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An Investigation Into the Relationship Between Health Literacy and Health Outcomes in Patients After a Heart Attack

Investigating the Association Between Health Literacy and Health Outcomes in Adults Hospitalised with an Incident Myocardial Infarction: A Multi-Center Prospective Cohort Study

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12621001224819
Acronym
ENHEARTEN
Enrollment
22
Registered
2021-09-13
Start date
2021-11-01
Completion date
2023-06-02
Last updated
2022-02-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Health literacy refers to a person's ability to find, understand and use health information. Many studies show that people with lower health literacy also have poorer health outcomes, yet this is relatively unexplored among people with heart disease. The aim of this research project is to see if health literacy affects people’s future hospital admissions, the cost of health care, and their quality of life following a heart attack. The study findings may help us identify how best to address health literacy barriers to lifestyle change following a heart attack.

Interventions

Patients with coronary heart disease that are hospitalized with an incident myocardial infarction (MI). Participants will be required to take part in a survey at three different times: within 30-days after their MI; 6-months post-MI; and 12-months post-MI. Each survey will take about 20 minutes and can be completed online, or over the phone. The survey will consist of the European Health Literacy Survey-Q12 (HLS19-Q12) to measure health literacy; the validated EuroQoL questionnaire (EQ-5D-5L) to

Patients with coronary heart disease that are hospitalized with an incident myocardial infarction (MI). Participants will be required to take part in a survey at three different times: within 30-days after their MI; 6-months post-MI; and 12-months post-MI. Each survey will take about 20 minutes and can be completed online, or over the phone. The survey will consist of the European Health Literacy Survey-Q12 (HLS19-Q12) to measure health literacy; the validated EuroQoL questionnaire (EQ-5D-5L) to measure health-related quality of life; 2 questions about cardiac rehabilitation attendance; Scale 3,4,5 and 6 of the health literacy questionnaire (HLQ) to measure patient activation, social support for health, health care provider engagement, and navigating the healthcare system; the Cardiac Self-efficacy (CSE) Scale to measure cardiac self-efficacy; the International Physical Activity Questionnaire (IPAQ-7) to measure physical activity; and the Medication Adherence Rating Scale (MARS-10) to measure medication adherence. All other assessments will be obtained without participant involvement by data linkage with the Victorian Admitted Episodes Dataset, the Victorian Emergency Minimum Dataset, the National Death Index, and Services Australia up to 2 years post-MI hospital admission.

Sponsors

Monash University
Lead SponsorUniversity

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

- Aged 18 years or above - Hospitalized with an incident myocardial infarction (primary or secondary discharge ICD-10 codes of 121 or 122) - Able to understand one of the following languages: English, Arabic, Chinese (Simplified), Greek, Italian or Vietnamese - Have the ability to provide informed consent

Exclusion criteria

- A history of myocardial infarction - Cognitive impairment (determined from the medical records or the nurse in charge) - Discharged home with diagnosis of heart failure, or on specific targeted therapy for heart failure - B-type natriuretic peptide >=100 ng/L or left ventricular ejection fraction <25% at discharge - Discharged to a nursing home or residential aged care facility - Other significant in-hospital complication including major stroke - HIV positive - Active cancer with <1 year life expectancy - Renal impairment (Creatinine >200 mg/dL or Glomerular Filtration Rate>30)

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 12, 2026