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Erschienen in:

09.01.2021

Health literacy impacts self-management, quality of life and fear of recurrence in head and neck cancer survivors

verfasst von: Nicholas Clarke, Simon Dunne, Laura Coffey, Linda Sharp, Deirdre Desmond, Jean O’Conner, Eleanor O’Sullivan, Conrad Timon, Claire Cullen, Pamela Gallagher

Erschienen in: Journal of Cancer Survivorship | Ausgabe 6/2021

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Abstract

Purpose

Little is known about whether health literacy is associated with affects certain key outcomes in head and neck cancer (HNC) survivors. We investigated (i) the socio-demographic and clinical profile of health literacy and (ii) associations among between health literacy and self-management behaviours, health-related quality of life (HRQL) and fear of recurrence (FoR) in HNC survivors.

Methods

A population-based survey was conducted in Ireland. Health literacy was assessed using a validated single-item question. Socio-demographic, clinical and psychosocial outcome variables (FoR, self-management behaviours, HRQL) were collected. Multivariable linear regression was performed to estimate associations between health literacy and each psychosocial outcome.

Results

Three hundred ninety-five (50%) individuals responded to the survey. Inadequate health literacy was evident among 47% of the sample. In adjusted models, HNC survivors with inadequate health literacy had significantly lower levels of self-management behaviours in the domains of health-directed behaviour, positive and active engagement in life, self-monitoring and insight, constructive attitudes and approaches and skills and technique acquisition. Inadequate health literacy was independently associated with lower functional well-being and HNC disease-specific HRQL. FoR was also significantly higher among those with inadequate health literacy.

Conclusions

HNC survivors with inadequate health literacy have lower levels of self-management behaviours, lower functional HRQL and increased FoR compared to those with adequate health literacy.

Implications for Cancer Survivors

Clinicians, healthcare providers and those developing interventions should consider how inadequate health literacy among HNC survivors might affect post-treatment outcomes when developing services and providing support for this group.

Nur mit Berechtigung zugänglich

Those below a certain income threshold are provided with a medical card which entitles them to access healthcare, including primary care, in the Irish public health system, free at the point of delivery

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Titel: Health literacy impacts self-management, quality of life and fear of recurrence in head and neck cancer survivors
verfasst von: Nicholas Clarke
Simon Dunne
Laura Coffey
Linda Sharp
Deirdre Desmond
Jean O’Conner
Eleanor O’Sullivan
Conrad Timon
Claire Cullen
Pamela Gallagher
Publikationsdatum: 09.01.2021
Verlag: Springer US
Erschienen in: Journal of Cancer Survivorship / Ausgabe 6/2021
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-020-00978-5

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Health literacy impacts self-management, quality of life and fear of recurrence in head and neck cancer survivors