Cognition and Health Literacy in Older Adults' Recall of Self-Care Information

Jessie Chin, Anna Madison, Xuefei Gao, James F. Graumlich, Thembi Conner-Garcia, Michael Murray, Elizabeth A.L. Stine-Morrow, Daniel G. Morrow

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Design and Methods : We explored the relationship between a commonly used measure of health literacy (Short Test of Functional Health Literacy in Adults [STOFHLA]) and comprehension of health information among 145 older adults.

Purpose of the Study : Health literacy is associated with health outcomes presumably because it influences the understanding of information needed for self-care. However, little is known about the language comprehension mechanisms that underpin health literacy.

Results : Results showed that performance on the STOFHLA was associated with recall of health information. Consistent with the Process-Knowledge Model of Health Literacy, mediation analysis showed that both processing capacity and knowledge mediated the association between health literacy and recall of health information. In addition, knowledge moderated the effects of processing capacity limits, such that processing capacity was less likely to be associated with recall for older adults with higher levels of knowledge.

Implications : These findings suggest that knowledge contributes to health literacy and can compensate for deficits in processing capacity to support comprehension of health information among older adults. The implications of these findings for improving patient education materials for older adults with inadequate health literacy are discussed.

Original languageEnglish (US)
Pages (from-to)261-268
Number of pages8
JournalThe Gerontologist
Volume57
Issue number2
DOIs
StatePublished - Apr 1 2017
Externally publishedYes

Fingerprint

Health Literacy
Self Care
Cognition
Health
Patient Education
Language

Keywords

  • Domain-specific knowledge
  • Health literacy
  • Reading comprehension

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Chin, J., Madison, A., Gao, X., Graumlich, J. F., Conner-Garcia, T., Murray, M., ... Morrow, D. G. (2017). Cognition and Health Literacy in Older Adults' Recall of Self-Care Information. The Gerontologist, 57(2), 261-268. https://doi.org/10.1093/geront/gnv091

Cognition and Health Literacy in Older Adults' Recall of Self-Care Information. / Chin, Jessie; Madison, Anna; Gao, Xuefei; Graumlich, James F.; Conner-Garcia, Thembi; Murray, Michael; Stine-Morrow, Elizabeth A.L.; Morrow, Daniel G.

In: The Gerontologist, Vol. 57, No. 2, 01.04.2017, p. 261-268.

Research output: Contribution to journalArticle

Chin, J, Madison, A, Gao, X, Graumlich, JF, Conner-Garcia, T, Murray, M, Stine-Morrow, EAL & Morrow, DG 2017, 'Cognition and Health Literacy in Older Adults' Recall of Self-Care Information', The Gerontologist, vol. 57, no. 2, pp. 261-268. https://doi.org/10.1093/geront/gnv091
Chin, Jessie ; Madison, Anna ; Gao, Xuefei ; Graumlich, James F. ; Conner-Garcia, Thembi ; Murray, Michael ; Stine-Morrow, Elizabeth A.L. ; Morrow, Daniel G. / Cognition and Health Literacy in Older Adults' Recall of Self-Care Information. In: The Gerontologist. 2017 ; Vol. 57, No. 2. pp. 261-268.
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