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

Hsiu Nien Shen, Chia Chen Lin, Tammy Hoffmann, Chia Yin Tsai, Wen Hsuan Hou*, Ken N. Kuo

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Objectives: 

We explored the relationship between patient-perceived shared decision making (SDM) and three domains of health literacy (HL) in patients with breast cancer. 

Methods: 

In this cross-sectional study, we prospectively recruited a convenience sample of 511 breast cancer patients from 3 hospitals in Taiwan. Patients completed questionnaires about HL and perceived SDM in a recent consultation. Sequential regressions, controlling for International Classification of Functioning, Disability and Health (ICF)-related factors) were conducted. Interactions of each HL domain with age or education were also assessed for the relationship with perceived SDM. 

Results: 

Higher scores in the HL domains of healthcare and disease prevention, but lower scores in the health promotion domain, were significantly associated with a higher perceived level of SDM after controlling for ICF-related factors (R2 = 33.44%). The association of SDM with two domains of HL varied with age, while the relationship between the 3 HL domains and SDM differed across education levels. 

Conclusion: 

Each HL domain was significantly associated with perceived SDM after controlling for the ICF-related factors and across different age- and education-stratifications. Practice implications: Clinicians should be cognizant of patients’ HL levels and incorporate HL best practices into consultations and interactions with patients with breast cancer to facilitate SDM.

Original languageEnglish
Pages (from-to)360-366
Number of pages7
JournalPatient Education and Counseling
Volume102
Issue number2
Early online date18 Sep 2018
DOIs
Publication statusPublished - 1 Feb 2019

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