Health literacy, nutrition knowledge, and health care transition readiness in youth with chronic kidney disease or hypertension: A cross-sectional study.

Abstract	This study evaluates the associations of nutrition knowledge and health literacy with health care transition (HCT) readiness and self-management in adolescents and young adults (AYAs) with chronic kidney disease (CKD) or hypertension. Chronically ill AYAs with poor HCT or self-management skills are less likely to achieve favorable health outcomes as they enter adulthood. Health literacy and nutrition knowledge, which are identified as important contributors to health outcomes, may suggest important points of interventions to improve self-management skills. For the study, we enrolled 59 consecutive patients ages 12-29, with a diagnosis of CKD or hypertension at pediatric- and adult-focused clinics in the United States. Participants completed measures of nutrition knowledge, health literacy, and the Self-management and Transition to Adulthood with Rx = treatment (STARx) questionnaire. Correlation tests and multivariate regressions were employed for data analysis. The findings show that health literacy was positively associated with self-management skills (p = .050), communication with providers (p = .002) and overall HCT (p = .001) after adjusting for key variables. Disease-specific nutrition knowledge positively predicted communication with providers (p = .002) and overall HCT (p < .001) after adjusting for key variables. Therefore, health literacy and nutrition knowledge predicted self-management and transition readiness. Testing for these skills should be considered in clinics and HCT preparation for AYAs with chronic conditions.
Authors	Yi Zhong, Nikita Patel, Maria Ferris, Eniko Rak
Journal	Journal of child health care : for professionals working with children in the hospital and community (J Child Health Care) Vol. 24 Issue 2 Pg. 246-259 (06 2020) ISSN: 1741-2889 [Electronic] England
PMID	30866644 (Publication Type: Journal Article)
Topics	Adolescent Adult Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice Health Literacy Humans Hypertension (drug therapy) Male Nutrition Policy Renal Insufficiency, Chronic (therapy) Self-Management Surveys and Questionnaires Transition to Adult Care (statistics & numerical data) United States Young Adult

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