Health numeracy: Perspectives about using numbers in health management from African American patients receiving dialysis
Health numeracy is linked to important clinical outcomes. Kidney disease management relies heavily on patient numeracy skills across the continuum of kidney disease care. Little data are available eliciting stakeholder perspectives from patients receiving dialysis about the construct of health numer...
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| Veröffentlicht in: | Hemodialysis international 2015-04, Vol.19 (2), p.287-295 |
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| creator | Wright Nunes, Julie A. Osborn, Chandra Y. Ikizler, T. Alp Cavanaugh, Kerri L. |
| description | Health numeracy is linked to important clinical outcomes. Kidney disease management relies heavily on patient numeracy skills across the continuum of kidney disease care. Little data are available eliciting stakeholder perspectives from patients receiving dialysis about the construct of health numeracy. Using focus groups, we asked patients receiving hemodialysis open‐ended questions to identify facilitators and barriers to their understanding, interpretation, and application of numeric information in kidney care. Transcripts were analyzed using content analysis. Twelve patients participated with a mean (standard deviation) age of 56 (12) years. All were African American, 50% were women, and 83% had an annual income |
| doi_str_mv | 10.1111/hdi.12239 |
| format | Article |
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Alp ; Cavanaugh, Kerri L.</creator><creatorcontrib>Wright Nunes, Julie A. ; Osborn, Chandra Y. ; Ikizler, T. Alp ; Cavanaugh, Kerri L.</creatorcontrib><description>Health numeracy is linked to important clinical outcomes. Kidney disease management relies heavily on patient numeracy skills across the continuum of kidney disease care. Little data are available eliciting stakeholder perspectives from patients receiving dialysis about the construct of health numeracy. Using focus groups, we asked patients receiving hemodialysis open‐ended questions to identify facilitators and barriers to their understanding, interpretation, and application of numeric information in kidney care. Transcripts were analyzed using content analysis. Twelve patients participated with a mean (standard deviation) age of 56 (12) years. All were African American, 50% were women, and 83% had an annual income <$20,000/year. Although patients felt numbers were critical to every aspect in life, they noted several barriers to understanding, interpreting and applying quantitative information specifically to manage their health. Low patient self‐efficacy related to health numeracy and limited patient–provider communication about quantitatively based feedback, were emphasized as key barriers. Through focus groups of key patient stakeholders we identified important modifiable barriers to effective kidney care. Additional research is needed to develop tools that support numeracy‐sensitive education and communication interventions in dialysis.</description><identifier>ISSN: 1492-7535</identifier><identifier>EISSN: 1542-4758</identifier><identifier>DOI: 10.1111/hdi.12239</identifier><identifier>PMID: 25358522</identifier><language>eng</language><publisher>Canada: Blackwell Publishing Ltd</publisher><subject>Adult ; African Americans ; Aged ; dialysis ; disparities ; Female ; Health Literacy ; Health numeracy ; Humans ; kidney disease ; Kidney Diseases - therapy ; Male ; Middle Aged ; Patient Compliance ; quantitative health literacy ; Renal Dialysis</subject><ispartof>Hemodialysis international, 2015-04, Vol.19 (2), p.287-295</ispartof><rights>2014 International Society for Hemodialysis</rights><rights>2014 International Society for Hemodialysis.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fhdi.12239$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhdi.12239$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25358522$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wright Nunes, Julie A.</creatorcontrib><creatorcontrib>Osborn, Chandra Y.</creatorcontrib><creatorcontrib>Ikizler, T. Alp</creatorcontrib><creatorcontrib>Cavanaugh, Kerri L.</creatorcontrib><title>Health numeracy: Perspectives about using numbers in health management from African American patients receiving dialysis</title><title>Hemodialysis international</title><addtitle>Hemodial Int</addtitle><description>Health numeracy is linked to important clinical outcomes. Kidney disease management relies heavily on patient numeracy skills across the continuum of kidney disease care. Little data are available eliciting stakeholder perspectives from patients receiving dialysis about the construct of health numeracy. Using focus groups, we asked patients receiving hemodialysis open‐ended questions to identify facilitators and barriers to their understanding, interpretation, and application of numeric information in kidney care. Transcripts were analyzed using content analysis. Twelve patients participated with a mean (standard deviation) age of 56 (12) years. All were African American, 50% were women, and 83% had an annual income <$20,000/year. Although patients felt numbers were critical to every aspect in life, they noted several barriers to understanding, interpreting and applying quantitative information specifically to manage their health. Low patient self‐efficacy related to health numeracy and limited patient–provider communication about quantitatively based feedback, were emphasized as key barriers. Through focus groups of key patient stakeholders we identified important modifiable barriers to effective kidney care. Additional research is needed to develop tools that support numeracy‐sensitive education and communication interventions in dialysis.</description><subject>Adult</subject><subject>African Americans</subject><subject>Aged</subject><subject>dialysis</subject><subject>disparities</subject><subject>Female</subject><subject>Health Literacy</subject><subject>Health numeracy</subject><subject>Humans</subject><subject>kidney disease</subject><subject>Kidney Diseases - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>quantitative health literacy</subject><subject>Renal Dialysis</subject><issn>1492-7535</issn><issn>1542-4758</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUcty2yAUZTrNNK8u-gMdlt3IESAEyqIzHje28_YimS4ZhK5sEj1ckJz474PtxJOy4QzncYGD0A8SD0hYZ4vCDgilLPuCjghPaJQILr8GnGQ0EpzxQ3Ts_VMcUxLH6Td0SMOZ5JQeodcp6Kpb4KavwWmzPsczcH4JprMr8Fjnbd_h3ttmvpHkgcO2wYudqdaNnkMNTYdL19Z4WDprdIOHIWsLlrqzgfXYgQG72qQUVldrb_0pOih15eH7-36CHscXD6NpdHM_uRwNbyLLRJZFUOZ5yUUsJUtFnBJTckpkRgtDQLDMCEOLHEpaJEWSMpNnBTFchHcaoKmRJTtBv3e5yz6voTDhOk5Xaulsrd1atdqq_5nGLtS8XakkkZlMeAj49R7g2n89-E7V1huoKt1A23tF0jToCKEkSH9-nrUf8vHdQXC2E7zYCtZ7nsRq06MKPaptj2r653ILgiPaOazv4HXv0O5ZpYIJrv7eTdSMX99esZlUY_YG6Syiew</recordid><startdate>201504</startdate><enddate>201504</enddate><creator>Wright Nunes, Julie A.</creator><creator>Osborn, Chandra Y.</creator><creator>Ikizler, T. 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| fulltext | fulltext |
| identifier | ISSN: 1492-7535 |
| ispartof | Hemodialysis international, 2015-04, Vol.19 (2), p.287-295 |
| issn | 1492-7535 1542-4758 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult African Americans Aged dialysis disparities Female Health Literacy Health numeracy Humans kidney disease Kidney Diseases - therapy Male Middle Aged Patient Compliance quantitative health literacy Renal Dialysis |
| title | Health numeracy: Perspectives about using numbers in health management from African American patients receiving dialysis |
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