Determining the Level of Health Literacy and Exploring Associated Contextual Factors in Recent Minor Ischemic Stroke Survivors Returning to the Community
Notice bibliographique
Résumé
Background: In Canada, as acute ischemic stroke treatment advances and the population ages, more individuals are surviving stroke and returning home with minor deficits. Self-management education tailored to one’s health literacy level is a critical and overlooked aspect in minor ischemic stroke survivors’ recovery. During the first month after minor ischemic stroke, when the risk of recurrence is highest, minor ischemic stroke survivors experience numerous transitions and report unmet health information needs that place them at risk for poor health outcomes. Although minor ischemic stroke-specific data is lacking, American data suggests 59% of stroke survivors have marginal to inadequate health literacy at the time of hospital discharge. Low health literacy in stroke survivors has been associated with poor education retention; issues with medication administration, adherence and self-efficacy; reduced physical functioning; and depression. Increasingly it is recognized that health literacy should be considered a contextual entity. There is a need to better understand the level of health literacy and contextual factors associated with health literacy in minor ischemic stroke survivors to prevent poor health outcomes and health disparities. Purpose: This project aimed to determine the level of health literacy and contextual factors associated with health literacy in recent minor ischemic stroke survivors who were predicted to return to the community within 30 days after their stroke. Methods: This cross-sectional survey was grounded by Sorensen’s Integrated Model of Health Literacy (2012) and employed the HLS19-Q12 to measure health literacy. Contextual factors were assessed using a survey developed from a comprehensive literature review. Forty-two minor ischemic stroke survivors were recruited from the acute stroke unit and stroke rehabilitation unit and completed the questionnaires. Statistical analyses were completed in SPSS. Summary statistics of the HLS19-Q12 scores in minor ischemic stroke survivors were reported and compared with HLS19-Q12 scores of the general population published in the2019-2021 Health Literacy Population Survey. Contextual factors were reported as summary statistics and associations with health literacy were analyzed using Spearman correlation, Kruskal-Wallis tests, Mann-Whitney U tests and multiple linear regression. Results: The average HLS19-Q12 score was 76.3 and similar to the results obtained in the 2019-2021 Health Literacy Populations Survey. The need for information about financial support, a higher number of total barriers to health literacy and issues related to health care provider continuity, feeling uncomfortable asking a health care provider to explain something you didn’t understand (stigma) and memory were associated with lower levels of health literacy in recent minor ischemic stroke survivors. Discussion: Although the average level of health literacy was similar to that of the general population, many participants reported problematic (26.2%) or inadequate (16.7%) health literacy. This thesis is unique in its use of a contextual perspective to explore health literacy in minor ischemic stroke survivors. This perspective enabled the identification of personal, situational and societal/environmental factors that may be critical in promoting optimal health of recent minor ischemic stroke survivors. The results of this study suggest care continuity, the patient-health care provider relationship and financial support may be critical factors. Conclusion: This data can be used to inform future equity-focused research designs and holistic interventions to support recent minor ischemic stroke survivors with lower levels of health literacy who return to the community. These interventions have the potential to reduce the risk for poor health outcomes after a minor ischemic stroke
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».