Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice

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I whakaputaina i:Quality of Life Research vol. 27, no. 5 (May 2018), p. 1257
Kaituhi matua: Panagioti, Maria
Ētahi atu kaituhi: Skevington, Suzanne M, Hann, Mark, Howells, Kelly, Blakemore, Amy, Reeves, David, Bower, Peter
I whakaputaina:
Springer Nature B.V.
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Urunga tuihono:Citation/Abstract
Full Text - PDF
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LEADER 00000nab a2200000uu 4500
001 1992789931
003 UK-CbPIL
022 |a 0962-9343 
022 |a 1573-2649 
024 7 |a 10.1007/s11136-017-1775-2  |2 doi 
035 |a 1992789931 
045 2 |b d20180501  |b d20180531 
084 |a 138140  |2 nlm 
100 1 |a Panagioti, Maria  |u NIHR School for Primary Care Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK 
245 1 |a Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice 
260 |b Springer Nature B.V.  |c May 2018 
513 |a Journal Article 
520 3 |a PurposeThe levels of health literacy in patients with long-term conditions (LTCs) are critical for better disease management and quality of life (QoL). However, the impact of health literacy on QoL in older adults with LTCs is unclear. This study examined the association between health literacy and domains of QoL in older people with LTCs, investigating key socio-demographic and clinical variables, as confounders.MethodsA prospective cohort study was conducted on older adults (n = 4278; aged 65 years and over) with at least one LTC, registered in general practices in Salford, UK. Participants completed measures of health literacy, QoL, multi-morbidity, depression, social support, and socio-demographic characteristics. Multivariate linear regressions were performed to examine the effects of health literacy on four QoL domains at baseline, and then changes in QoL over 12 months.ResultsAt baseline, poor health literacy was associated with lower scores in all four QoL domains (physical, psychological, social relationships and environment), after adjusting for the effects of multi-morbidity, depression, social support and socio-demographic factors. At 12-month follow-up, low health literacy significantly predicted declines in the physical, psychological and environment domains of QoL, but not in social relationships QoL.ConclusionsThis is the largest, most complete assessment of the effects of health literacy on QoL in older adults with LTCs. Low health literacy is an independent indicator of poor QoL older patients with LTCs. Interventions to improve health literacy in older people with LTCs are encouraged by these findings. 
651 4 |a United Kingdom--UK 
653 |a Quality of life 
653 |a Older people 
653 |a Health education 
653 |a Social 
653 |a Health literacy 
653 |a Sociodemographics 
653 |a Cohort analysis 
653 |a Morbidity 
700 1 |a Skevington, Suzanne M  |u Division of Psychological Sciences and Mental Health, Manchester Centre for Health Psychology and International Hub for Quality of Life Research, University of Manchester, Manchester, UK 
700 1 |a Hann, Mark  |u NIHR School for Primary Care Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK 
700 1 |a Howells, Kelly  |u NIHR School for Primary Care Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK 
700 1 |a Blakemore, Amy  |u Division of Nursing, Social Work and Midwifery, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK 
700 1 |a Reeves, David  |u NIHR School for Primary Care Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK 
700 1 |a Bower, Peter  |u NIHR School for Primary Care Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK 
773 0 |t Quality of Life Research  |g vol. 27, no. 5 (May 2018), p. 1257 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/1992789931/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/1992789931/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch