The relationship between health literacy and perceived shared decision making in patients with breast cancer

Wen-Hsuan Hou ； Tammy Hoffmann ； Ken N. Kuo

《第六屆亞洲健康識能國際會議》 預刊文章 Pp. 1-2

https://doi.org/10.6881/AHLA.201810.SD06

摘要

Objectives: We explored the relationship between shared decision making (SDM) and three domains of health literacy (healthcare (HC); disease prevention (DP); health promotion (HP). Methods: In a cross-sectional study, we prospectively recruited a convenience sample of 511 breast cancer patients who completed questionnaires about health literacy and perceived SDM in a recent consultation. Sequential regressions, controlling for International Classification of Functioning, Disability and Health (ICF) related factors were conducted to assess the relationship between health literacy and SDM. Interactions of each HL domain with age or education were also assessed for relationship with SDM. Results: Each health literacy domain was significantly associated with patients' perceived level of SDM after controlling for ICF-related factors (β=.951, .787, - .507, R2=33.44%). The association of SDM with HC and DP domains varied with age, while the relationship between the 3 HL domains and SDM differed across education levels. Conclusion: Each health literacy domain was significantly associated with perceived SDM after controlling the ICF-related factors and across different age- and education-stratifications. Practice implications: Clinicians should be cognizant of patients' health literacy levels and incorporate health literacy best practices into consultations and interactions with patients with breast cancer as this may facilitate higher levels of SDM.

關鍵字

Health Literacy ； Shared Decision Making ； Predictors