School of Rural Health, Monash University, Warragul, Victoria, Australia
Department of Medicine - Western Health, The University of Melbourne, Melbourne, Victoria, Australia.
BMJ Open. 2022 May 6;12(5):e060480. doi: 10.1136/bmjopen-2021-060480.
Low health literacy is common in people with cardiovascular disease and may be one factor that affects an individual's ability to maintain secondary prevention health behaviours following myocardial infarction (MI). However, little is known about the association between health literacy and longer-term health outcomes in people with MI. The ENhancing HEAlth literacy in secondary pRevenTion of cardiac evENts (ENHEARTEN) study aims to examine the relationship between health literacy and a number of health outcomes (including healthcare costs) in a cohort of patients following their first MI. Findings may provide evidence for the significance of health literacy as a predictor of long-term cardiac outcomes.
ENHEARTEN is a multicentre, prospective observational study in a convenience sample of adults (aged 18 years) with their first MI. A total of 450 patients will be recruited over 2 years across two metropolitan health services and one rural/regional health service in Victoria, Australia. The primary outcome of this study will be all-cause, unplanned hospital admissions within 6 months of index admission. Secondary outcomes include cardiac-related hospital admissions up to 24 months post-MI, emergency department presentations, health-related quality of life, mortality, cardiac rehabilitation attendance and healthcare costs. Health literacy will be observed as a predictor variable and will be determined using the 12-item version of the European Health Literacy Survey (HLS-Q12).
Ethics approval for this study has been received from the relevant human research ethics committee (HREC) at each of the participating health services (lead site Monash Health HREC; approval number: RES-21-0000-242A) and Services Australia HREC (reference number: RMS1672). Informed written consent will be sought from all participants. Study results will be published in peer-reviewed journals and collated in reports for participating health services and participants.
ACTRN12621001224819.
心血管疾病患者的健康素养普遍较低，这可能是影响个体心梗（MI）后维持二级预防健康行为能力的因素之一。然而，人们对 MI 患者的健康素养与长期健康结果之间的关系知之甚少。增强二级预防心脏事件中的健康素养（ENHEARTEN）研究旨在检查健康素养与一系列健康结果（包括医疗保健成本）在首次 MI 后患者队列中的关系。研究结果可能为健康素养作为长期心脏结局预测因素的重要性提供证据。
ENHEARTEN 是一项在澳大利亚维多利亚州两个大都市卫生服务机构和一个农村/地区卫生服务机构中进行的、针对首次 MI 的成年人（18 岁及以上）的多中心、前瞻性观察研究。在 2 年内，将招募总共 450 名患者。本研究的主要结局是指数入院后 6 个月内的全因、非计划性住院。次要结局包括 MI 后 24 个月内的心脏相关住院、急诊就诊、健康相关生活质量、死亡率、心脏康复参与情况和医疗保健成本。健康素养将作为预测变量进行观察，并将使用欧洲健康素养调查（HLS-Q12）的 12 项版本来确定。
参与的每个卫生服务机构（主导机构 Monash Health HREC；批准号：RES-21-0000-242A）和澳大利亚服务部 HREC（参考号：RMS1672）都已获得该研究的伦理批准。将从所有参与者那里获得知情书面同意。研究结果将发表在同行评议的期刊上，并汇编成报告，供参与的卫生服务机构和参与者使用。
ACTRN12621001224819。
