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  4. Investigation of health literacy level and its effect on quality of life in patients with spinal cord injury

Investigation of health literacy level and its effect on quality of life in patients with spinal cord injury

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2021.1991162 · Published: January 1, 2023

Spinal Cord InjuryParticipationPatient Experience

Simple Explanation

This study examined the health literacy (HL) levels of individuals with traumatic spinal cord injury (SCI) and how it relates to their quality of life (QoL). Health literacy refers to a person's ability to understand and use health information to make informed decisions. The researchers found that a significant portion of the participants had inadequate or problematic health literacy. Those with better health literacy reported a higher quality of life, particularly in areas related to vitality and mental health. The findings suggest that improving health literacy in SCI patients could positively impact their overall well-being. Healthcare providers should consider patients' health literacy levels to ensure effective rehabilitation and better QoL outcomes.

Study Duration
Not specified
Participants
77 patients with traumatic SCI aged 15–65 years
Evidence Level
Cross-sectional study

Key Findings

  • 1
    The HL level was inadequate in 32.5%, problematic-limited in 40.3%, sufficient in 19.5%, and excellent in 7.8% of the patients.
  • 2
    The vitality and mental health subdimensions of the QoL were found to be statistically significantly better in participants with excellent, sufficient or problematic-limited HL compared to those with an inadequate level.
  • 3
    No significant difference was found between patients with different HLS-TR levels regarding the general health perception, physical functioning, emotional role difficulty, social functioning, and bodily pain subdimensions of the QoL.

Research Summary

This cross-sectional study investigated the health literacy (HL) level in 77 patients with traumatic spinal cord injury (SCI) and evaluated its relationship with their quality of life (QoL). The study used the European Health Literacy Questionnaire Turkish Adaptation (HLS-TR) and the Short Form-36 (SF-36) to measure HL and QoL, respectively. The study found that a large percentage of patients with SCI had inadequate or problematic-limited health literacy. Specifically, 32.5% had inadequate HL and 40.3% had problematic-limited HL. Only a small percentage had sufficient (19.5%) or excellent (7.8%) HL. Patients with better health literacy (excellent, sufficient, or problematic-limited) reported significantly better vitality and mental health subdimensions of QoL compared to those with inadequate HL. This highlights the importance of addressing health literacy in patients with SCI to improve their overall well-being.

Practical Implications

Improve Health Literacy Interventions

Develop and implement targeted interventions to improve health literacy among SCI patients, focusing on enhancing their understanding of health information, treatment plans, and self-management strategies.

Tailored Rehabilitation Programs

Tailor rehabilitation programs to accommodate the health literacy levels of patients, using clear and simple language, visual aids, and interactive tools to facilitate understanding and engagement.

Promote Patient-Centered Care

Healthcare professionals should routinely assess the health literacy of SCI patients and adopt patient-centered communication techniques to ensure they can actively participate in their care decisions and improve health outcomes.

Study Limitations

  • 1
    Cross-sectional design limits the ability to establish causality.
  • 2
    Self-reported measures may be subject to bias.
  • 3
    Small sample size and single-center recruitment limit generalizability.

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