients with breast cancer to facilitate SDM.
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U2 - 10.1016/j.pec.2018.09.017
DO - 10.1016/j.pec.2018.09.017
M3 - Article
C2 - 30270171
AN - SCOPUS:85054010566
SN - 0738-3991
VL - 102
SP - 360
EP - 366
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -
