Predicting Factors of Health Literacy in Patients with Type 2 Diabetes Mellitus, Uttaradit Province

Authors

  • Kanjana Faungfoo -
  • Chuleekorn Danyuthasilpe Associate Professor
  • Aumporn Lincharoen Assistant Professor

Keywords:

Health literacy, Patients with type 2 diabetes mellitus, Perception of health status, Social support, Effective communication

Abstract

 The purpose of this predictive correlational research study was to study factors predicting health literacy
among patients with type 2 diabetes mellitus, in Uttaradit Province. There were 200 patients with type 2
diabetes mellitus participating in the study, aged 30 years and older, who were selected by multi-stage random
sampling. The research instruments used, showing the reliability of Cronbach's alpha coefficient, included
a perception of health status questionnaire (0.87), a social support questionnaire (0.91), an effective
communication questionnaire (0.92), and a health literacy questionnaire (0.96), and they had all been tested
for content validity with a score of 0.90. The data were analyzed by descriptive statistics and enter regression
analysis.
The results revealed that health literacy was at a moderate level ( = 104.12, S.D. = 19.50). Perception
of health status, social support and effective communication were found as good combine predictions of health
literacy among the patients, with 59.1% of variance (R2 = .591, p < .001).
These results suggest thatcommunity nurse practitioner should concern effective communicationand
social support in order to promote better awareness of health behavior and to enhance health literacy among
patients with type 2 diabetes mellitus

References

Aekplakorn, W. (2021). The 6th national health

examination survey, 2019-2020. Bangkok: Aksorn

graphic and design. [In Thai].

Baker, D. W., Gazmararian, J. A., Williams, M.V., Scott,

T., Parker, R. M., Green, D., …Peel, J. (2002).

Functional healthliteracy and the risk of

hospital admission among medicare managed

care enrollees. American Journal of Public

Health, 92(8), 1278-1283.

Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern,

D. J., Viera, A., Crotty, K., … Viswanathan,

M. (2011). Health literacy interventions and

outcomes: an updated systematic review. RTI

International-University of North Carolina

Evidence-based Practice Center Research

Triangle Park, North Carolina, AHRQ Publication.

Best, J. W. (1977). Research in education (3rd ed.).

Englewood Cliffs, New Jersey: Prentice Hall.

Brook, R. H., Ware, J. E., Davies-Avery, A., Stewart,

A. L., Donald, C. A., Rogers, W. H.,… Johnston,

S. A. (1979). Overview of adult health status

measures field, Medical Care, 17, 7.

Chantha, W. (2016). Health literacy of self-care

behaviors for blood glucose control in

patients with type 2 diabetes, Chainat province.

Bangkok: Mahidol University. [In Thai].

Chiangkhong, A. (2018). Effectiveness of development of

health literacy through controlled transformative

learning due to glycemic control behavior among

diabetic patients. Bangkok: Srinakharinwirot

University. [In Thai].

Department of Disease Control, Division of noncommunicable disease. (2019). Annual report

Retrieved 24 December 2019 from http://

www.thaincd.com/2016/media-detail.php?

id=13800&tid=&gid=1-015-005

House, J. S. (1981). Work, stress and social support.

Reading, MA: Addison Wesley.

Intarakamhang, U. (2017). Health literacy: Measurement

and development. Bangkok:Sukhumvit Printing

Co. [In Thai].

International Diabetes Federation. (2019). Diabetes

atlas. Retrieved 10A pril 2018 from https://

www.diabetesatlas.org/

Kaeodumkoeng, K. (2018). Health literacy: access,

understand and application. Bangkok: Amarin.

[In Thai]

Kaewtong, N., Termsirikulchai, L., Leelaphun, P.,

Kengganpanich, T., & Kaeodumkoeng, K. (2014).

Health literacy of group at risk of hypertension at

Ban Nonghoi Sub-District Health Promoting

Hospital, Sa Kaeo Province. Journal of

Boromarajonani College of Nursing, Bangkok,

(1), 45-56. [In Thai].

Khumthong, T., Potisiri, W. & Kaeodumkoeng, K.

(2016). Factors influencing health literacy for

people at risk of diabetes mellitus and hypertension

ofUthaiThani and Ang Thong. Veridian EJournal Science and Technology Silpakorn

University, 3(6),67-85. [In Thai]

Liu, Y. B., Hou, P., Xue, H. P., Mao, X. E., & Li, Y. N.

(2019). Social support health literacy, and health

care utilization among older adults. Asia Pacific

Journal of Public health, 31(4), 359-366.

Madican, K., Oba, N., Supametaporn, P. (2020).

Factors related to health literacy in patients

with uncontrolled type 2 diabetes. Journal of

Nursing and Health Sciences, 14(1), 1-15. [In Thai]

Osborne, R. H., Batterham, R. W., Elsworth, G. R.,

Hawkins, M., & Buchbinder, R. (2013).

The grounded psychometric development

and initial validation of the health literacy

questionnaire (HLQ). BMC Public Health, 13:658,

-17.

Pender, N.J. (1987). Health promotion in nursing practice

(2nd ed). New York: Appleton Century Crofts.

Phetarvut, S., Watthayu, N., &Suwonnaroop, N. (2011).

Factors predicting diabetes self-management

behavior among patients with diabetes mellitus

type 2. Nursing Science Journal of Thailand,

(4), 18-26. [In Thai].

Sayah, A. F., Majumdar, S. R., Wiliams, B., Robertson,

S., & Johnson, J. A. (2013). Health literacy and

health outcomes in diabetes: a systematic review.

Journal of General Internal Medicine, 28(3),

-452.

Schillinger, D., Grumbach, K., Piette, J., Wang, F.,

Osmond, D., Daher, C., …Bindman, A. B. (2002).

Association of health literacy with diabetes

outcomes. JAMA, 288(4), 475-482.

Stolar, M. (2010). Glycemic control and complications in

type 2 diabetes mellitus. American Journal of

Medicine, 123(3), S3-S11.

Suphunnakul, P. (2020). Applied statistics in public

health research (2nd ed). Phitsanulok: Naresuan

University Publishing House. [In Thai].

Thummaphol, P. (2016). Health literacy and clinical

outcomes in people with hypertension,

dyslipidemia and type 2 diabetes mellitus.

Journal of Nursing and Health Care, 34(3),

-182. [In Thai].

Toci, E., Burazeri, G., Jerliu, N., Sorensen, K., Ramadani,

N., Hysa, B., … Brand, H. (2014). Health literacy,

self-perceived health and self-reported chronic

morbidity among older people in Kosovo.

Health Promotion International, 30(3), 667-674.

Uttaradit Provincial Public Health Office. (2019).

Morbidity rate of diabetes at health region 2

Uttaradit province. Retrieved 15 December 2019

from https://utt.hdc.moph.go.th/hdc/reports/

report.php?source=formated/ncd.php&cat_id

=6a1fdf282fd28180eed7d1cfe0155e11&id=cefa

b9223ec4d 1969c5ce18d762bdd. [In Thai]

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Published

2022-08-23

How to Cite

Faungfoo, K., Chuleekorn Danyuthasilpe, & Aumporn Lincharoen. (2022). Predicting Factors of Health Literacy in Patients with Type 2 Diabetes Mellitus, Uttaradit Province. NU Journal of Nursing and Health Sciences, 16(2), 96–110. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/255686