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

1 Citation (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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Health Literacy
Decision Making
Breast Neoplasms
Education
Referral and Consultation
International Classification of Functioning, Disability and Health
Health Promotion
Taiwan
Practice Guidelines
Health Status
Cross-Sectional Studies
Delivery of Health Care

Cite this

Shen, Hsiu Nien ; Lin, Chia Chen ; Hoffmann, Tammy ; Tsai, Chia Yin ; Hou, Wen Hsuan ; Kuo, Ken N. / The relationship between health literacy and perceived shared decision making in patients with breast cancer. In: Patient Education and Counseling. 2019 ; Vol. 102, No. 2. pp. 360-366.
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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.",
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The relationship between health literacy and perceived shared decision making in patients with breast cancer. / Shen, Hsiu Nien; Lin, Chia Chen; Hoffmann, Tammy; Tsai, Chia Yin; Hou, Wen Hsuan; Kuo, Ken N.

In: Patient Education and Counseling, Vol. 102, No. 2, 01.02.2019, p. 360-366.

Research output: Contribution to journalArticleResearchpeer-review

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