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Identifying health literacy levels and modifiable risk factors in adults with cardiovascular disease
Abstract
768 Geographical influence on follow-up. Does distance from hospital or socioeconomics have a greater impact on attendance at chest pain clinic? A. Vlachadis Castles 1,∗ , I. Tsay 1 , A. Gan 2 , V. Liang 1 , W. van Gaal 1,2 1 Northern
Health, VIC, Australia 2 University of Melbourne, VIC, Australia Background: Of patients presenting to emergency departments with chest pain, those followed up by a cardiologist have improved short-term morbidity and mortality. We evaluated factors linked to patient geography on attendance at chest pain clinic. Methods: All patients with appointments at chest pain clinic between July 2013 and June 2014 were audited. Attendance was defined as review within six months of the first scheduled appointment. Relative socioeconomic (RSAD), educational and occupational (REO) indices, and distance from hospital were obtained for each patient according to postcode. Heat maps were generated Results: 1599 patients were included from 95 postcodes. 1168 patients (73.0%) attended. Socioeconomic indices and distance did not affect attendance (graphs). Higher deciles reflect an increased relative advantage and lower disadvantage (RSAD) or a higher proportion of qualifications and skilled jobs (REO) within a postcode.
Conclusion: No correlation was found between attendance and RSAD and REO socioeconomic indices, or distance from hospital. Identifying other factors may prove useful to target poor attenders, which in turn may improve outcomes. http://dx.doi.org/10.1016/j.hlc.2015.06.771
S445
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769 Identifying health literacy levels and modifiable risk factors in adults with cardiovascular disease V. Betihavas 1,∗ , J. Duff 2,3 , A. Chan 3 , R. Say 3,∗ , C. Ferry 4 , K. Walker 2,3 1 Sydney
University, NSW, Australia Vincent’s Private Hospital Sydney, NSW, Australia 3 University of Tasmania, TAS, Australia 4 National Heart Foundation Australia, Melbourne, VIC, Australia 2 St
Background: Challenges for adults with cardiovascular disease include rehospitalisation, decrease in quality of life and poor compliance related to health literacy. Objectives: To evaluate the Heart Foundation’s Managing my heart health booklet. This study will identify health literacy levels of adults with cardiovascular disease using the REALM R test; identify participants reaction to the booklet; its effect on their cardiovascular health literacy; and its impact on their modifiable cardiovascular risk factors. Design: Qualitative longitudinal study. Phase 1: REALM-R test; demographic data and cardiovascular health knowledge questionnaire. Follow up at 12 weeks: Participants feedback to Managing my heart health booklet; Assessment of behaviour modification; Assessment of cardiovascular health knowledge questionnaire. Setting: Community Participants: Adults living independently in the community with a history of cardiovascular disease who have attended the pre-admission unit at St Vincent’s Private Hospital in Sydney. Results: We recruited 88 participants with an average age of 63 years and a history of cardiovascular disease. We identified 25% of participants scored 6 or less on the REALM R test placing them at risk for poor literacy. Conclusion: Health literacy levels affect cardiovascular disease management. Identifying individuals at risk for poor literacy and modifying the delivery of disease management information to the needs of the person has the potential to promote health literacy. Incorporating health literacy assessment of individuals within cardiovascular disease management programs is warranted. http://dx.doi.org/10.1016/j.hlc.2015.06.772
768 Geographical influence on follow-up. Does distance from hospital or socioeconomics have a greater impact on attendance at chest pain clinic? A. Vlachadis Castles 1,∗ , I. Tsay 1 , A. Gan 2 , V. Liang 1 , W. van Gaal 1,2 1 Northern
Health, VIC, Australia 2 University of Melbourne, VIC, Australia Background: Of patients presenting to emergency departments with chest pain, those followed up by a cardiologist have improved short-term morbidity and mortality. We evaluated factors linked to patient geography on attendance at chest pain clinic. Methods: All patients with appointments at chest pain clinic between July 2013 and June 2014 were audited. Attendance was defined as review within six months of the first scheduled appointment. Relative socioeconomic (RSAD), educational and occupational (REO) indices, and distance from hospital were obtained for each patient according to postcode. Heat maps were generated Results: 1599 patients were included from 95 postcodes. 1168 patients (73.0%) attended. Socioeconomic indices and distance did not affect attendance (graphs). Higher deciles reflect an increased relative advantage and lower disadvantage (RSAD) or a higher proportion of qualifications and skilled jobs (REO) within a postcode.
Conclusion: No correlation was found between attendance and RSAD and REO socioeconomic indices, or distance from hospital. Identifying other factors may prove useful to target poor attenders, which in turn may improve outcomes. http://dx.doi.org/10.1016/j.hlc.2015.06.771
S445
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
769 Identifying health literacy levels and modifiable risk factors in adults with cardiovascular disease V. Betihavas 1,∗ , J. Duff 2,3 , A. Chan 3 , R. Say 3,∗ , C. Ferry 4 , K. Walker 2,3 1 Sydney
University, NSW, Australia Vincent’s Private Hospital Sydney, NSW, Australia 3 University of Tasmania, TAS, Australia 4 National Heart Foundation Australia, Melbourne, VIC, Australia 2 St
Background: Challenges for adults with cardiovascular disease include rehospitalisation, decrease in quality of life and poor compliance related to health literacy. Objectives: To evaluate the Heart Foundation’s Managing my heart health booklet. This study will identify health literacy levels of adults with cardiovascular disease using the REALM R test; identify participants reaction to the booklet; its effect on their cardiovascular health literacy; and its impact on their modifiable cardiovascular risk factors. Design: Qualitative longitudinal study. Phase 1: REALM-R test; demographic data and cardiovascular health knowledge questionnaire. Follow up at 12 weeks: Participants feedback to Managing my heart health booklet; Assessment of behaviour modification; Assessment of cardiovascular health knowledge questionnaire. Setting: Community Participants: Adults living independently in the community with a history of cardiovascular disease who have attended the pre-admission unit at St Vincent’s Private Hospital in Sydney. Results: We recruited 88 participants with an average age of 63 years and a history of cardiovascular disease. We identified 25% of participants scored 6 or less on the REALM R test placing them at risk for poor literacy. Conclusion: Health literacy levels affect cardiovascular disease management. Identifying individuals at risk for poor literacy and modifying the delivery of disease management information to the needs of the person has the potential to promote health literacy. Incorporating health literacy assessment of individuals within cardiovascular disease management programs is warranted. http://dx.doi.org/10.1016/j.hlc.2015.06.772