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Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S27-35.

Literacy and its relationship with self-efficacy, trust, and participation in medical decision making.

Author information

1
School of Medicine, Division of General Internal Medicine, University of North Carolina, Chapel Hill, NC 27599, USA. dewaltd@med.unc.edu

Abstract

OBJECTIVE:

To examine the relationship between literacy and trust, self-efficacy, and participation in medical decision making in adults with diabetes.

METHODS:

A cross-sectional survey and chart review was performed. Patients' literacy was categorized as low if measured < or = 6th grade level.

RESULTS:

Two hundred sixty-eight patients participated; 53 had low literacy. No relationship was found between literacy and trust or self-efficacy. Patients with low literacy had less desire to participate in medical decision making (P<0.001) and less diabetes-related knowledge (P<0.001). Literacy was not associated with diabetes outcomes.

CONCLUSIONS:

Low literacy is associated with less desire to participate in medical decision making, but not associated with trust or self-efficacy.

PMID:
17931133
DOI:
10.5555/ajhb.2007.31.supp.S27
[Indexed for MEDLINE]

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