Relation Between Health Literacy and Glycemic Control in Patients With Diabetes Research Proposal

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¶ … Health Literacy and Glycemic Control in Patients with Diabetes

Health literacy is defined as the ability of patients to be able to "read, comprehend, and act on medical instructions" (Schillinger et al., 2002, p. 475). Therefore it is possible that those with poor health literacy may be able to read instructions which they are given, but may have difficulty in comprehending and therefore applying these instructions.

There has already been some research conducted into the impact which health literacy levels may have on health behaviors, and specifically control of type 2 diabetes. Schillinger and colleagues (2002) measured the health literacy of English-speaking and Spanish-speaking type 2 diabetics using the TOFHLA system. Their study indicated that impaired health literacy was associated with worse glycemic control. In contrast to these findings, Kim and colleagues (2004) compared glycemic control as measured by HbA1c levels with health literacy as measured by the TOFHLA system and found there to be no association.

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Clearly, some of this information is contradictory, and it remains unclear as to the effect of health literacy on control of type 2 diabetes. The problem is further exacerbated by the instruments used in these studies, as while the TOFHLA system is available in both Spanish and English, it is long and time consuming. A new instrument called the Newest Vital Sign (NVS) has been developed which is based on a series of six questions about an accompanying nutritional label. This is designed to take only three minutes to administer and correlates with the TOFHLA system (Weiss et al., 2005).

Statement of the Research Problem

The problem which will be investigated is whether there is an association between lower levels of health literacy and poor glycemic control as measured by the NVS system. It is anticipated that those diabetic patients with poor glycemic control will correlate with those patients with low levels of health literacy (Safeer & Keenan, 2005).

Study Aims and Objectives

Research Proposal on Relation Between Health Literacy and Glycemic Control in Patients With Diabetes Assignment

The aim of this research is to produce a cross-sectional study of English and Spanish speaking diabetic patients from the Fulton Family Practice center and assess whether there is any correlation between levels of health literacy and glycemic control. This will be achieved by meeting the following objectives:

Measure levels of health literacy in the study sample

Gather data on levels of glycemic control in study sample

Conduct statistical analyses on the data to test for associations… [END OF PREVIEW] . . . READ MORE

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"Relation Between Health Literacy and Glycemic Control in Patients With Diabetes."  Essaytown.com.  November 15, 2008.  Accessed June 5, 2020.
https://www.essaytown.com/subjects/paper/relation-health-literacy-glycemic-control/915544.