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

Am J Health Behav. Sep-Oct 2007;31 Suppl 1:S27-35. doi: 10.5555/ajhb.2007.31.supp.S27.

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Cross-Sectional Studies
  • Decision Making*
  • Educational Status*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion
  • Humans
  • Male
  • Middle Aged
  • Professional-Patient Relations*
  • Self Efficacy*
  • Surveys and Questionnaires
  • Trust*