Health Literacy and Patient Adherence: A Meta-analysis

健康素养和患者依从性：荟萃分析

基本信息

批准号：
7282387
负责人：
M. ROBIN DIMATTEO
金额：
$ 6.55万
依托单位：
UNIVERSITY OF CALIFORNIA RIVERSIDE
依托单位国家：
美国
项目类别：
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/7282387
关键词：
Acute Adherence Affect Age Behavior Caring Characteristics Chronic Chronic Disease Code Communication Comprehension Condition Databases Decision Making Development Disease Disease Management Economics Education Ethnic Origin Evolution Failure Future Gender Goals Health Health Care Costs Health Communication Health Professional Health Promotion Health Status Health behavior Healthcare Healthcare Systems Hospitalization Information and Communication Theory Internet Intervention Intervention Studies Intervention Trial Knowledge Literature Measurement Medical Mental Depression Meta-Analysis Methodology Nature Nurses Outcome Patient Care Patient Education Patient Noncompliance Patients Pharmaceutical Preparations Physicians Population Prevention Preventive Principal Investigator Printing Process Publishing Rate Recommendation Recording of previous events Research Research Methodology Retinal Diseases Risk Role Sample Size Screening procedure Social support Symptoms Techniques Technology Time Treatment Protocols Trust United States Vocabulary Work compliance behavior concept cost effective design diet and exercise disease characteristic disorder prevention disorder risk emotional distress health literacy improved inclusion criteria literacy optimism prevent skills trend

项目摘要

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）：低水平的患者健康素养可能会导致预防和治疗方案后患者的困难，导致依从性不佳，最终导致健康状况不佳。患者不遵守（也称为不符合符合条件）是医疗保健中普遍存在的问题，限制了防止严重疾病的发作和/或进展的机会。这项研究的目的是利用荟萃分析的技术来系统地搜索，审查，总结和整合1948年至2007年所有已发表研究的统计发现，涉及患者依从性与健康素养之间的关系。这项工作将基于1948 - 98年的依从性和健康传播文献的现有数据库。计算多个概念上驱动的荟萃分析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。这项工作将研究健康素养和遵守对预防和治疗方案的建议（例如，医师，护士）的建议，包括药物，饮食，运动以及所有特定的预防和疾病管理工作，以实现各种急性和慢性疾病。这些荟萃分析将检查健康素养 - 依从性关系的主持人的影响，包括患者特征（性别，种族，年龄，教育，经济状况和服务不足的状态），疾病状况和治疗方案，护理环境和研究方法。这项工作还将在健康素养和患者依从性中的实质性和方法论问题的发展和演变中随着时间的推移而探讨趋势。