{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:04:03Z","timestamp":1791468243636,"version":"4.3.4"},"reference-count":70,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T00:00:00Z","timestamp":1579132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health literacy (HL) is a multidimensional concept with significance for self\u2010management and health outcomes in patients with chronic kidney disease (CKD); however, research with a multidimensional perspective on HL is scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to explore the relationship between multidimensional HL, quality of life (QoL) and adherence to long\u2010term therapy in CKD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive single\u2010centre cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patients with CKD in stages 3\u20135 were recruited from the nephrology unit in a Norwegian hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>The Health Literacy Questionnaire (HLQ) was used to assess HL, QoL was measured by the Short Form\u201012 (SF\u201012) and a Visual Analogue Scale (VAS\u2010QoL). Adherence to long\u2010term therapy was measured by the Medical Adherence Rating Scale 5 (MARS\u20105), participants' prescription withdrawals from pharmacies, and a VAS (VAS\u2010adherence). Hierarchical cluster analysis was performed to group patients with similar HLQ scores, and multiple linear regression analysis was performed to identify the HL dimensions that were associated with QoL and adherence to long\u2010term therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 187 patients were included, 65% were male, and the mean (SD) age was 67 (13) years. The high\u2010level HL group (N\u2009=\u200952) had significantly better QoL than patients in the mid\u2010level (N\u2009=\u2009106) and low\u2010level (N\u2009=\u200927) HL groups. The HL dimensions \u201cactively managing health,\u201d \u201cactively engage with healthcare providers,\u201d \u201cability to find good health information\u201d and \u201cability to understand health information\u201d were predictive of QoL and adherence to long\u2010term therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HL seems to be important for both QoL and adherence to long\u2010term therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jorc.12314","type":"journal-article","created":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T00:45:38Z","timestamp":1579221938000},"page":"85-94","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Health Literacy in Kidney Disease: Associations with Quality of Life and Adherence"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6867-523X","authenticated-orcid":false,"given":"Une","family":"Elisabeth St\u00f8mer","sequence":"first","affiliation":[{"name":"Faculty of Health Science University of Stavanger Stavanger Norway"},{"name":"Department of Nephrology Stavanger University Hospital Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Klopstad Wahl","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lasse","family":"Gunnar G\u00f8ransson","sequence":"additional","affiliation":[{"name":"Department of Nephrology Stavanger University Hospital Stavanger Norway"},{"name":"Department of Clinical Medicine, Faculty of Medicine University of Bergen Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8830-4564","authenticated-orcid":false,"given":"Kristin","family":"Hjorthaug Urstad","sequence":"additional","affiliation":[{"name":"Faculty of Health Science University of Stavanger Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,16]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Statistics for Medical Research","author":"Altman D.G.","year":"2018"},{"issue":"2","key":"e_1_2_9_3_1","first-page":"168","article-title":"Evaluation of depressive symptoms in patients with chronic renal failure","volume":"23","author":"Andrade C.P.","year":"2010","journal-title":"Journal of Nephrology"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfh771"},{"key":"e_1_2_9_5_1","volume-title":"The International Encyclopedia of Public Health","author":"Batterham R.W.","year":"2017"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:QURE.0000018499.64574.1f"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0575"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2015050542"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2009111163"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/TCRM.S150638"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000002051"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00290109"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12159"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfw076"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12425"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2016.1179370"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60439-0"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfs371"},{"issue":"1","key":"e_1_2_9_19_1","first-page":"91","article-title":"Quality of life in chronic kidney disease","volume":"31","author":"Fructuoso M.","year":"2011","journal-title":"Nefrolog\u00eda"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.2015.1122569"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.10.018"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2004.12.011"},{"issue":"5","key":"e_1_2_9_23_1","first-page":"637","article-title":"The role of depression, anxiety, stress and adherence to treatment in dialysis patients health\u2010related quality of life: a systematic review of the literature","volume":"34","author":"Garcia\u2010Llana H.","year":"2014","journal-title":"Nefrolog\u00eda"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2012.12.014"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03290708"},{"key":"e_1_2_9_26_1","doi-asserted-by":"crossref","unstructured":"GualtieriL.N.(2009). 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