scholarly journals P203 Breaking the Vicious Cycle of Health Literacy and Related Health Outcomes: A Systematic Review

2019 ◽  
Vol 51 (7) ◽  
pp. S124
Author(s):  
Sarah Sprayberry ◽  
Mary Murimi ◽  
Ana Florencia Moyeda-Carabaza ◽  
Hyunjung Lee ◽  
Bong Nguyen
2008 ◽  
Vol 42 (9) ◽  
pp. 1272-1281 ◽  
Author(s):  
Darcie L Keller ◽  
Julie Wright ◽  
Heather A Pace

2020 ◽  
Vol 45 (4) ◽  
pp. 373-385
Author(s):  
Courtney Lynn ◽  
Lauren Quast ◽  
Hannah Rogers ◽  
Karen Effinger ◽  
Jordan Gilleland-Marchak

Abstract Objective This systematic review examined the literature regarding health literacy among pediatric cancer patients, survivors, and their caregivers. Specific aims were to identify and summarize measures used, levels of and demographic correlates of health literacy, effects of health literacy interventions, and associations between health literacy and health outcomes. Methods The search strategy was executed in the following databases: PubMed, EMBASE, PsycINFO, CINAHL, ERIC, and the Cochrane Library. Of the 842 unique studies retrieved, 9 met the inclusion criteria and were included in the systematic review. Results Studies used a variety of validated and study-specific measures with no measure emerging as the standard. Levels of health literacy were typically assessed subjectively and across studies the majority of those sampled self-reported adequate health literacy. Few studies examined demographic correlates of health literacy, precluding the identification of consistent predictors. Health literacy intervention research for this population is in its infancy and only pilot projects were identified; effects could not be evaluated. No studies assessed the impact of health literacy on health outcomes. Conclusions Very few studies assessed health literacy in pediatric oncology. As treatment for childhood cancer becomes increasingly complex, and patients and caregivers are expected to have adequate understanding of health information, health literacy is a critical construct that should not be overlooked.


2011 ◽  
Vol 155 (2) ◽  
pp. 97 ◽  
Author(s):  
Nancy D. Berkman ◽  
Stacey L. Sheridan ◽  
Katrina E. Donahue ◽  
David J. Halpern ◽  
Karen Crotty

The increasing use of digital services and technologies in health care calls for effective tools to evaluate the users’ eHealth literacy in order to better understand the users’ interaction with health technologies. We here present a systematic review of existing tools to measure eHealth literacy and for what these tools have been used to investigate. We identified eight tools, of which three of them are bases upon a conceptual model of eHealth literacy and the remaining five are dual tools, i.a. comprised of individual measures for health literacy and digital literacy. Of these eight tools, only one tool (The eHealth literacy Scale - eHEALS) was used in other studies than the one it was originally published in. eHEALS has primarily been used to establish eHealth literacy levels in different populations. Five of the studies have been conducted by examining eHealth literacy’s impact on health outcomes, and one study has established an association between high eHealth literacy levels and increased likelihood of attending colorectal cancer screenings in a Japanese population. The two other concept-based tools, eHLS and PRE-HIT, reflect an elaborated understanding of eHealth literacy. The five dual tools were primarily used to screen for adequate and inadequate health literacy and digital literacy. In conclusion, there is very little knowledge about individuals’ eHealth literacy and how it relates to health outcomes or the clinical course of specific diseases. New tools developed for the new age of social media and new technologies should be used as eHEALS may have some limitations.


Author(s):  
Marco D Boonstra ◽  
Sijmen A Reijneveld ◽  
Elisabeth M Foitzik ◽  
Ralf Westerhuis ◽  
Gerjan Navis ◽  
...  

Abstract Background Limited health literacy (LHL) is associated with multiple adverse health outcomes in chronic kidney disease (CKD). Interventions are needed to improve this situation, but evidence on intervention targets and strategies is lacking. This systematic review aims to identify potential targets and strategies by summarizing the evidence on: (i) patient- and system-level factors potentially mediating the relation between LHL and health outcomes; and (ii) the effectiveness of health literacy interventions customized to CKD patients. Methods We performed a systematic review of peer-reviewed research articles in Medline, Embase and Web of Science, 2009–19. We assessed the quality of the studies and conducted a best-evidence synthesis. Results We identified 860 publications and included 48 studies. Most studies were of low quality (n = 26) and focused on dialysis and transplantation (n = 38). We found strong evidence for an association of LHL with smoking and having a suboptimal transplantation process. Evidence was weak for associations between LHL and a variety of factors related to self-care management (n = 25), utilization of care (n = 23), patient–provider interaction (n = 8) and social context (n = 5). Six interventions were aimed at improving knowledge, decision-making and health behaviours, but evidence for their effectiveness was weak. Conclusions Study heterogeneity, low quality and focus on kidney failure largely impede the identification of intervention targets and strategies for LHL. More and higher quality studies in earlier CKD stages are needed to unravel how LHL leads to worse health outcomes, and to identify targets and strategies to prevent disease deterioration. Healthcare organizations need to develop and evaluate efforts to support LHL patients.


2012 ◽  
Vol 28 (3) ◽  
pp. 444-452 ◽  
Author(s):  
Fatima Al Sayah ◽  
Sumit R. Majumdar ◽  
Beverly Williams ◽  
Sandy Robertson ◽  
Jeffrey A. Johnson

2019 ◽  
Vol 23 (11) ◽  
pp. 3024-3043 ◽  
Author(s):  
Raquel Reynolds ◽  
Sara Smoller ◽  
Anna Allen ◽  
Patrice K. Nicholas

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Simone Nash ◽  
Amit Arora

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.


Sign in / Sign up

Export Citation Format

Share Document