Health Literacy and Patient Adherence: A Meta-analysis

健康素养和患者依从性：荟萃分析

• 批准号: 7124159
• 负责人: M. ROBIN DIMATTEO
• 金额: $ 6.75万
• 依托单位: UNIVERSITY OF CALIFORNIA RIVERSIDE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7124159
• 关键词: acute disease /disorder; age difference; behavioral /social science research tag; chemotherapy; chronic disease /disorder; clinical research; diet therapy; disease /disorder prevention /control; exercise; gender difference; health education; health science research; human data; learning disorders; longitudinal human study; low socioeconomic status; medically underserved population; meta analysis; patient care management; racial /ethnic difference; therapy compliance; training level

DESCRIPTION (provided by applicant): Low levels of patient health literacy may contribute to patients' difficulties following preventive and treatment regimens, leading to poor adherence and ultimately to poor health outcomes. Patient non-adherence (also called noncompliance) is a widespread problem in medical care, limiting opportunities to prevent the onset and/or progression of serious disease. The goal of this study is to employ the techniques of meta-analysis to systematically search, review, summarize, and integrate the statistical findings of all published research from 1948 through 2007 on the relationship between patient adherence and health literacy. This work will build on the Principal Investigator's existing databases of the adherence and health communication literatures from 1948-98. Calculation of multiple, conceptually driven meta-analyses will involve all health literacy conceptual definitions and measurement strategies in both observational and intervention studies. This work will examine the relationships between health literacy and adherence to recommendations from all health professionals (e.g., physicians, nurses) for both preventive and treatment regimens, including medication, diet, exercise, and all specific prevention and disease management efforts for a wide variety of acute and chronic conditions. These meta-analyses will examine the effects of moderators of the health literacy- adherence relationship, including patient characteristics (gender, ethnicity, age, education, economic status, and underserved status), disease conditions and treatment regimens, contexts of care, and research methodologies. This work will also examine trends over time in the development and evolution of substantive and methodological issues in health literacy and patient adherence.

描述（由申请人提供）：患者健康素养水平低可能会导致患者难以遵循预防和治疗方案，导致患者依从性差，最终导致健康结果不佳。患者不依从（也称为不依从）是医疗保健中的一个普遍问题，限制了预防严重疾病发作和/或进展的机会。本研究的目标是采用荟萃分析技术来系统地搜索、回顾、总结和整合 1948 年至 2007 年所有已发表的关于患者依从性和健康素养之间关系的研究的统计结果。这项工作将建立在首席研究员 1948-98 年依从性和健康传播文献的现有数据库的基础上。多个概念驱动的荟萃分析的计算将涉及观察和干预研究中的所有健康素养概念定义和测量策略。这项工作将探讨健康素养与遵守所有卫生专业人员（例如医生、护士）关于预防和治疗方案的建议之间的关系，包括药物、饮食、运动以及针对各种疾病的所有具体预防和疾病管理工作。急性和慢性疾病。这些荟萃分析将检查健康素养-依从性关系调节因素的影响，包括患者特征（性别、种族、年龄、教育、经济状况和服务不足状况）、疾病状况和治疗方案、护理背景和研究方法论。这项工作还将研究健康素养和患者依从性方面的实质性和方法论问题的发展和演变的趋势。