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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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Impact of Health Literacy on Medication Engagement Among Adults With Diabetes in the United States: A Systematic Review.

TL;DR: Assessment of evidence of a relationship between health literacy and medication engagement among adults with diabetes mellitus in the United States found some evidence that health literacy is associated with medication engagement.
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Readability of Spanish-Language Patient Education Materials From RadiologyInfo.org.

TL;DR: Spanish-language patient educational materials provided at the RadiologyInfo.org website are written at levels too high for the average patient, and future efforts should be made to improve the readability of these patient education materials for English and Spanish speakers alike.
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Enhanced self-monitoring blood glucose in non-insulin-requiring Type 2 diabetes: A qualitative study in primary care.

TL;DR: These findings support the Transtheoretical model's stages of change and change processes and strengthen the relationships between theoretical concepts found in Diabetes Self-management Education-Support including: engagement, information sharing and behavioural support.
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Validating the Functional, Communicative, and Critical Health Literacy Scale Using Rasch Modeling and Confirmatory Factor Analysis

TL;DR: A parsimonious 12-item version of the FCCHL reduced within-item bias and improved subscale reliability indexes, and the data fit a three-dimensional Rasch model best.
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Association of health literacy and self-management practices and psychological factor among patients with type 2 diabetes mellitus in Saudi Arabia

TL;DR: The study shows that nearly half of the T2DM patients that exhibited low level of functional health literacy had low diabetes self-management, which underscores the importance of proper counselling and education about diabetes control on both patients and family members.
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.
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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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