Health literacy and diabetic foot ulcer healing

ABSTRACT The adherence by patients to diabetic foot ulcer therapy is often difficult. The goal of this study was to begin to understand how a patient's health literacy affects their foot ulcer management decisions. Initially using a cross‐sectional study design, we evaluated diabetics with foot...

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Veröffentlicht in:Wound repair and regeneration 2015-05, Vol.23 (3), p.299-301
Hauptverfasser: Margolis, David J., Hampton, Michelle, Hoffstad, Ole, Scot Malay, D., Thom, Stephen
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container_end_page 301
container_issue 3
container_start_page 299
container_title Wound repair and regeneration
container_volume 23
creator Margolis, David J.
Hampton, Michelle
Hoffstad, Ole
Scot Malay, D.
Thom, Stephen
description ABSTRACT The adherence by patients to diabetic foot ulcer therapy is often difficult. The goal of this study was to begin to understand how a patient's health literacy affects their foot ulcer management decisions. Initially using a cross‐sectional study design, we evaluated diabetics with foot ulcers within 4 weeks of being asked to participate in a longitudinal study. We assessed health literacy using measures of general health literacy, diabetes health literacy, diabetes self‐efficacy, and diabetes numeracy. Individuals enrolled in the study had higher health literacy based on the Short Test of Functional Health Literacy in Adults [33.8 (SD 2.3) versus 27.3 (SD 9.6); p = 0.009] as compared to individuals who previously declined an invitation to enroll in the study. Furthermore, patients with lower Short Test of Functional Health Literacy in Adults scores had larger (p = 0.04) and older (p = 0.125) wounds (markers for poorer prognosis). Other measures of literacy showed similar results. In conclusion, those with diminished health literacy were less likely to enroll in an investigational study and had wounds that were less likely to heal.
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subjects Cross-Sectional Studies
Diabetic Foot - epidemiology
Diabetic Foot - pathology
Diabetic Foot - psychology
Female
Health Literacy - statistics & numerical data
Humans
Longitudinal Studies
Male
Middle Aged
Patient Outcome Assessment
Philadelphia - epidemiology
Self Care - psychology
Self Care - statistics & numerical data
Wound Healing
title Health literacy and diabetic foot ulcer healing
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