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Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A1c in Patients With Comorbid Type 2 Diabetes and Hypertension.

Publication ,  Journal Article
Lee, D; Silva, SG; Yang, Q; Crowley, MJ; Hatch, D; Pennington, G; Matters, D; Urlichich, D; Shaw, RJ
Published in: Comput Inform Nurs
January 9, 2025

Digital health literacy is emerging as an important element in chronic illness management, yet its relationship with clinical outcomes remains unclear. Utilizing data from the ongoing EXpanding Technology-Enabled, Nurse-Delivered Chronic Disease Care trial, this cross-sectional, correlational study explored the association between digital health literacy, health literacy, and patient outcomes, specifically blood pressure and hemoglobin A1c levels in 76 patients managing comorbid type 2 diabetes and hypertension. Results indicate patients had moderate digital health literacy, which was not significantly correlated with health literacy (r = 0.16, P = .169). Both bivariate and covariate-adjusted regression models indicated that digital health literacy was not significantly associated with patient outcomes (all P > .05, small effects). These findings suggest that although patients from diverse sociodemographic backgrounds may possess the digital health literacy to engage with digital health tools, this alone may not improve clinical outcomes. Although digital health literacy may not be directly related to improved clinical outcomes, future research should explore how digital health tools can be optimized to enhance patient engagement and address complex challenges in diverse populations managing chronic conditions.

Duke Scholars

Published In

Comput Inform Nurs

DOI

EISSN

1538-9774

Publication Date

January 9, 2025

Start / End Page

i

Location

United States

Related Subject Headings

  • Nursing
  • 4205 Nursing
  • 4203 Health services and systems
  • 3904 Specialist studies in education
  • 1110 Nursing
  • 0807 Library and Information Studies
 

Citation

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Lee, D., Silva, S. G., Yang, Q., Crowley, M. J., Hatch, D., Pennington, G., … Shaw, R. J. (2025). Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A1c in Patients With Comorbid Type 2 Diabetes and Hypertension. Comput Inform Nurs, i. https://doi.org/10.1097/CIN.0000000000001243
Lee, Donghwan, Susan G. Silva, Qing Yang, Matthew J. Crowley, Daniel Hatch, Gina Pennington, Doreen Matters, Diana Urlichich, and Ryan J. Shaw. “Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A1c in Patients With Comorbid Type 2 Diabetes and Hypertension.Comput Inform Nurs, January 9, 2025, i. https://doi.org/10.1097/CIN.0000000000001243.
Lee D, Silva SG, Yang Q, Crowley MJ, Hatch D, Pennington G, et al. Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A1c in Patients With Comorbid Type 2 Diabetes and Hypertension. Comput Inform Nurs. 2025 Jan 9;i.
Lee, Donghwan, et al. “Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A1c in Patients With Comorbid Type 2 Diabetes and Hypertension.Comput Inform Nurs, Jan. 2025, p. i. Pubmed, doi:10.1097/CIN.0000000000001243.
Lee D, Silva SG, Yang Q, Crowley MJ, Hatch D, Pennington G, Matters D, Urlichich D, Shaw RJ. Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A1c in Patients With Comorbid Type 2 Diabetes and Hypertension. Comput Inform Nurs. 2025 Jan 9;i.

Published In

Comput Inform Nurs

DOI

EISSN

1538-9774

Publication Date

January 9, 2025

Start / End Page

i

Location

United States

Related Subject Headings

  • Nursing
  • 4205 Nursing
  • 4203 Health services and systems
  • 3904 Specialist studies in education
  • 1110 Nursing
  • 0807 Library and Information Studies