Update on Health Literacy and Diabetes
Stacy Cooper Bailey,Angela G. Brega,Trisha M. Crutchfield,Tom A. Elasy,Haley Herr,Kimberly A. Kaphingst,Andrew J. Karter,Sarah Moreland-Russell,Chandra Y. Osborn,Michael Pignone,Russell L. Rothman,Dean Schillinger +11 more
TLDR
Low literacy is associated with less diabetes-related knowledge and may be related to other important health outcomes, but it is unclear if these interventions can reduce literacy-related differences in outcomes.Abstract:
PurposeInadequate literacy is common among patients with diabetes and may lead to adverse outcomes. The authors reviewed the relationship between literacy and health outcomes in patients with diabetes and potential interventions to improve outcomes.MethodsWe reviewed 79 articles covering 3 key domains: (1) evaluation of screening tools to identify inadequate literacy and numeracy, (2) the relationships of a range of diabetes-related health outcomes with literacy and numeracy, and (3) interventions to reduce literacy-related differences in health outcomes.ResultsSeveral screening tools are available to assess patients’ print literacy and numeracy skills, some specifically addressing diabetes. Literacy and numeracy are consistently associated with diabetes-related knowledge. Some studies suggest literacy and numeracy are associated with intermediate outcomes, including self-efficacy, communication, and self-care (including adherence), but the relationship between literacy and glycemic control is mixed. Few ...read more
Citations
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Journal ArticleDOI
Health Literacy and Cardiovascular Disease: Fundamental Relevance to Primary and Secondary Prevention: A Scientific Statement From the American Heart Association
Jared W. Magnani,Mahasin S. Mujahid,Herbert D. Aronow,Crystal W. Cené,Victoria Vaughan Dickson,Edward P. Havranek,Lewis B. Morgenstern,Michael K. Paasche-Orlow,Amy W. Pollak,Joshua Z. Willey +9 more
TL;DR: Inadequate health literacy is a barrier to the American Heart Association meeting its 2020 Impact Goals, and this statement articulates the rationale to anticipate and address the adverse cardiovascular effects associated with health literacy.
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Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus.
TL;DR: A hypothesized model exploring the influencing pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycosylated hemoglobin (HbA1c) levels in patients with type 2 diabetes was validated.
Journal ArticleDOI
Smartphone apps for calculating insulin dose : a systematic assessment
Kit Huckvale,Samanta Adomaviciute,José Tomás Prieto,Melvin Khee-Shing Leow,Melvin Khee-Shing Leow,Melvin Khee-Shing Leow,Josip Car,Josip Car +7 more
TL;DR: The majority of insulin dose calculator apps provide no protection against, and may actively contribute to, incorrect or inappropriate dose recommendations that put current users at risk of both catastrophic overdose and more subtle harms resulting from suboptimal glucose control.
Journal ArticleDOI
The Role of Health Literacy in Diabetes Knowledge, Self-Care, and Glycemic Control: a Meta-analysis
TL;DR: Meta-analytic results show that all three outcomes are related to health literacy, and diabetes knowledge was best predicted by performance-based health literacy measures, self-care by self-report measures, and glycemic control equally by both types of health literacy assessment.
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Health literacy in type 2 diabetes patients: a systematic review of systematic reviews
Rosario Caruso,Arianna Magon,Irene Baroni,Federica Dellafiore,Cristina Arrigoni,Francesco Pittella,Davide Ausili +6 more
TL;DR: HL could be useful to personalize patients' follow-up and it should be routinely assessed in its three dimensions to enhance patients' ability to cope with clinical recommendations, according to clinical practice and research proposals.
References
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BookDOI
Health literacy : a prescription to end confusion
TL;DR: Health Literacy: Prescription to End Confusion examines the body of knowledge that applies to the field of health literacy, and recommends actions to promote a health literate society.
Journal ArticleDOI
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.
Journal ArticleDOI
Association of health literacy with diabetes outcomes.
Dean Schillinger,Kevin Grumbach,John D. Piette,Frances Wang,Dennis Osmond,Carolyn Daher,Jorge Palacios,Gabriela Diaz Sullivan,Andrew B. Bindman +8 more
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.
Journal Article
Brief questions to identify patients with inadequate health literacy
TL;DR: Three questions were each effective screening tests for inadequate health literacy in this population, and three questions were weaker for identifying patients with marginal health literacy.
Journal ArticleDOI
Development of a brief test to measure functional health literacy.
TL;DR: The development of an abbreviated version of the Test of Functional Health Literacy in Adults (TOFHLA) to measure patients' ability to read and understand health-related materials that can be used by health educators to identify individuals who require special assistance to achieve learning goals is described.