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Dahl KG, Wahl AK, Urstad KH, et al. Changes in Health Literacy during the first year following a kidney transplantation: Using the Health Literacy Questionnaire. Patient Educ Couns. 2021;104(7):1814-1822doi: 10.1016/j.pec.2020.12.028.
Dahl, K. G., Wahl, A. K., Urstad, K. H., Falk, R. S., & Andersen, M. H. (2021). Changes in Health Literacy during the first year following a kidney transplantation: Using the Health Literacy Questionnaire. Patient education and counseling, 104(7), 1814-1822. https://doi.org/10.1016/j.pec.2020.12.028
Dahl, Kari Gire, et al. "Changes in Health Literacy during the first year following a kidney transplantation: Using the Health Literacy Questionnaire." Patient education and counseling vol. 104,7 (2021): 1814-1822. doi: https://doi.org/10.1016/j.pec.2020.12.028
Dahl KG, Wahl AK, Urstad KH, Falk RS, Andersen MH. Changes in Health Literacy during the first year following a kidney transplantation: Using the Health Literacy Questionnaire. Patient Educ Couns. 2021 Jul;104(7):1814-1822. doi: 10.1016/j.pec.2020.12.028. Epub 2021 Jan 02. PMID: 33454146.
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Patient Educ Couns. 2021 Jul;104(7):1814-1822. doi: 10.1016/j.pec.2020.12.028. Epub 2021 Jan 02.

Changes in Health Literacy during the first year following a kidney transplantation: Using the Health Literacy Questionnaire.

Patient education and counseling

Kari Gire Dahl, Astrid Klopstad Wahl, Kristin Hjorthaug Urstad, Ragnhild S Falk, Marit Helen Andersen

Affiliations

  1. The Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway. Electronic address: [email protected].
  2. The Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway; The Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
  3. The Faculty of Health Sciences, Department of Quality and Health Technology, University of Stavanger, Stavanger, Norway.
  4. Oslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.

PMID: 33454146 DOI: 10.1016/j.pec.2020.12.028

Abstract

OBJECTIVES: The study aimed to identify changes in health literacy (HL) and associated variables during the first year following a kidney transplantation.

METHODS: A total of 196 transplant recipients were included in a prospective follow-up study. The patients answered the Health Literacy Questionnaire (HLQ) at 5 days, 8 weeks, 6 and 12 months following the kidney transplantation. Mixed linear models were used to analyze changes in HL and backward elimination was used to identify variables associated with HL.

RESULTS: Two main patterns of change were identified: a) HL increased during the first 8 weeks of close follow-up and b) in several domains, the positive increase from 5 days to 8 weeks flattened out from 5 days to 6 and 12 months. Self-efficacy, transplant-related knowledge, and general health were core variables associated with HL.

CONCLUSIONS: Overall, HL increased during the 8 weeks of close follow-up following the kidney transplantation, while 6 months seem to be a more vulnerable phase. Furthermore, low self-efficacy, less knowledge, and low self-perceived health may represent vulnerable characteristics in patients.

PRACTICAL IMPLICATIONS: Future kidney transplant care should take into account patients' access to and appraisal of health information and social support, and draw attention to potentially vulnerable groups.

Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.

Keywords: Health literacy; Kidney transplant recipients; Kidney transplantation; Prospective design; The Health Literacy Questionnaire

Conflict of interest statement

Declaration of Competing Interest The authors report no declarations of interest.

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