![Cognitive impairment no dementia and associations with health literacy, self-management skills, and functional health status](./styles/zen/images/no_image.jpg)
Titre : | Cognitive impairment no dementia and associations with health literacy, self-management skills, and functional health status (2020) |
Auteurs : | Rebecca M. Lovetta, Auteur ; Laura M. Curtisa, Auteur ; Stephen D. Persella, Auteur |
Type de document : | Article : texte imprimé |
Dans : | Patient Education and Counseling (Vol.103 n°9, Septembre 2020) |
Article en page(s) : | pp. 1805-1811 |
Langues: | Anglais |
Catégories : | |
Résumé : |
Abstract
Objectives To determine the prevalence of cognitive impairment no dementia (CIND) among a diverse, community-based population, and establish associations between CIND and health literacy, chronic disease self-management and functional health status. Methods 863 primary care adults without dementia aged 55–74. Adjusted logistic and linear regressions were used to assess associations between CIND (None, Mild, Moderate/Severe) and outcomes. Results 36 % participants exhibited CIND. It was strongly associated with limited health literacy (Newest Vital Signs: Mild [OR 3.25; 95 % CI 1.93, 5.49], Moderate/Severe [OR 6.45; 95 % CI 3.16, 13.2]; Test of Functional Health Literacy in Adults: Mild [OR 3.46; 95 % CI 2.08, 5.75], Moderate/Severe [OR 8.82; 95 % CI 4.87, 16.0]; all p’s < 0.001) and poor chronic disease self-management (Mild [B = −11.2; 95 % CI −13.5, -8.90], Moderate/Severe CI [B = −21.0; 95 % CI −23.6, −18.4]; both p’s < 0.001). Associations between CIND and functional health status were non-significant. Conclusions CIND was prevalent in this cohort, and strongly associated with requisite skills for managing everyday health needs. Practice Implications Attention to subtle declines in chronic disease self-care may assist with CIND identification and care management within this population. When CIND is observed, clinicians should also expect and address difficulties with self-management. |
Catalogueur : | RESOdoc |
Exemplaires (1)
Cote | Code-barres | Support | Localisation | Disponibilité |
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RESO P.12 | RE65681880 | Bulletin | RESOdoc | Consultation sur place Disponible |