Patient Related Outcome Measures最新文献

{"title":"Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran-Iraq War.","authors":"Elahe Sepehrian,&nbsp;Maryam Pooralmasi,&nbsp;Alireza Abdi,&nbsp;Mojgan Rajati,&nbsp;Siamak Mohebi,&nbsp;Kamran Tavakol,&nbsp;Fatemeh Rajati","doi":"10.2147/PROM.S265124","DOIUrl":"https://doi.org/10.2147/PROM.S265124","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery disease (CAD) is a major cause of death globally. Myocardial infarction (MI) secondary to CAD affects patients' quality of life and their lifestyle. The experience of war can affect people's perception of phenomena. Given the scarcity of information in Kurdish patients with MI, the current study was designed to explore the lived experiences of individuals after MI in Kurdish patients affected by Iran-Iraq war.</p><p><strong>Methods: </strong>This interpretive-phenomenological study was conducted on eleven patients with MI (9 men, 2 women) at Imam Ali Hospital, Center for Heart Diseases, in Kermanshah, Iran, considering MI as a phenomenon. Data was collected by a semi-structured interview and analyzed using the Van Mannen method. We employed the Lincoln and Guba criteria to examine the credibility, confirmability, dependability, and transferability of data. MAXQDA software was used for data management. We followed the COREQ checklist to ensure the rigor of our study.</p><p><strong>Results: </strong>Four themes and ten sub-themes were emerged as (1) \"changes in the quality of life\" including (a) negative physical outcomes, (b) mental effects, (c) social support, (d) adopting healthy behaviors, (e) increase or decrease in self-efficiency, (f) previous experience, and (g) developing future behaviors; (2) \"bodily perceptions and medical care\" including (a) medical care: saving or terminating life?, (b) a new message from the heart; (3) \"returning to spirituality against death\" including (a) spirituality as a guiding principle, (b) accepting death as an eventual destiny; and (4) denial.</p><p><strong>Conclusion: </strong>The results suggest that MI could change the quality of physical and mental health of the person, anywhere from deterioration to full recovery. Furthermore, the influence of spirituality and previous experience of war to overcome the complications of MI has been discussed, leading to either acceptance or denial of MI, and the consequences.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"209-219"},"PeriodicalIF":2.1,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/aa/prom-11-209.PMC7592835.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38554788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Spirituality and Technology Receptivity Among a Sample of Older Blacks to Inform a Tailored Chronic Disease Self-Management mHealth Intervention.","authors":"Kamilah Thomas-Purcell,&nbsp;Tochukwu Adaobi Ibe,&nbsp;Donrie Purcell,&nbsp;Gwendolyn Quinn,&nbsp;Raymond Ownby","doi":"10.2147/PROM.S260949","DOIUrl":"https://doi.org/10.2147/PROM.S260949","url":null,"abstract":"<p><strong>Introduction: </strong>Having multiple chronic conditions (MCC) is the most common health condition in older US adults of which Blacks are disproportionally affected. The management of each condition presents many challenges. Blacks in the US frequently cite spirituality as facilitator to well-being. More information is needed to understand the many aspects of spirituality that older Black patients use to manage MCCs.</p><p><strong>Methods: </strong>In the current study, focus groups were conducted with 30 black men and women with MCCs to examine how spirituality can be incorporated into a mobile health intervention designed to increase chronic disease self-management (CDSM) skills by improving health literacy. Groups discussed spiritual practices used to facilitate CDSM and their perceptions about mobile technology use.</p><p><strong>Results: </strong>Inductive thematic analysis suggested that a chronic disease wellness plan that acknowledges the relationship between spirituality and health was preferred by most participants. Additionally, the desire for mobile health (mHealth) among this group points to an opportunity for intervention.</p><p><strong>Discussion: </strong>Creating culturally appropriate educational messages about CDSM that incorporate spiritual practices may be a useful method for building sustainable CDSM skills. Next steps include the development of a mHealth intervention prototype based on the results and pre-testing it prior to deployment.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"195-207"},"PeriodicalIF":2.1,"publicationDate":"2020-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/PROM.S260949","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38643102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of Cognitive Assessment in Amyotrophic Lateral Sclerosis: A Systematic Review.","authors":"Tina Taule,&nbsp;Margaret Søvik,&nbsp;Regina Küfner Lein,&nbsp;Eike Wehling,&nbsp;Jörg Aßmus,&nbsp;Tiina Rekand","doi":"10.2147/PROM.S256828","DOIUrl":"https://doi.org/10.2147/PROM.S256828","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to list all tests used to assess cognitive change in patients with amyotrophic lateral sclerosis (ALS) and to provide a descriptive synthesis of the psychometric properties of tests that were evaluated in a population of ALS patients.</p><p><strong>Materials and methods: </strong>The protocol is registered in PROSPERO (ID: CRD42017055603). We systematically search for literature in 11 databases. Full-text articles, in any language, with original research were included. All included articles were scrutinised by two independent authors. Disagreement was resolved by consensus. The framework of Lezak informed conceptualises of the tests identified. To evaluate methodological quality, we used the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN). Data were synthesised using criteria proposed by the Cochrane Back Review Group.</p><p><strong>Results: </strong>Of 319 included articles, 46 articles reported information on the psychometric properties of cognitive tests used in patients with ALS. We found that the highest level of evidence was supported for the Reading the Mind in the Eye Test (RME), Addenbrooke's Cognitive Evaluation (ACE) and Frontal Assessment Battery (FAB). Moderate level of evidence was found for the screening tests; Edinburgh Cognitive and Behavioural ALS Screen (ECAS) and the Montreal Cognitive Assessment (MoCA).</p><p><strong>Conclusion: </strong>The screening test, ECAS and the social cognition test, RME, may have some advantages over other tests that have been used for assessing cognitive change in ALS patients. Recommendations of ALS-specific tests with sound psychometric properties are urgently needed.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"181-194"},"PeriodicalIF":2.1,"publicationDate":"2020-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/PROM.S256828","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38492618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health Screening Status of Diabetes Patients in Selected Hospitals of Addis Ababa, Ethiopia, 2018.","authors":"Addisu Tadesse Sahile,&nbsp;Tennyson Mgutshini,&nbsp;Solomon Muluken Ayehu","doi":"10.2147/PROM.S269292","DOIUrl":"https://doi.org/10.2147/PROM.S269292","url":null,"abstract":"<p><strong>Objective: </strong>The study assessed the oral health screening status of diabetes patients and its associated factors in selected public hospitals of Addis Ababa, 2018.</p><p><strong>Patients and methods: </strong>An institutional-based cross-sectional study was conducted on 388 diabetes patients selected on the bases of a systematic random sampling method from March to May 2018 at two selected public hospitals in Addis Ababa. Data were collected with a pre-tested, structured, and translated questionnaire. Bi-variable and multivariable logistics regression were undertaken to identify predictors of oral health screening among diabetes with their respective 95% CI and a p-value of less than 5% level of significance.</p><p><strong>Results: </strong>The oral health screening status among diabetes patients in this study was 21.1%. The odds of having had an oral health screening was 82.4% higher in those with an educational status of college and above than those who cannot read and write and it was ten and five folds higher in participants with a monthly income of less than 750 birr than those with above 2,000 birr and those who brushed their tooth twice or more times a day than occasionally, respectively. The odds of having had an oral health screening was 17, four, and five folds higher among participants with perceived susceptibility, perceived severity, and benefit, respectively, whilst it was 8.8% lower in participants with a perceived barrier and it was as high as 19.782 times among participants with malocclusion.</p><p><strong>Conclusion: </strong>A lower level of oral health screening was observed. A higher educational level, a lower monthly income, a higher frequency of tooth brushing per day, positive perceptions of susceptibility, severity, and benefits, and presence of malocclusions were statistically associated with a higher frequency of oral health screening. Concerned bodies were recommended to work on the identified predictors and improve the oral health screening of diabetes patients.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"173-180"},"PeriodicalIF":2.1,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/PROM.S269292","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38492617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Perioperative Vitamin D Levels on the Functional, Patient-Related Outcome Measures and the Risk of Infection Following Hip and Knee Arthroplasty: A Systematic Review.","authors":"Eustathios Kenanidis,&nbsp;Panagiotis Kakoulidis,&nbsp;Dimitrios Karponis,&nbsp;Eleftherios Tsiridis","doi":"10.2147/PROM.S261251","DOIUrl":"https://doi.org/10.2147/PROM.S261251","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to evaluate the effect of perioperative vitamin D levels in terms of functional results, patient-related outcome measures (PROMs) and infection risk after hip or knee replacement.</p><p><strong>Materials and methods: </strong>A systematic search in PubMed, Cochrane library, ScienceDirect and ClinicalTrials.gov was conducted according to the PRISMA guidelines from inception to January 2020.</p><p><strong>Results: </strong>Eighteen studies with more than 8000 knee and 1500 hip joint arthroplasties were included. The mean follow-up ranged from 6 weeks to 1 year and mean patients' age from 59.4 to 76 years. Hypovitaminosis was diagnosed in 26.7% of cases. Most studies did not find significant differences in pre- and postoperative functional results, PROMs and length of hospital stay between hypovitaminosis and euvitaminosis groups. Deficient patients may be at higher risk of postoperative joint stiffness. Patients suffering from hip and knee periprosthetic joint infection seem to have lower vitamin D levels compared to those with aseptic loosening of implants.</p><p><strong>Conclusion: </strong>The necessity of pre-operative correction of vitamin D levels to achieve better functional results and minimize the risk of infection following hip and knee arthroplasty remains inconclusive. Extend of exposure to low vitamin D levels and comparison between outliers needs further evaluation.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"161-171"},"PeriodicalIF":2.1,"publicationDate":"2020-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/PROM.S261251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38424613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Patient-Directed Interactive Music Therapy on Sleep Quality and Melatonin Levels in Postoperative Elderly Patients: A Randomized Controlled Trial","authors":"Jeongmin Kim, D. Choi, Myung Sun Yeo, Ga Eul Yoo, S. Kim, S. Na","doi":"10.2147/PROM.S255100","DOIUrl":"https://doi.org/10.2147/PROM.S255100","url":null,"abstract":"Purpose: This study aimed to investigate the effects of patient-directed interactive music on saliva melatonin levels and sleep quality among postoperative elderly patients in the intensive care unit (ICU). Patients and Methods: A total of 133 elderly patients were randomized into three groups: interactive music therapy (IMT), passive listening (PL), and the control group. The control group (n = 45) received routine medical care, while IMT and PL groups received music therapy on ICU day 1. The IMT group received up to 20 minutes of interactive music sessions, including relaxation techniques. The PL group received only pre-selected relaxing music-listening for 30 minutes. Saliva melatonin and cortisol levels were measured three times at 11 p.m. (preoperative, operation day, and postoperative day [POD] 1). The Richards-Campbell Sleep Questionnaire (RCSQ) and Quality of Recovery-40 questionnaire (QoR40) were administered on the preoperative day, as well as PODs 1 and 2. Results: The RCSQ showed a significant improvement in the IMT group compared to the control group on POD2 (71.50 vs 56.89, p =0.012), but the QoR40 did not show any difference between groups. Saliva melatonin levels on POD 1 were elevated in the IMT group compared to the control group (1.45 vs 0.04, p =0.0068). The cortisol level did not show significant difference between groups. Conclusion: Single IMT intervention improved subjectively assessed short-term sleep quality and elevated saliva melatonin levels in postoperative elderly patients. Trial Registration: The study was registered at ClinicalTrials.Gov (number NCT03156205).","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"1 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42088476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Content Validation of the ATTR Amyloidosis Patient Symptom Survey: Findings from Patient and Clinician Cognitive Debriefing Interviews.","authors":"Avery A Rizio,&nbsp;Lynne E Broderick,&nbsp;Michelle K White,&nbsp;Tiffany P Quock","doi":"10.2147/PROM.S264034","DOIUrl":"https://doi.org/10.2147/PROM.S264034","url":null,"abstract":"<p><strong>Purpose: </strong>Amyloid transthyretin (ATTR) amyloidosis is a rare, progressive, and fatal disease. The ATTR Patient Symptom Survey (ATTR-PSS) was previously developed through literature review and concept elicitation input from clinicians and patients and revised after evaluation by a patient focus group. This study further evaluated the content validity of the ATTR-PSS through qualitative cognitive debriefing interviews with clinicians and patients.</p><p><strong>Methods: </strong>Seven clinicians and 10 patients with ATTR amyloidosis were interviewed individually regarding their overall impressions, the clarity and appropriateness of the survey, relevance of concepts measured, and comprehensiveness and comprehensibility of items and response choice sets.</p><p><strong>Results: </strong>Clinicians acknowledged the usefulness of the ATTR-PSS in research and clinical settings. They suggested minor modifications to the survey instructions, the addition of 3 symptoms, and the transfer of 10 conditions from the symptom list to 2 separate items. Patients found the ATTR-PSS to be easy to complete and relevant to their experiences. Their feedback resulted in modification to instruction text, edits to the description of 4 symptoms, removal of 1 symptom, and addition of 2 diagnoses.</p><p><strong>Conclusion: </strong>The findings support the content validity of the ATTR-PSS as an appropriate measure of symptom frequency, severity, and impact in patients with wild-type and hereditary ATTR amyloidosis.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"149-160"},"PeriodicalIF":2.1,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/f4/prom-11-149.PMC7457571.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38359675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"If Your Patients Were Too Embarrassed to Go Out in Public, What Would You Do? - Public Education to Break the Stigma on Parkinson's Disease Using Integrated Media.","authors":"Priya Jagota,&nbsp;Porntip Jongsuntisuk,&nbsp;Rachaneewan Plengsri,&nbsp;Marisa Chokpatcharavate,&nbsp;Onanong Phokaewvarangkul,&nbsp;Vittratorn Chirapravati,&nbsp;Pattamon Panyakaew,&nbsp;Jirada Sringean,&nbsp;Roongroj Bhidayasiri","doi":"10.2147/PROM.S243990","DOIUrl":"https://doi.org/10.2147/PROM.S243990","url":null,"abstract":"<p><strong>Purpose: </strong>People with Parkinson's (PwP) often feel stigmatized, especially when their symptoms are visually prominent. In some countries, public awareness of Parkinson's disease can be minimal, leading to social challenges for PwP.</p><p><strong>Patients and methods: </strong>A public educational campaign using videos (VDO) showing 5 PwP in different social situations that their symptoms could be a source of inconvenience to others were launched on Facebook (FB) and television (TV). We describe the process and report the impact of the campaign on patients and the public. Number of shares and likes and the first 100 comments on FB were analyzed.</p><p><strong>Results: </strong>There were almost 1 million views, 680,000 likes, and 256,000 shares in the Center's and popular Facebook Pages within 24 hours, subsequently reaching 4.4 million views, 138,000 likes, and 78,000 shares. Patients reported changed behavior and demeanor by the public towards them. The public's comments ranged from stating that they have seen PwP without knowing what it was to requests for more information about PD to thanks for the informative VDO. People also shared their experiences with PwP.</p><p><strong>Conclusion: </strong>The campaign was impactful in creating awareness about PD. Creating appealing content with appropriate video length and collaborating with community groups that have relevant skills can help in creating and disseminating an educational video which creates a significant impact on society as a whole. This can be emulated to educate the public about other diseases.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"143-148"},"PeriodicalIF":2.1,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/PROM.S243990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38311894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of the Net Promoter Score (NPS) in an Outpatient Allergy and Pulmonary Clinic: An Innovative Look into Using Tablet-Based Tool vs Traditional Survey Method.","authors":"Abdullah Alismail,&nbsp;Brett Schaeffer,&nbsp;Andrea Oh,&nbsp;Saba Hamiduzzaman,&nbsp;Noha Daher,&nbsp;Hae-Young Song,&nbsp;Brian Furukawa,&nbsp;Laren D Tan","doi":"10.2147/PROM.S248431","DOIUrl":"https://doi.org/10.2147/PROM.S248431","url":null,"abstract":"<p><strong>Introduction: </strong>Patient satisfaction has become an essential metric in addition to the type of care they receive. Phone calls, emails, and text to patients after their healthcare visit are the typical way of obtaining the data reflecting patient satisfaction. The purpose of this retrospective quality improvement study is to compare the traditional post-outpatient clinic survey method with an onsite concise two-question survey using a tablet method immediately after the patient visit using Net Promoter Score (NPS) questions.</p><p><strong>Methods: </strong>Data were collected retrospectively from February to August 2018 from an outpatient subspecialty clinic in southern California using an existing database from two different sources: the traditional method (TM) and the tablet-based tool (TBT), using NPS. The TM data were obtained from a third-party company using two questions via phone, email, and text collected 2-4 weeks after the patient's visit. The TBT has only two questions that were given to patients upon their visit check-out. These two questions assessed both provider and clinic's performance using the NPS method.</p><p><strong>Results: </strong>In total, there were 1708 patients seen from February to August 2018. In the TM, the total outgoing messages during this period were 580 (34.0%) with 156 responses (27%). In the TBT, 648 out of 1708 (37.9%) surveys were collected with a 100% response rate. The NPS score showed that 99.2% of the providers were promoters. The NPS score for the clinic was 96% which reflects a promoter score.</p><p><strong>Conclusion: </strong>Our results indicate that when using the TBT immediately after their visit to the clinic, a higher response rate was noted. In addition, both methods had similar outcomes in terms of patient satisfaction NPS scores. Future prospective studies with a larger sample size are warranted to evaluate the effectiveness of the TBT tool in assessing patient satisfaction.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"137-142"},"PeriodicalIF":2.1,"publicationDate":"2020-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/PROM.S248431","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38056988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Health Literacy Level and Self-Care Behaviors in Patients with Diabetes.","authors":"Davood RobatSarpooshi,&nbsp;Mehrsadat Mahdizadeh,&nbsp;Hadi Alizadeh Siuki,&nbsp;Mohammad Haddadi,&nbsp;Hamid Robatsarpooshi,&nbsp;Nooshin Peyman","doi":"10.2147/PROM.S243678","DOIUrl":"https://doi.org/10.2147/PROM.S243678","url":null,"abstract":"<p><strong>Background: </strong>The most important factor in controlling diabetes is self-care behaviors; improving self-care behaviors is the first step in helping patients to better control and manage their diseases and health literacy is recognized as a vital and important indicator of outcomes and costs in healthcare. Therefore, the effectiveness of health-care systems requires that people have the desirable health literacy level. Therefore, this research intended to study the relationship between health literacy levels in patients with diabetes and their self-care behaviors.</p><p><strong>Patients and methods: </strong>This analytical cross-sectional study was conducted during two months on 400 patients with diabetes selected using the census method in diabetes clinics in Mashhad County. Information was collected through a demographic survey questionnaire, the Health Literacy Questionnaire and a self-care behavior questionnaire. Data analysis was performed using SPSS 21 and Spearman correlation coefficient, the independent <i>t</i>-test, and ANOVA.</p><p><strong>Results: </strong>The total mean score for self-care was 33.52 (SD±13.27). There was a significant relationship between self-care and health literacy in this study (P <0.05) so that people with higher levels of self-care literacy had better self-care behaviors. There was also a significant relationship between education level and monthly income and self-care behaviors and health literacy (P <0.001).</p><p><strong>Conclusion: </strong>Patients received an average score for self-care behaviors. Given the impact of health literacy on patients' self-care behaviors, and considering its inclusion in educational, therapeutic, and caregiver programs, it is possible to reduce complications in patients, and improve their quality of life, by improving their self-care behaviors. Special attention should also be paid to health literacy levels of the audience when designing the related educational programs.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":"11 ","pages":"129-135"},"PeriodicalIF":2.1,"publicationDate":"2020-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/PROM.S243678","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37964318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}