The association between health literacy and quality of life of patients with type 2 diabetes mellitus: a cross-sectional study

Walid Al-Qerem; Anan Jarab; Alaa Hammad; Judith Eberhardt; Fawaz Alasmari; Safa M. Alkaee; Zein H. Alsabaa; Mahmood  Al-Ibadah

doi:10.1371/journal.pone.0312833

The association between health literacy and quality of life of patients with type 2 diabetes mellitus: a cross-sectional study

Walid Al-Qerem, Anan Jarab, Alaa Hammad, Judith Eberhardt, Fawaz Alasmari, Safa M. Alkaee, Zein H. Alsabaa, Mahmood Al-Ibadah

SSSHL Psychology

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Abstract

Background

Health literacy-driven interventions in patients with type 2 diabetes have been found to play an important role in achieving glycemic control and enhancing diabetic self-management outcomes. The present study aimed to examine the role of health literacy as a predictor of quality of life among diabetic patients in Jordan.

Methods

This cross-sectional study enrolled 400 Type 2 diabetic patients visiting the endocrinology department at the outpatient clinic at Al Basheer Hospital in Amman, Jordan. The data were collected between 1st of August and 28th of December 2023, using the validated Jordanian Diabetic Health Literacy Questionnaire and the EuroQol-5D tool. A quantile regression analysis was conducted to explore the factors associated with health–related quality of life among the study participants.

Result

This study included 68.8% females, with a median age of 58 (50–64) years. The median EQ5-D index score was 0.66 (0.41–0.78). Findings from regression analysis indicated as patients’ age increased, their quality of life scores significantly decreased (-0.004, 95%CI (-0.006, -0.001), p = 0.002). Additionally, higher JDHLQ scores were significantly associated with higher EQ5-D scores (0.012, 95% CI (0.006–0.018), p<0.001). Moreover, patients with only an elementary education had significantly lower EQ5-D scores compared to those with a postgraduate education (-0.106, 95%CI (-0.190, -0.023), p = 0.013).

Conclusion

The findings of the present study emphasize the importance of including health literacy assessments and interventions in the diabetes care plans of patients in Jordan.

Original language	English
Article number	e0312833
Number of pages	11
Journal	PLoS ONE
Volume	19
Issue number	10
DOIs	https://doi.org/10.1371/journal.pone.0312833
Publication status	Published - 31 Oct 2024

Bibliographical note

Copyright: © 2024 Al-Qerem et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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title = "The association between health literacy and quality of life of patients with type 2 diabetes mellitus: a cross-sectional study",

abstract = "BackgroundHealth literacy-driven interventions in patients with type 2 diabetes have been found to play an important role in achieving glycemic control and enhancing diabetic self-management outcomes. The present study aimed to examine the role of health literacy as a predictor of quality of life among diabetic patients in Jordan.MethodsThis cross-sectional study enrolled 400 Type 2 diabetic patients visiting the endocrinology department at the outpatient clinic at Al Basheer Hospital in Amman, Jordan. The data were collected between 1st of August and 28th of December 2023, using the validated Jordanian Diabetic Health Literacy Questionnaire and the EuroQol-5D tool. A quantile regression analysis was conducted to explore the factors associated with health–related quality of life among the study participants.ResultThis study included 68.8% females, with a median age of 58 (50–64) years. The median EQ5-D index score was 0.66 (0.41–0.78). Findings from regression analysis indicated as patients{\textquoteright} age increased, their quality of life scores significantly decreased (-0.004, 95%CI (-0.006, -0.001), p = 0.002). Additionally, higher JDHLQ scores were significantly associated with higher EQ5-D scores (0.012, 95% CI (0.006–0.018), p<0.001). Moreover, patients with only an elementary education had significantly lower EQ5-D scores compared to those with a postgraduate education (-0.106, 95%CI (-0.190, -0.023), p = 0.013).ConclusionThe findings of the present study emphasize the importance of including health literacy assessments and interventions in the diabetes care plans of patients in Jordan.",

author = "Walid Al-Qerem and Anan Jarab and Alaa Hammad and Judith Eberhardt and Fawaz Alasmari and Alkaee, {Safa M.} and Alsabaa, {Zein H.} and Mahmood Al-Ibadah",

note = "Copyright: {\textcopyright} 2024 Al-Qerem et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

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AU - Al-Qerem, Walid

AU - Jarab, Anan

AU - Hammad, Alaa

AU - Eberhardt, Judith

AU - Alasmari, Fawaz

AU - Alkaee, Safa M.

AU - Alsabaa, Zein H.

AU - Al-Ibadah, Mahmood

N1 - Copyright: © 2024 Al-Qerem et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2024/10/31

Y1 - 2024/10/31

N2 - BackgroundHealth literacy-driven interventions in patients with type 2 diabetes have been found to play an important role in achieving glycemic control and enhancing diabetic self-management outcomes. The present study aimed to examine the role of health literacy as a predictor of quality of life among diabetic patients in Jordan.MethodsThis cross-sectional study enrolled 400 Type 2 diabetic patients visiting the endocrinology department at the outpatient clinic at Al Basheer Hospital in Amman, Jordan. The data were collected between 1st of August and 28th of December 2023, using the validated Jordanian Diabetic Health Literacy Questionnaire and the EuroQol-5D tool. A quantile regression analysis was conducted to explore the factors associated with health–related quality of life among the study participants.ResultThis study included 68.8% females, with a median age of 58 (50–64) years. The median EQ5-D index score was 0.66 (0.41–0.78). Findings from regression analysis indicated as patients’ age increased, their quality of life scores significantly decreased (-0.004, 95%CI (-0.006, -0.001), p = 0.002). Additionally, higher JDHLQ scores were significantly associated with higher EQ5-D scores (0.012, 95% CI (0.006–0.018), p<0.001). Moreover, patients with only an elementary education had significantly lower EQ5-D scores compared to those with a postgraduate education (-0.106, 95%CI (-0.190, -0.023), p = 0.013).ConclusionThe findings of the present study emphasize the importance of including health literacy assessments and interventions in the diabetes care plans of patients in Jordan.

AB - BackgroundHealth literacy-driven interventions in patients with type 2 diabetes have been found to play an important role in achieving glycemic control and enhancing diabetic self-management outcomes. The present study aimed to examine the role of health literacy as a predictor of quality of life among diabetic patients in Jordan.MethodsThis cross-sectional study enrolled 400 Type 2 diabetic patients visiting the endocrinology department at the outpatient clinic at Al Basheer Hospital in Amman, Jordan. The data were collected between 1st of August and 28th of December 2023, using the validated Jordanian Diabetic Health Literacy Questionnaire and the EuroQol-5D tool. A quantile regression analysis was conducted to explore the factors associated with health–related quality of life among the study participants.ResultThis study included 68.8% females, with a median age of 58 (50–64) years. The median EQ5-D index score was 0.66 (0.41–0.78). Findings from regression analysis indicated as patients’ age increased, their quality of life scores significantly decreased (-0.004, 95%CI (-0.006, -0.001), p = 0.002). Additionally, higher JDHLQ scores were significantly associated with higher EQ5-D scores (0.012, 95% CI (0.006–0.018), p<0.001). Moreover, patients with only an elementary education had significantly lower EQ5-D scores compared to those with a postgraduate education (-0.106, 95%CI (-0.190, -0.023), p = 0.013).ConclusionThe findings of the present study emphasize the importance of including health literacy assessments and interventions in the diabetes care plans of patients in Jordan.

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DO - 10.1371/journal.pone.0312833

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JO - PLoS ONE

JF - PLoS ONE

IS - 10

M1 - e0312833

ER -

The association between health literacy and quality of life of patients with type 2 diabetes mellitus: a cross-sectional study

Abstract

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