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Literacy and Its Relationship With Self-efficacy, Trust, and Participation in Medical Decision Making

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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 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.

Keywords: decision making; diabetes; literacy; self-efficacy; trust

Document Type: Research Article

Publication date: 2007-08-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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