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. 2007 Sep-Oct:31 Suppl 1:S27-35.
doi: 10.5555/ajhb.2007.31.supp.S27.

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

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

Darren A DeWalt et al. Am J Health Behav. 2007 Sep-Oct.

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.

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