An empirical test of the Health Empowerment Model: Does patient empowerment moderate the effect of health literacy on health status?

作者：Nafradi Lilla^*; Nakamoto Kent; Csabai Marta; Papp Zipernovszky Orsolya; Schulz Peter J

来源：Patient Education and Counseling, 2018, 101(3): 511-517.

DOI：10.1016/j.pec.2017.09.004

• Health literacy
• Empowerment
• Health status
• Health Empowerment Model

Objective: The Health Empowerment Model (Schulz & Nakamoto, 2013) advocates that the effects of health literacy and empowerment are intertwined on health outcomes. This study aims to test this assumption in the context of health status as a patient outcome.
Methods: A cross-sectional study was conducted with a sample of 302 participants between June and December 2015. The participants' health literacy (using the NVS and S-TOFHLA tests), empowerment and self-reported health status were assessed.
Results: The participants having a high level of patient empowerment and concurrent adequate health literacy (the so-called 'effective self-managers') reported better health status compared to patients who had either lower health literacy and/or lower empowerment scores (P < 0.05). Moreover, the meaningfulness (b = 0.053, t(297) = 2.29, P = 0.02) and competence (b = 0.07, t(297) = 2.47, P = 0.01) sub-dimensions of patient empowerment moderated the effect of the NVS on current health status.
Conclusion: The study provides evidence for the independence of health literacy and empowerment and partial evidence for their interaction predicting health status.

• 出版日期2018-3