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Health Literacy and Health Outcomes in Diabetes: A Systematic Review

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TLDR
There is little sufficient or consistent evidence suggesting that it is independently associated with processes or outcomes of diabetes-related care, and it may be premature to routinely screen for low health literacy as a means for improving diabetes- related health-related outcomes.
Abstract
BACKGROUND Low health literacy is considered a potential barrier to improving health outcomes in people with diabetes and other chronic conditions, although the evidence has not been previously systematically reviewed.

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Long-term effectiveness of the Diabetes Conversation Map Program: A prepost education intervention study among type 2 diabetic patients in Taiwan.

TL;DR: It is found that improvements in the body mass index, blood glucose, glycated hemoglobin, self-monitoring ofBlood glucose, and diabetic health literacy in the DCMP group compared with controls are found, with no significant changes in depressive symptoms.
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Low health literacy is associated with higher risk of type 2 diabetes: a cross-sectional study in Germany.

TL;DR: In this paper, the authors examined the link between health literacy and diabetes risk among non-diabetic adults in the Hamburg Diabetes Prevention Survey (HLS-EU-Q16).
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Translation and cultural adaptation of Glasgow Antipsychotic Side-effects Scale (GASS) in Arabic.

TL;DR: An Arabic language version of the Glasgow Antipsychotic Side-effect Scale (GASS) is developed to benefit Arabic-speaking psychiatric patients by helping them to express their concerns about side effects of antipsychotics.
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Adequacy of health literacy and its effect on diabetes self-management: a meta-analysis.

TL;DR: Almost 67% of diabetes patients had adequate HL, with a higher rate among better educated and higher income groups, and HL had a statistically significant but weak positive correlation with diabetes self-management variables.
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Validation of a combined health literacy and numeracy instrument for patients with type 2 diabetes.

TL;DR: The study suggests that the composite HLS/SNS is a reliable, valid instrument in patients with type 2 diabetes and reveals there were four factors in the new instrument.
References
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A systematic review of the literature

TL;DR: Physicians should consider modification of immunosuppressive regimens to decrease the risk of PTD in high-risk transplant recipients and Randomized trials are needed to evaluate the use of oral glucose-lowering agents in transplant recipients.
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Low Health Literacy and Health Outcomes: An Updated Systematic Review

TL;DR: Low health literacy was consistently associated with more hospitalizations; greater use of emergency care; lower receipt of mammography screening and influenza vaccine; poorer ability to demonstrate taking medications appropriately; poorer able to interpret labels and health messages; and, among elderly persons, poorer overall health status and higher mortality rates.
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The evolving concept of health literacy.

TL;DR: The paper concludes that both conceptualizations are important and are helping to stimulate a more sophisticated understanding of the process of health communication in both clinical and community settings, as well as highlighting factors impacting on its effectiveness.
Journal ArticleDOI

Literacy and health outcomes

TL;DR: Low literacy is associated with several adverse health outcomes and future research, using more rigorous methods, will better define these relationships and guide developers of new interventions.
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Association of health literacy with diabetes outcomes.

TL;DR: Inadequate health literacy may contribute to the disproportionate burden of diabetes-related problems among disadvantaged populations and efforts should focus on developing and evaluating interventions to improve diabetes outcomes among patients with inadequate health literacy.
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