Effective Intervention Strategies to Improve Health Outcomes for Cardiovascular Disease Patients with Low Health Literacy Skills: A Systematic Review

BACKGROUND: Hypertensive patients with low health literacy rarely visit health services, therefore, they have more chances of being hospitalized in comparison with those having a more adequate health literacy. AIM: This article aims to identify intervention based on integration of health literacy and its outcome in hypertensive patients. METHODS: Articles were searched using four bibliographic databases, namely, ProQuest, Science Direct, PubMed, and Google Scholar. PRISMA 2015 is used as a guideline for determining which articles are selected, one of the criteria being published on 2011–2021. RESULTS: A total of 25,264 articles were obtained from the four databases. Seven articles were selected after the extraction and incorporation of the inclusion criteria. The health outcomes of hypertension sufferers after receiving intervention based on integration of health literacy were divided into three groups; medical health outcomes, health literacy skills, and hypertension self-management behavioral. CONCLUSION: An intervention integrated with health literacy and considering the hypertensive patient health literacy in its own will increase the health outcomes of hypertensive patient.

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Interventions to Improve Health among Reproductive-Age Women of Low Health Literacy: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207405 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7405

Author(s):

Rafael Vila-Candel ◽

Francisco Miguel Martínez-Arnau ◽

Juan María de la Cámara-de las Heras ◽

Enrique Castro-Sánchez ◽

Pilar Pérez-Ros

Keyword(s):

Systematic Review ◽

Health Literacy ◽

Reproductive Health ◽

Experimental Studies ◽

Reproductive Age ◽

Screening Tools ◽

Optimal Decisions ◽

Low Health Literacy ◽

Quasi Experimental ◽

Improve Health

Background: Limited or low health literacy (HL) has been associated with poor health outcomes, including inadequate self-caring and preventive behaviors. A few studies have systematically summarized the effect of interventions to improve reproductive health and care in women with insufficient HL. The main objective of the study was to investigate health care promotion interventions and examine their effectiveness on women with inadequate HL through a systematic review of randomized controlled trials (RCT). Methods: RCTs and quasi-experimental studies that assessed HL interventions to improve reproductive health of women with low HL were included. The study protocol was registered with PROSPERO (CRD42020137059). Results: Of the 292 records initially identified, a total of 6 articles were included for review. Five different HL screening tools were used. Four different interventions were included: educational intervention, communication skills, a multimedia interactive tool, and text adaptation to enhance reading comprehension. Not enough research practice has been conducted on the influence of interventions on HL, and thus, it is difficult to implement evidence-based interventions. Conclusions: Interventions aiming to benefit and improve HL should consider the complex web of intersectional determinants that end up shaping the opportunities of women to make optimal decisions regarding their health and care, and which may require attention to much more than clinical or service delivery factors.

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Interventions to improve health literacy among Aboriginal and Torres Strait Islander Peoples: a systematic review

BMC Public Health ◽

10.1186/s12889-021-10278-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Simone Nash ◽

Amit Arora

Keyword(s):

Systematic Review ◽

Health Literacy ◽

Health Outcomes ◽

Torres Strait Islander ◽

Cochrane Library ◽

Indigenous Australians ◽

Community Members ◽

Indigenous Australian ◽

Torres Strait ◽

Improve Health

Abstract Background Aboriginal and Torres Strait Islander peoples continue to experience poorer health outcomes than other population groups. While data specific to Indigenous Australians are scarce, a known social health literacy gradient exists linking low health literacy and poor health outcomes within many minority populations. Improving health literacy among Indigenous Australians is an important way to support self-determination and autonomy in both individuals and communities, by enhancing knowledge and improving health outcomes. This review aims to rigorously examine the effectiveness of health literacy interventions targeting Aboriginal and Torres Strait Islander peoples. Methods A systematic review across six databases (The Cochrane Library, PubMed, Embase, SCOPUS, ProQuest Dissertation and Thesis and Web of Science) was performed for publications evaluating interventions to improve health literacy among Indigenous Australian adults using search terms identifying a range of related outcomes. Results Of 824 articles retrieved, a total of five studies met the eligibility criteria and were included in this review. The included studies evaluated the implementation of workshops, structured exercise classes and the provision of discounted fruit and vegetables to improve nutrition, modify risk factors for chronic diseases, and improve oral health literacy. All interventions reported statistically significant improvement in at least one measured outcome. However, there was limited involvement of the Aboriginal and Torres Strait Islander community members in the research process and participant retention rates were sub-optimal. Conclusion There is limited evidence on interventions to improve health literacy in Indigenous Australian adults. Participation in interventions was often suboptimal and loss to follow-up was high. Future studies co-designed with Aboriginal and Torres Strait Islander community members are needed to improve health literacy in this population.

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Effective Nutrition Intervention Strategies Aimed to Improve Health Outcomes among American Indian/Alaska Native Youth: A Systematic Review

Journal of the Academy of Nutrition and Dietetics ◽

10.1016/j.jand.2019.08.143 ◽

2019 ◽

Vol 119 (10) ◽

pp. A143

Author(s):

C. Andreo ◽

H. Cooper ◽

J. Andrade

Keyword(s):

Systematic Review ◽

Health Outcomes ◽

American Indian ◽

Alaska Native ◽

Intervention Strategies ◽

Nutrition Intervention ◽

Native Youth ◽

Improve Health

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Can life coaching improve health outcomes? – A systematic review of intervention studies

BMC Health Services Research ◽

10.1186/1472-6963-13-428 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 34

Author(s):

Jette Ammentorp ◽

Lisbeth Uhrenfeldt ◽

Flemming Angel ◽

Martin Ehrensvärd ◽

Ebbe B Carlsen ◽

...

Keyword(s):

Systematic Review ◽

Health Outcomes ◽

Intervention Studies ◽

Life Coaching ◽

Improve Health

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Actual and perceived patient health literacy: How accurate are residents’ predictions?

The International Journal of Psychiatry in Medicine ◽

10.1177/0091217419860356 ◽

2019 ◽

Vol 54 (4-5) ◽

pp. 290-295 ◽

Cited By ~ 1

Author(s):

Laci L Zawilinski ◽

Heather Kirkpatrick ◽

Barbara Pawlaczyk ◽

Himabindu Yarlagadda

Keyword(s):

Health Literacy ◽

Health Outcomes ◽

Short Form ◽

Literacy Skills ◽

Assessment Tools ◽

Future Directions ◽

Resident Physicians ◽

Patient Health ◽

Study Participants ◽

Negative Health Outcomes

Health literacy has repeatedly been shown to be associated with a multitude of negative health outcomes. Previous research has shown that patient health literacy levels are hard to predict by physicians and that assessment tools used to measure health literacy may be outdated or lacking. The purpose of this study is to replicate and extend the findings of previous research by examining residents’ ability to predict health literacy levels in patients and to use a newer validated measure of health literacy. A total of 38 patient encounters were included in this study. Patients were administered the Health Literacy Skills Instrument-Short Form to assess health literacy levels. Twenty resident physicians conducted visits with study participants and were asked to predict the health literacy of their patients. Results indicated that, consistent with previous research, residents’ predictions of patient health literacy were not consistent with patient health literacy levels as measured by the Health Literacy Skills Instrument-Short Form. Implications of these findings and future directions are discussed.

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Loneliness, social isolation, cardiovascular disease and mortality: a synthesis of the literature and conceptual framework

Journal of the Royal Society of Medicine ◽

10.1177/0141076820918236 ◽

2020 ◽

Vol 113 (5) ◽

pp. 185-192 ◽

Cited By ~ 1

Author(s):

Sam Hodgson ◽

Isabella Watts ◽

Simon Fraser ◽

Paul Roderick ◽

Hajira Dambha-Miller

Keyword(s):

Systematic Review ◽

Cardiovascular Disease ◽

Health Outcomes ◽

Conceptual Framework ◽

Social Isolation ◽

English Language ◽

Qualitative Studies ◽

Socially Isolated ◽

Poor Outcomes

To conduct a systematic review and develop a conceptual framework on the mechanisms linking loneliness, social isolation, health outcomes and mortality. Electronic databases were systematically searched (PubMed, MEDLINE, Scopus and EMBASE) from inception to October 2018 followed by manual searching to identify research on loneliness, social isolation and mortality in adults published in the English language. Articles were assessed for quality and synthesised into a conceptual framework using meta-ethnographical approaches. A total of 122 articles were included. These collated observational designs examining mediators and moderations of the association in addition to qualitative studies exploring potential mechanisms were included. A framework incorporating 18 discrete factors implicated in the association between loneliness, social isolation and mortality was developed. Factors were categorised into societal or individual, and sub-categorised into biological, behavioural and psychological. These findings emphasise the complex multidirectional relationship between loneliness, social isolation and mortality. Our conceptual framework may allow development of more holistic interventions, targeting many of the interdependent factors that contribute to poor outcomes for lonely and socially isolated people.

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Utility of medicines information leaflets in hypertensive care in a setting with low health literacy: A cross-sectional study

Medicine Access Point of Care ◽

10.1177/2399202620910031 ◽

2020 ◽

Vol 4 ◽

pp. 239920262091003

Author(s):

Mtungwazi Kudzinesta ◽

Mwangana Mubita ◽

Francis Kalemeera ◽

Brian Godman ◽

Ester Hango ◽

...

Keyword(s):

Medication Adherence ◽

Health Literacy ◽

Health Information ◽

Short Form ◽

Literacy Skills ◽

Public Health Care ◽

Hypertensive Patients ◽

Information Leaflets ◽

Medicines Information ◽

Low Health Literacy

Introduction: Higher levels of health literacy improve utilization of health information, medication adherence and outcomes. Few studies evaluate the utility of medicines information in hypertensive care in settings with low health literacy. Aim: To determine the level of health literacy and utility of medicines information leaflets (MILs) among hypertensive patients in public health care in Namibia. Methods: A hospital-based survey among hypertensive patients receiving care at a referral hospital in Namibia from the 8 June 2018 to 29 June 2018. Patient’s health literacy and utility of MIL were assessed using three literacy tools and a survey questionnaire. Quantitative data were analysed using descriptive statistics and qualitative thematic content analysis for factors associate with the utility of the MIL. Results: Of the 139 patients, 63% were female and the mean age was 45.7 (range: 19.0–84.0) years. Over 85.6% had of low literacy skills (Rapid Estimate of Literacy in Medicine (REALM) score <44, that is, unable to read simple health materials), 38.8% had positive Single Item Literacy Screener (SILS) scores (⩾2, require help to read medicines information) and 66.9% had inadequate skills for comprehension, appraisal and decision-making with regard to health information (Health Literacy Skills Instrument-Short Form (HLSI-SF) score <70%). The level of access to and utility of MIL were low, 32.4% and 34.6%, respectively. The main factors associated with poor utility of the MIL were low patient health literacy, lack of guidelines on the use of MIL and MIL written in non-native languages. Conclusion: Low rates of health literacy and utility of MIL were observed among hypertensive patients in Namibia. The integration of health literacy programmes, and MIL guidelines are needed to promote utility of medicine information and improve medication adherence.

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