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Health literacy and the health status of men with prostate cancer.
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- Author(s): Goodwin BC;Goodwin BC;Goodwin BC; March S; March S; March S; Zajdlewicz L; Zajdlewicz L; Osborne RH; Osborne RH; Osborne RH; Dunn J; Dunn J; Dunn J; Dunn J; Chambers SK; Chambers SK; Chambers SK; Chambers SK; Chambers SK
- Source:
Psycho-oncology [Psychooncology] 2018 Oct; Vol. 27 (10), pp. 2374-2381. Date of Electronic Publication: 2018 Jul 27.- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Wiley Country of Publication: England NLM ID: 9214524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1611 (Electronic) Linking ISSN: 10579249 NLM ISO Abbreviation: Psychooncology Subsets: MEDLINE
- Publication Information: Original Publication: Chichester, W. Sussex, England : Wiley, c1992-
- Subject Terms: Health Literacy* ; Quality of Life*; Prostatic Neoplasms/*psychology ; Psychometrics/*methods; Aged ; Australia ; Factor Analysis, Statistical ; Health Services ; Health Status ; Health Status Indicators ; Humans ; Male ; Middle Aged ; Queensland ; Reproducibility of Results ; Surveys and Questionnaires/standards
- Abstract: Objective: To test the Health Literacy Questionnaire (HLQ) in a sample of men with prostate cancer and examine the components of health literacy that are most strongly associated with mental and physical health-related quality of life in men with prostate cancer.
Method: Members (N = 565) of a state-wide prostate cancer support network in Queensland, Australia (Mage = 71.14, SD = 8.68) completed the HLQ along with the Medical Outcomes Study, 36-item short-form health survey (SF-36). Confirmatory factor analysis was employed to assess the internal structure of the HLQ. The effects (bs) of each of the nine health literacy factors on mental and physical health status were graphed and compared using Fishers exact test for comparing parameter estimates.
Results: Fit indices including RMSEA (0.069, CI = 0.066-0.072), CFI (.853), and TLI (.839), alongside item loadings and internal consistency (Cronbach alphas >0.80) for the nine-factor model, supported the robustness of the HLQ for use in this prostate cancer sample. Health literacy factors reflecting social and health provider support, navigating health systems, finding and understanding health information, and active engagement with providers shared small to moderate associations with mental health status and little to no association with physical health status.
Conclusion: Findings provide support for the use of the HLQ as a valid and reliable measure of health literacy in men with prostate cancer. Although further research is required to establish causality, interventions that aim to improve skills in connecting and effectively communicating with health care services and providers might lead to better mental health related quality of life for men with prostate cancer.
(© 2018 John Wiley & Sons, Ltd.) - Contributed Indexing: Keywords: cancer; health literacy; health status indicators; mental health; oncology; prostate cancer; psychometrics
- Publication Date: Date Created: 20180701 Date Completed: 20190904 Latest Revision: 20220330
- Publication Date: 20240105
- Accession Number: 10.1002/pon.4834
- Accession Number: 29959807
- Source:
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