Health literacy and self-management of patients in care transition
DOI:
https://doi.org/10.5902/2179769290093Keywords:
Nursing, Patient Discharge, Transitional Care, Health Literacy, Self CareAbstract
Objective: To assess the health literacy and willingness to self-manage of patients in transition of care. Method: a cross-sectional, analytical study carried out between January and October 2024 with adults scheduled for hospital discharge. The data were collected in a high-complexity hospital, using instruments for sociodemographic characterization, assessment of health literacy (Health Literacy Scale), and measurement of willingness to self-manage(Patient Activation Measure - 22). The analysis was based on descriptive statistics. Results: 39 individuals participated, with an average age of 49.5 years (±17.37), predominantly men, and a high proportion had a complete high school education. The participants also reported the presence of caregivers, comorbidities, and a history of continuous medication use. It was observed that 56.4% had high health literacy, and 84.6% were more likely to engage in self-management. Conclusion: The results indicate moderate health literacy and a high willingness to self-manage, which favors safer decisions, better clinical outcomes, and continuity of care at home.
Downloads
References
Lanzoni GMM, Goularte AF, Miotello M, Chechinel-Peiter C, Koerich C, Wachholz LF. Transitional care of people with chronic disease at hospital discharge: perspective of nurses. Rev Baiana Enferm. 2023;37: e47254. doi: 10.18471/rbe.v37.47254.
Berens J, Wozow C, Peacock C. Transition to adult care. Phys Med Rehabil Clin N Am. 2020;31(1):159-70. doi: 10.1016/j.pmr.2019.09.004.
Sousa LS, Pontes MLF, Pereira RR, Leite MAP, Nova FAL, Monteiro EA. Older adult transition from hospital to home from caregivers’/older adults’ perspective: a scoping review. Acta Paul Enferm. 2023;36:eAPE03631. doi: 10.1590/0034-7167-2022-0772pt.
Barbosa SM, Zacharias FCM, Schönholzer TE, Carlos DM, Pires MEL, Valente SH, et al. Hospital discharge planning in care transition of patients with chronic noncommunicable diseases. Rev Bras Enferm. 2023;76(6):e20220772. doi: 10.1590/0034-7167-2022-0772pt.
Shao M, Kang Y, Hu X, Kwak HG, Yang C, Lu J. Mining social determinants of health for heart failure patient 30-day readmission via large language model. Stud Health Technolog Inform. 2025;329:1902-3. doi: 10.3233/SHTI251272.
Weber LAF, Silva MADS, Acosta AM. Quality of care transition and its association with hospital readmission. Aquichan. 2019;19(4):e1945. doi: 10.5294/aqui.2019.19.4.5.
Valente SH, Zacharias FCM, Fabriz LA, Schönholzer TE, Ferro D, Tomazela M, Barbosa SM, et al. Transition of elder care from hospital to home: nursing experience. Acta Paul Enferm 2022;35:eAPE02687. doi: 10.37689/acta-ape/2022AO02687.
Oskouie S, Pandey A, Sauer AJ, Greene SJ, Mullens W, Khan MS. From hospital to home: evidence-based care for worsening heart failure. JACC Adv. 2024;3(9 Part1). doi: 10.1016/j.jacadv.2024.101131.
Costa MFBNA, Sichieri K, Poveda VB, Baptista MC, Aguado PC. Transitional care from hospital to home for older people: implementation of best practices. Rev Bras Enferm. 2020;73(Suppl 3):e20200187. doi: 10.1590/0034-7167-2020-0187.
Hudon C, Bisson M, Dubois MF, Chiu Y, Chouinard MC, Dubuc N, et al. CONECT-6: a case-finding tool to identify patients with complex health needs. BMC Health Serv Res. 2021;21(1):157. doi: 10.1186/s12913-021-06154-4.
Mauro AD, Cucolo DF, Perroca MG. Hospital - primary care articulation in care transition: both sides of the process. Rev Esc Enferm USP. 2021;55:e20210145. doi: 10.1590/1980-220X-REEUSP-2021-0145.
World Health Organization (WHO). Glossary of terms used in sexual and reproductive health. Geneva: WHO; 2021.
Hoa HV, Giang HT, Vu PT, Tuyen DV, Khue PM. Factors associated with health literacy among the elderly in Vietnam. Biomed Res Int. 2020;2020:3490635. doi: 10.1155/2020/3490635.
Peres F. Health literacy? Adapting and applying the concept of health literacy in Brazil. Ciênc Saúde Colet. 2023;28(5):1563-73. doi: 10.1590/1413-81232023285.14562022.
Nawabi F, Krebs F, Vennedey V, Shukri A, Lorenz L, Stock S. Health literacy in pregnant women: a systematic review. Int J Environ Res Public Health. 2021;18(7):3847. doi: 10.3390/ijerph18073847.
Cunha CM, Nepomuceno E, Manzato RO, Cunha DCPT, Silva D, Dantas RAS. Cultural adaptation and validation of the Brazilian version of the Patient Activation Measure-22 items. Rev Bras Enferm. 2018;71(4):1891-8. doi: 10.1590/0034-7167-2016-0470.
Chen XM, Liu J, He Y, Li W, Deng M, Zhang R, et al. Predicting poor self-management behaviors in adults with newly diagnosed COPD: based on the information-motivation-behavioral skills model. BMC Public Health. 2025;25:1384. doi: 10.1186/s12889-025-22569-8.
Hospital São Paulo. Atendimento hospitalar [Internet]. São Paulo: Hospital São Paulo; c2024 [acesso em 2024 set 13]; Disponível em: https://www.hospitalsaopaulo.org.br/atendimento-hospitalar.html.
Quemelo PRV, Milani D, Bento VF, Vieira ER, Zaia JE. Health literacy: translation and validation of a research instrument on health promotion in Brazil. Cad Saude Publica. 2017;33(2):e00179715. doi: 10.1590/0102-311X00179715.
Almalag HM, Juffali AL, Alshehri MM, Altokhais NA, Aljanobi GA, Dessougi MI, et al. Exploring impact of multidisciplinary care on patient activation in Saudi rheumatoid arthritis patients: a cross-sectional survey—extended results from the COPARA national project. J Multidiscip Healthc. 2023;16:3455-63. doi: 10.2147/JMDH.S436826.
Vandenbosch J, Van den Broucke S, Vancorenland S, Avalosse H, Verniest R, Callens M, et al. Health literacy and the use of healthcare services in Belgium. J Epidemiol Community Health. 2016;70(10):1032-8. doi: 10.1136/jech-2015-206910.
Lastrucci V, Lorini C, Caini S; Florence Health Literacy Research Group, Bonaccorsi G. Health literacy as a mediator of the relationship between socioeconomic status and health: a cross-sectional study in a population-based sample in Florence. PLoS One. 2019;14(12):e0227007. doi: 10.1371/journal.pone.0227007.
Oscalices MIL, Okuno MFP, Lopes MCBT, Batista REA, Campanharo CRV. Health literacy and adherence to treatment of patients with heart failure. Rev Esc Enferm USP. 2019;53:e03447. doi: 10.1590/S1980-220X2017039803447.
Janamian T, Greco M, Cosgriff D, Baker L, Dawda P. Activating people to partner in health and self-care: use of the Patient Activation Measure. Med J Aust. 2022;216(Suppl 10):S5-8. doi:10.5694/mja2.51535.
Oliveira LP, Souza RCB, Barros JK, Moura GM, Yamaguchi UM. Validity of the evidence of the Health Literacy Scale and eHEALS for older people. Saúde Debate. 2022;46(6):135-47. doi: 10.1590/0103-110420.
Niedorys B, Chrzan-Rodak A, Ślusarska B. Health Literacy – a review of research using the European Health Literacy Questionnaire (HLS-EU-Q16) in 2010-2018. Pielegniarstwo XXI Wieku. 2020;19(1):29-41. doi: 10.2478/pielxxiw-2020-0001.
Bas-Sarmiento P, Poza-Méndez M, Fernández-Gutiérrez M, González-Caballero JL, Falcón Romero M. Psychometric assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-speaking migrants in Southern Europe. Int J Environ Res Public Health. 2020;17(21):8181. doi: 10.3390/ijerph17218181.
World Health Organization (WHO). Health literacy. Geneva: WHO; 2022.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista de Enfermagem da UFSM
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
