TY - JOUR
T1 - Dementia Care Partner Health Literacy as a Mediator Between Education and Burden at Hospital Discharge
AU - Kuzmik, Ashley
AU - Rodriguez, Marleny
AU - Wellington, Jessica
AU - Yahaya, Ahmed Rufai
AU - Boltz, Marie
N1 - Publisher Copyright:
© The Author(s) 2025.
PY - 2025
Y1 - 2025
N2 - Care partners of hospitalized persons with dementia often experience significant burden at discharge. This study examined whether dementia care partner health literacy mediates the relationship between education and burden at hospital discharge. Data from 277 care partners in the Family-centered Function-focused Care (Fam-FFC) trial were analyzed using mediation analysis to assess indirect effects of education on burden (Short-Form Zarit Burden Interview [ZBI-12]) through health literacy (Rapid Estimate of Adult Literacy in Medicine-Short Form [REALM-SF]). Analyses were conducted using SPSS and AMOS. For medium education (B = −0.012; 95% CI = −0.019, −0.003), the indirect effect accounted for 18.5% of the total effect, while for high education (B = −0.018; 95% CI = −0.026, −0.006), it accounted for 21.4%, indicating partial mediation. Findings underscore the role of health literacy in reducing care partner burden and highlight the need to address education and literacy disparities to provide effective support at hospital discharge.
AB - Care partners of hospitalized persons with dementia often experience significant burden at discharge. This study examined whether dementia care partner health literacy mediates the relationship between education and burden at hospital discharge. Data from 277 care partners in the Family-centered Function-focused Care (Fam-FFC) trial were analyzed using mediation analysis to assess indirect effects of education on burden (Short-Form Zarit Burden Interview [ZBI-12]) through health literacy (Rapid Estimate of Adult Literacy in Medicine-Short Form [REALM-SF]). Analyses were conducted using SPSS and AMOS. For medium education (B = −0.012; 95% CI = −0.019, −0.003), the indirect effect accounted for 18.5% of the total effect, while for high education (B = −0.018; 95% CI = −0.026, −0.006), it accounted for 21.4%, indicating partial mediation. Findings underscore the role of health literacy in reducing care partner burden and highlight the need to address education and literacy disparities to provide effective support at hospital discharge.
UR - https://www.scopus.com/pages/publications/105005585599
UR - https://www.scopus.com/pages/publications/105005585599#tab=citedBy
U2 - 10.1177/07334648251338875
DO - 10.1177/07334648251338875
M3 - Article
C2 - 40371843
AN - SCOPUS:105005585599
SN - 0733-4648
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
M1 - 07334648251338875
ER -