PMID- 33561956
OWN - NLM
STAT- MEDLINE
DCOM- 20210427
LR  - 20210427
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 18
IP  - 4
DP  - 2021 Feb 6
TI  - Building a House of Skills-A Study of Functional Health Literacy and Numeracy 
      among Patients with Type 2 Diabetes in Hungary.
LID - 10.3390/ijerph18041547 [doi]
LID - 1547
AB  - The purpose of this study is to explore functional health literacy (FHL) and 
      numeracy skills in an insulin-treated, type 2 diabetes mellitus (T2DM) patient 
      population, and their impact on diabetes self-care activities. A 
      non-experimental, cross-sectional quantitative design was used for this study. 
      The sample consisted of 102 T2DM patients on insulin therapy, including 42 males 
      and 60 females, with a mean age of 64.75 years (SD = 9.180) and an average 
      diabetes duration of 10.76 years (SD = 6.702). Independent variables were 
      sociodemographic variables (e.g., age, educational level, etc.) and diabetes and 
      health-related factors (e.g., duration of diabetes (years), the frequency of 
      blood glucose testing/day, etc.). For this study, the participants completed the 
      reading comprehension exercise from the Short Test of Functional Health Literacy 
      (S-TOFHLA) and the Shortened Version of the Diabetes Numeracy Test (DNT-15), 
      which specifically evaluates the numeracy skills of patients living with 
      diabetes. The associations between the variables were examined with Spearman's 
      rank correlation. Multivariate regression analysis was performed to examine 
      whether measured FHL skills impact diabetes self-care activities. We found that 
      DNT-15 test (beta = 0.174, t(96) = 2.412, p < 0.018) had significant effect on the 
      frequency of blood glucose testing/day. Moreover, the problem areas for patients 
      with T2DM mostly included multi-step calculations according to food label 
      interpretations, and adequate insulin dosage based on current blood glucose 
      levels and carbohydrate intake. The results of regression analyses and Spearman's 
      rank correlation indicated that limited FHL and diabetes numeracy skills not only 
      influenced the participants' behaviors related to self-management, but they also 
      affected their health outcomes. Thus, besides the personalization of insulin 
      treatment, it is indispensable to provide more precise information on different 
      types of insulin administration and more refined educational materials based on 
      medical nutrition therapy.
FAU - Klinovszky, Andrea
AU  - Klinovszky A
AUID- ORCID: 0000-0001-8041-4614
AD  - Department of Health Economics, University of Szeged, 6724 Szeged, Hungary.
FAU - Papp-Zipernovszky, Orsolya
AU  - Papp-Zipernovszky O
AD  - Department of Psychology, University of Szeged, 6722 Szeged, Hungary.
FAU - Buzas, Norbert
AU  - Buzas N
AUID- ORCID: 0000-0002-4496-8828
AD  - Department of Health Economics, University of Szeged, 6724 Szeged, Hungary.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210206
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Cross-Sectional Studies
MH  - *Diabetes Mellitus, Type 2/drug therapy
MH  - Female
MH  - *Health Literacy
MH  - Humans
MH  - Hungary
MH  - Male
MH  - Middle Aged
MH  - Self Care
PMC - PMC7915100
OTO - NOTNLM
OT  - diabetes-specific numeracy skills
OT  - functional health literacy
OT  - insulin therapy
OT  - patients with T2DM
COIS- The authors declare no conflict of interest.
EDAT- 2021/02/11 06:00
MHDA- 2021/04/28 06:00
PMCR- 2021/02/01
CRDT- 2021/02/10 01:00
PHST- 2020/12/02 00:00 [received]
PHST- 2021/01/23 00:00 [revised]
PHST- 2021/02/03 00:00 [accepted]
PHST- 2021/02/10 01:00 [entrez]
PHST- 2021/02/11 06:00 [pubmed]
PHST- 2021/04/28 06:00 [medline]
PHST- 2021/02/01 00:00 [pmc-release]
AID - ijerph18041547 [pii]
AID - ijerph-18-01547 [pii]
AID - 10.3390/ijerph18041547 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2021 Feb 6;18(4):1547. doi: 
      10.3390/ijerph18041547.