Health literacy of parents of very preterm infants at NICU admission and discharge: a prospective cohort study.

TitleHealth literacy of parents of very preterm infants at NICU admission and discharge: a prospective cohort study.
Publication TypeJournal Article
Year of Publication2019
AuthorsEnlow E, Gray MM, Wallace-Keeshen S, D'Agostino JAnn, Abbasi S, Lorch SA
JournalJ Perinatol
Volume39
Issue6
Pagination866-875
Date Published2019 06
ISSN1476-5543
KeywordsAdult, Female, Health Literacy, Humans, Infant Care, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Male, Parents, Patient Discharge, Prospective Studies, Surveys and Questionnaires
Abstract

OBJECTIVE: To determine the prevalence of limited health literacy in parents of infants born ≤32 and 0/7 weeks and if health literacy changes during hospitalization.

STUDY DESIGN: Multi-site, prospective cohort study measuring health literacy using the Parent Health Literacy Activities Test, which estimates caregivers' ability to complete tasks such as reading prescription labels and preparing bottles. Data were analyzed using parametric and nonparametric comparison tests and multivariable regression to control for confounders.

RESULT: Of the 137 participants, 31% missed ≥3 questions of 8. Scores were not associated with admission characteristics or NICU complications. Lower scores were associated with lower nurses' (rho 0.20, p = 0.04) but not parents' (rho -0.12, p = 0.22) ratings of discharge readiness. Scores improved slightly from admission to discharge (p = 0.049).

CONCLUSION: Many parents have difficulty answering questions related to basic infant care tasks. NICUs should ensure that communication and discharge planning are mindful of health literacy.

DOI10.1038/s41372-019-0340-y
Alternate JournalJ Perinatol
PubMed ID30770882