The Effectiveness of a Transformative Learning Program on Health Literacy Promotion among Older Adults with Diabetes
Keywords:
Health Literacy, Diabetes, Older Adults, Transformative LearningAbstract
This one group pre-test – post-test design quasi-experimental study aimed to promote participation and critical health literacy by conceiving a transformative learning program for older adults with diabetes. The sample size was selected by purposive sampling. Thirty older adults who met the inclusion criteria were selected. Participants attended the activities that were designed to enhance health literacy among older adults with diabetes for four consecutive sessions. Research instruments were 1) a health literacy scale test, validated with reliability of 0.86, 2) the developed learning program, based on literature reviews, 3) a booklet for developing health literacy promotion among older adults with diabetes, checked for its language and content validity. Data were analyzed by using descriptive statistics and pair t-test. Results showed as follows.
1. The participant health literacy level prior to attending the program were at a fair level (M=149.29, SD=23.87), and after attending the program were higher than prior but still at a fair level (M=178.26, SD 29.08).
2. After attending the health literacy program, the participants health literacy scores were at a higher level than prior to attending the program, with statistically significance (p<.001).
These findings should be used as a basic information for promoting the role of nurses in promoting health literacy among older adults with diabetes. For further research, a study should be conducted regarding long term results which focus on critical health literacy.
References
Chiangkhong, A, Intarakamhang, U, Duangchan, P., & Macaskill, A. (2019). Effectiveness of Health Literacy through Transformative Learning of Glycemic control in Diabetic Adults. The Journal of Behavioral Science, 14(3), 49-61.
Grove, S., Burns, N., & Gray, J. (2013). The Practice of Nursing Research. Appraisal, Synthesis, and Generation (7ed). Missouri; Elesevier Saunders.
Division of Non Communicable Disease. (2020). Number and Rate of Non- Communicable Disease Mortality. Retrieved from http://www.thaincd.com/2016/mission/documents-detail.php?id=13653&tid=32&gid=1-020
Ginggeaw, S., & Prasertsri, N. (2016). The Relationship Between Health Literacy and Health Behavior Among Older Adults who have Multi-Morbidity. Nursing Journal of the Ministry of Public Health, 25(3), 43-54. (in Thai)
Gray, J, R., Grove, S, K., & Sutherland, S. (2016). Burns and Grove’s the Practice of Nursing Research, 8eds. Philadelphia: Elsevier.
Intarakamhang, U. (2017). Health Literacy: Measurement and Development. Bangkok: Pimluck. (in Thai)
Kooshyar, H., Shoorvazi, M., Dalir, Z., & Hosseini, M. (2014). Health Literacy and its Relationship with Medical Adherence and Health-Related Quality of Life in Diabetic Community-Residing Elderly. Journal of Mazandaran University of Medical Sciences, 23(1), 134-143.
Lee, Y. J., Shin, S. J., Wang, R. H., Lin, K. D., Lee, Y. L., & Wang, Y. H. (2016). Pathways of Empowerment Perceptions, Health Literacy, Self-Efficacy, and Self-Care Behaviors to Glycemic Control in Patients with Type 2 Diabetes Mellitus. Patient Education and Counseling, 99(2), 287-294.
Maschak-Carey, B. J. (2014). Chapter 41 Assessment and Management of Patients with Diabetes mellitus. In B. G. Bare, J. L. Hinkle, & K. H. Cheever (Eds.), Brunner & Suddarth s Textbook of Medical-Surgical Nursing (13thed.)(pp. 1196-1244). Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins.
Mezirow, J. (1992). Transformative Learning: Theory to Practice. New Directions for Adult and Continuing Education, 1997(74), 5-12.
Mezirow, J. (2000). Learning to Think Like an Adult: Core Concepts of Transformation Theory. In J. Mezirow (Ed.), Learning as Transformation: Critical Perspectives on a Theory in Progress. San Francisco: Jossey-Bass.
Ministry of Public Health. (2015). Public Health Statistics A.D. 2017. Retrieved from http://www.pcko.moph.go.th/Health-Statistics/stratistics60.pdf (in Thai)
Montoya, M. F. (2015). The Association Between Health Literacy and Diabetes Outcomes and Self-Management Behaviors among Older Adults in the US. Retrieved from https://www. semanticscholar. org/paper/The-Association-between-Health-Literacy-and-and-in-Montoya/4aafd47390f0fe6b93a0090d5d082504a4f11bc2.
Muller, I., Rowsell, A., Stuart, B., Hayter, V., Little, P., Ganahl, K., et al. (2017). Effects on Engagement and Health Literacy Outcomes of Web-Based Materials Promoting Physical Activity in People with Diabetes: an International Randomized Trial. Journal of Medical Internet Research, 19(1), e21
Nitri, D. W., & Stewart, M. (2009). Transformative Learning Intervention: Effect on Functional Health Literacy and Diabetes Knowledge in Older African Americans. Gerontology & Geriatrics Education, 30(2), 100-113.
Nguyen, H. T., Kirk, J. K., Arcury, T. A., Ip, E. H., Grzywacz, J. G., Saldana, S. J., et al. (2013). Cognitive Function is a Risk for Health Literacy in Older Adults with Diabetes. Diabetes Research and Clinical Practice, 101(2), 141-147.
Nutbeam, D. (2000). Health Literacy as a Public Health Goal: a Challenge for Contemporary Health Education and Communication Strategies Into the 21st Century. Health Promotion International, 15(3), 259-267.
Prabsangob, K. (2016). Relationship of Health Literacy and Self-Care Behavior among Type 2 Diabetic Patients in Banpong District, Ratchburi Province. The 7th NEU National and International Conference 2020 (NEUNIC 2020) “Learning Innovation for Community Development”, 1(1), 2858-2869. (in Thai)
Rakpanusit, T., Khoyneung, N., Isaramalai, S., & Kuha, A. (2020). Effects of Health Literacy and Self- Perceived Health Status on Quality of Life of Elderly in Three Southern Border Provinces of Thailand. The Sothern College Network Journal of Nursing and Public Health, 7(3), 182-194. (in Thai)
Rattanapongsai, P., Lakhampan, S., & Pitchayapinyo, P. (2016). Effectiveness of the Giving Program Knowledge of Drug Use and Drug Collaboration Among Patients with Uncontrol Type 2 Diabetes Mellitus. Thai Journal of Nursing Councli, 31(4), 50-62. (in Thai)
Reisi, M., Mostafavi, F., Javadzade, H., Mahaki, B., Tavassoli, E., & Sharifirad, G. (2016). Communicative and Critical Health Literacy and Self-care Behaviors in Patients with Type 2 Diabetes. Iranian Journal of Diabetes and Etabolism, 14(3), 199-208.
Ruckbumnet, C. (2020). An Expenditure Budget Burden for the Health Care System. Parliamentary Budget Office. Retrieved from https://www.parliament.go.th/ewtadmin/ ewt/ parbudget/ewt_dl_link.php?nid=478. (in Thai)
Sugita, H., Shinohara, R., Yokomichi, H., Suzuki, K., & Yamagata, Z. (2017). Effect of Text Messages to Improve Health Literacy on Medication Adherence in Patients with Type 2 Diabetes Mellitus: A Randomized Controlled Pilot Trial. Nagoya Journal of Medical Science, 79(3).
Suksathan, W., & Prabsangob. (2016). Health Literacy and Self-Care Behavior in Elderly with Diabetes in Ratchaburi Province, Thailand. International Journal of Management and Applied Science, 2(11), 21-24. (in Thai)
Supannakul, P., & Sritong, W. (2015). Causal Relationship Model of Factors Influencing Glycemic Control Behavior Among Monks with Type 2 Diabetes in Upper Northern Region of Thailand. Behavioral Science Research Institute. 21(1), 95-109. (in Thai)
Souza, J. G., Apolinario, D., Magaldi, R. M., Busse, A. L., Campora, F., & Jacob-Filho, W. (2014). Functional Health Literacy and Glycaemic Control in Older adults with Type 2 Diabetes: a Cross-Sectional Study. BMJ Open, 4(2), e004180.
Thammapol, P., Piasue, N., & Jarupatmaruo. (2016). Health Literacy, Personal Factors, Clinical Health Outcomes, Patients Living with Hyoertension, Dyskipidemia, Type 2 Diabetes Mellitus. Journal of Nursing and Health Care, 34(3), 176-182. (in Thai)
Wanichkul, N., Pungpasuk S., Tursakulkeaw, T., & Utariyaprasit, K. (2017). Relationship of Health Literacy, Results of Obtaining Health Knowledge, and Social Influence with Clinical Outcomes of Type 2 Diabetes and/ or Hypertension. Journal Thailand Nursing and Midwifery Council, 32(2), 111-125. (in Thai)
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