Couture Éva Marjorie, Chouinard Maud-Christine, Fortin Martin, Hudon Catherine
Département de médecine de famille et de médecine d'urgence, Université de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, Québec, J1H 5N4, Canada.
Département des sciences de la santé, Université du Québec à Chicoutimi, 555, boulevard de l'Université, Saguenay, Québec, G7H 2B1, Canada.
BMC Fam Pract. 2018 Mar 9;19(1):38. doi: 10.1186/s12875-018-0724-7.
Frequent users of healthcare services are a vulnerable population that deserves attention due to high costs and negative outcomes such as lower quality of life and higher mortality. Healthcare systems should offer interventions tailored to their needs and to their level of health literacy, including strategies to promote activation. The relationship between health literacy and patient activation remains to be explored. The aim of this study was to examine the association between health literacy and patient activation in a population of frequent users of healthcare services with chronic diseases.
Cross-sectional data were collected (before randomization) through a clinical trial evaluating a case management intervention in primary care. Participants (n = 247) were recruited from the list of frequent users of 4 Family Medicine Groups (FMG) in the Saguenay-Lac-St-Jean region of Québec (Canada). They completed questionnaires by self-report during an encounter with a research assistant: (1) the Newest Vital Sign (NVS) to evaluate health literacy (independent variable); and (2) the Patient Activation Measure-13 (PAM-13) to evaluate patient activation (dependent variable). The relationship between health literacy and activation was examined using biserial correlations.
No association was found between health literacy (independent variable) and patient activation (rb = 0.075, ρ = 0.07) for this population of frequent users of healthcare services.
This study suggests that there is no relationship between health literacy and patient activation among frequent users of healthcare services.
NCT01719991 . Registered October 25, 2012.
医疗服务的频繁使用者是弱势群体，因其成本高昂且会导致生活质量下降和死亡率升高等负面后果而值得关注。医疗系统应提供适合其需求和健康素养水平的干预措施，包括促进自我管理的策略。健康素养与患者自我管理之间的关系仍有待探索。本研究的目的是在患有慢性病的医疗服务频繁使用者群体中，检验健康素养与患者自我管理之间的关联。
通过一项评估初级保健中病例管理干预措施的临床试验（随机分组前）收集横断面数据。参与者（n = 247）从加拿大魁北克萨格奈-圣让湖区4个家庭医学组（FMG）的频繁使用者名单中招募。他们在与研究助理面谈期间通过自我报告完成问卷：（1）最新生命体征量表（NVS）以评估健康素养（自变量）；（2）患者自我管理量表-13（PAM-13）以评估患者自我管理（因变量）。使用双列相关分析健康素养与自我管理之间的关系。
在该医疗服务频繁使用者群体中，未发现健康素养（自变量）与患者自我管理（rb = 0.075，ρ = 0.07）之间存在关联。
本研究表明，医疗服务频繁使用者的健康素养与患者自我管理之间不存在关系。
NCT01719991。于2012年10月25日注册。
