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Article Abstract
Objective: To evaluate the efficacy of an individual and family health literacy enhancement program for older adults with hypertension and Type 2 diabetes.
Methods: A total of 140 community participants were randomly assigned to either the individual and family health literacy enhancement program group (n = 70) or the usual care group (n = 70). Outcomes were measured at baseline, at 2-month follow-up (self-management), and at 3-month follow-up (treatment burden, symptom burden).
Results: 129 participants (interventional group = 64, control group = 65) completed all sessions and outcome measurements. In the Intention-To-Treat (ITT) population, there were significant improvements in self-management (t = 4.160, p = 0.000) for the intervention group. The intervention group demonstrated a significant decrease in treatment burden (t = -6.630, p = 0.000) and symptom burden (t = -2.653, p = 0.009).
Conclusions: This study demonstrates that the health literacy enhancement program can increase self-management and decrease both treatment burden and symptom burden among older persons with comorbid hypertension and diabetes.
Practice Implications: The program could be incorporated into the regular service in community settings to improve chronic care management.
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| http://dx.doi.org/10.1016/j.pec.2025.109319 | DOI Listing |
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