Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study

Yuji Kanejima, Kazuhiro P. Izawa (), Masahiro Kitamura, Kodai Ishihara, Asami Ogura, Ikko Kubo, Hitomi Nagashima, Hideto Tawa, Daisuke Matsumoto and Ikki Shimizu
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Yuji Kanejima: Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
Kazuhiro P. Izawa: Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
Masahiro Kitamura: Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
Kodai Ishihara: Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
Asami Ogura: Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
Ikko Kubo: Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
Hitomi Nagashima: Department of Rehabilitation, Shinyukuhashi Hospital, Yukuhashi 824-0026, Japan
Hideto Tawa: Department of Cardiology, Sanda City Hospital, Sanda 669-1311, Japan
Daisuke Matsumoto: Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka 533-0024, Japan
Ikki Shimizu: Department of Diabetes, Sakakibara Heart Institute of Okayama, Okayama 700-0804, Japan

IJERPH, 2022, vol. 19, issue 24, 1-10

Abstract: The activities of daily living (ADL) in patients with cardiac disease tend to decline. A previous study revealed that ADL relates to physical and cognitive functions associated with health literacy (HL). However, the relationship between HL and ADL is not well documented. This study aimed to clarify this relationship among patients participating in cardiac rehabilitation. This multicenter study, the Kobe-Cardiac Rehabilitation project for people around the World (K-CREW), included patients who participated in cardiac rehabilitation from October 2020 to December 2021. Patients with probable dementia and difficulty walking alone were excluded. We used the 14-item Health Literacy Scale (HLS-14) to assess HL and the Functional Independence Measure (FIM) to assess ADL at discharge. Patients were divided by their HLS-14 score into the low HL group (<50 points) or the high HL group (≥50 points). We analyzed the relationship between the HLS-14 and FIM scores. We investigated 268 cardiac rehabilitation patients (median age, 71.0 years; male ratio, 76.9%). Low HL patients accounted for 51.1% of all patients and had significantly lower motor and cognitive FIM scores. Functional HL related better to the FIM scores (r = 0.28–0.36) than did other HL subclasses. Multiple regression analysis identified HLS-14 as an explanatory variable ( p = 0.002) for the total FIM score. Patients with low HL had significantly lower ADL than those with high HL. These findings underscore the importance of considering HL in cardiac rehabilitation.

Keywords: cardiac rehabilitation; health literacy; activities of daily living; multicenter clinical study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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