PMID- 27664312 OWN - NLM STAT- MEDLINE DCOM- 20170524 LR - 20240326 IS - 1527-3288 (Electronic) IS - 0147-9563 (Print) IS - 0147-9563 (Linking) VI - 45 IP - 5 DP - 2016 Sep-Oct TI - Cognitive function and health literacy are independently associated with heart failure knowledge. PG - 386-91 LID - S0147-9563(16)30145-5 [pii] LID - 10.1016/j.hrtlng.2016.07.004 [doi] AB - OBJECTIVES: Determine the relationship between cognitive function and health literacy in heart failure (HF) knowledge in patients with HF. BACKGROUND: HF requires extensive, complex treatment; thus, cognition and health literacy may contribute to understanding and self-management of HF. METHODS: Participants were 330 HF outpatients. Health literacy was assessed using the Medical Term Recognition Test and the Rapid Estimate of Adult Literacy in Medicine. Global cognitive function was screened with the Modified Mini-Mental Status Examination. HF knowledge was assessed with the Dutch Heart Failure Knowledge Scale (DHFKS). RESULTS: Health literacy (beta = .26, p < .001) and cognition (beta = .36, p < .001) were related to DHFKS. Both scores were independently associated with DHFKS (health literacy: beta = .13, p = .044 and cognition: beta = .30, p < .001). CONCLUSIONS: Impairments in health literacy and cognition were independently associated with reduced HF knowledge. Interventions should address both factors to be maximally effective. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Hawkins, Misty A W AU - Hawkins MA AD - Department of Psychology, Oklahoma State University, Stillwater, OK 74074, USA. Electronic address: misty.hawkins@okstate.edu. FAU - Dolansky, Mary A AU - Dolansky MA AD - School of Nursing, Case Western Reserve University, USA. FAU - Levin, Jennifer B AU - Levin JB AD - Department of Psychiatry, Case Western Reserve University School of Medicine, USA. FAU - Schaefer, Julie T AU - Schaefer JT AD - Department of Psychology, Kent State University, Kent, OH 44242, USA. FAU - Gunstad, John AU - Gunstad J AD - Department of Psychology, Kent State University, Kent, OH 44242, USA. FAU - Redle, Joseph D AU - Redle JD AD - Department of Psychiatry, Summa Health System, Akron City Hospital, USA. FAU - Josephson, Richard AU - Josephson R AD - Department of Medicine, Case Western Reserve University School of Medicine, USA; Harrington Heart & Vascular Institute, University Hospitals, USA. FAU - Hughes, Joel W AU - Hughes JW AD - Department of Psychology, Kent State University, Kent, OH 44242, USA. LA - eng GR - R01 HL096710/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Observational Study PL - United States TA - Heart Lung JT - Heart & lung : the journal of critical care JID - 0330057 SB - IM MH - Aged MH - Aged, 80 and over MH - Cognition/*physiology MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Literacy/*methods MH - Heart Failure/*psychology MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - Self Care/*psychology PMC - PMC5147734 MID - NIHMS811996 OTO - NOTNLM OT - Cognitive function OT - Health literacy OT - Heart failure OT - Knowledge OT - Neuropsychological testing EDAT- 2016/09/25 06:00 MHDA- 2017/05/26 06:00 PMCR- 2017/09/01 CRDT- 2016/09/25 06:00 PHST- 2016/02/05 00:00 [received] PHST- 2016/07/05 00:00 [revised] PHST- 2016/07/11 00:00 [accepted] PHST- 2016/09/25 06:00 [entrez] PHST- 2016/09/25 06:00 [pubmed] PHST- 2017/05/26 06:00 [medline] PHST- 2017/09/01 00:00 [pmc-release] AID - S0147-9563(16)30145-5 [pii] AID - 10.1016/j.hrtlng.2016.07.004 [doi] PST - ppublish SO - Heart Lung. 2016 Sep-Oct;45(5):386-91. doi: 10.1016/j.hrtlng.2016.07.004.