AHEAD – Association between Health Literacy, Glycemic Control, Treatment Adherence and Self Care Behaviors in a sample of Type Two Diabetes patients in Cluj-Napoca, Romania (2014 – 2015)

The diabetes epidemic is currently affecting both developed and developing countries. In Romania, 50.000 individuals are diagnosed annually with diabetes, this condition accounting for 12.179 deaths each year. In Cluj-Napoca, Romania, reports from the Cluj Public Health Department show that 7% of the population suffered from type two diabetes in 2011 and the diabetes prevalence increased from 3.31% in 2008, to 4.49% in 2011. As 95% of the diabetes healthcare involves self-management, diabetes education is fundamental in providing individuals with the necessary knowledge and skills to self-manage their disease.

The goal of this study is to validate S-TOFHLA, an instrument designed to measure health literacy levels in the Romanian socio-cultural context, and to explore the association between health literacy, treatment adherence and self-care behaviors of people who suffer from type two diabetes. The project is planned to be implemented over a period of 12 months at the Center of Diabetes, Nutrition and Metabolic Diseases in Cluj-Napoca, Romania, a center for regular diabetes care, on 300 patients.

The specific objectives of the study are:

Objective 1: To examine the association between health literacy levels and self-care behaviors and glycemic control in a sample of Romanian patients suffering from type two diabetes.

Objective 2: To validate the S-TOFHLA, an instrument designed to assess health literacy levels, in a sample of Romanian patients suffering from type two diabetes.

Objective 3: To develop a policy brief designed to address the issue of health literacy in Romanian patients suffering from type two diabetes.

CoordinatorCenter for Health Policy and Public Health, Babeș – Bolyai University in Cluj-Napoca, Romania

Principal investigator: Mădălina A. Coman, MA(c)

Funder: The Fogarty International Center at the National Institutes of Health (NIH)

Period of time: October 2014 – August 2015

Total Budget: 8000 USD