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Health Empowerment Model Paper

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The Health Empowerment Model proposes that health literacy and patient empowerment are distinct concepts yet their impact on health outcomes is deeply intertwined (Schulz & Nakamoto, 2013). The model sharply separates the two concepts, claiming that health literacy refers to the necessary skills and sound knowledge which enables the patients to make appropriate health-related decisions, meanwhile empowerment entails the volitional aspect referring to whether the patients are motivated to take part as autonomous actors in this process. The core assumption of the Health Empowerment Model is that health outcomes depend on both literacy and psychological empowerment (Schulz & Nakamoto, 2013). Examining the effect of health literacy and psychological …show more content…
A current WHO report highlighted health literacy and empowerment are the main patient-related factors of medication adherence, which have to be targeted by interventions (Brown & Bussell, 2011). However, the empirical evidence for that is somewhat fragmented and ambiguous. In particular, the current reviews and meta-analyses show that the relationship between health literacy and medication adherence is weak and far from being unequivocal (Ostini & Kairuz, 2014; Miller, 2016; Zhang et al., 2014). Although patient empowerment is repeatedly shown to promote adherence (Deshpande, Menon, Perri, & Zinkhan, 2004; Menon, Deshpande, George, & Perri, 2004; Senécal, Nouwen, & White, 2000), other studies report that patients’ increased participation in the treatment-related decision making can, on the contrary, impair adherence (Camacho, Jong, & Stremersch, 2014; Prigge et al., 2015). However, a systematic review of the empirical evidence about the association between empowerment and medication adherence has not yet been carried out until recently (Náfrádi, Nakamoto, & Schulz, under

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