Effect of educational interventions on health literacy in patients with heart failure

Sany, Seyedeh Belin Tavakoly; Peyman, Nooshin; Zadehahmad, Zohreh; Ferns, Gordon A.; Doosti, Hassan

doi:10.1080/14635240.2018.1545597

Cited by 19 publications

(21 citation statements)

References 20 publications

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“…Our main finding showed that health literacy and social support had a significant impact on self-care behaviours after adjusting for patients' characteristics. This was in line with existing studies that report that health literacy and social support were associated with self-care behaviours in patients with HF (Graven et al, 2015;Son et al, 2018;Tavakoly Sany, Peyman, Zadehahmad, Ferns, & Doosti, 2019). In this study, social support was the strongest predictor of self-care behaviours after confounding factors were excluded.…”

Section: Discussionsupporting

confidence: 91%

The roles of health literacy and social support in improving adherence to self‐care behaviours among older adults with heart failure

Seo

Son

2020

Nursing Open

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Section: Discussionsupporting

confidence: 91%

The roles of health literacy and social support in improving adherence to self‐care behaviours among older adults with heart failure

Seo

Son

2020

Nursing Open

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“…Differences in HL were found according to age group, education level and income ( 45 , 46 ). Consistent with the literature, the present study confirms that low HL is associated with low income ( 45 , 46 ) and income ( 47 ). Our findings were also consistent with reviews on the prevalence of HL in the United Kingdom and the USA, which reported older age was significantly associated with having limited HL( 44 ).…”

Section: Discussionmentioning

confidence: 98%

Health Literacy in Iranian Women: A Systematic Review and Meta-Analysis

Khorasani¹,

Sany²,

Orooji³

et al. 2020

ijph

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Background: Inadequate health literacy (HL) is associated with poorer health outcomes and worse health care. Up to one-half of Iranian women have difficulty in interpreting medical information, and national HL assessment has been limited in Iran. We have undertaken a systematic review of the literature and used a metaanalysis to examine the situation of HL status in Iranian women, and determine the relationship between HL and self-efficacy, and self-care behaviors. Methods: Six databases (PubMed, Web of Science, Scopus, Google Scholar, Scientific Information Database) and other non-indexed citations were searched using a variety of keywords regarding HL and Iranian women. The bias risk was decreased by the involvement of two independent reviewers assessing study quality and eligibility of included articles. Results: The average HL scores were in the range of marginal or limited (63.08; 95% CI, 59.83–66.32) in the Iranian women. The HL score was significantly higher among pregnant women (67.55; 95% CI, 32.54– 82.57) and was lower in women with chronic disease (57.79; CI, 48.34-67.24). There was a significant association between HL and self-efficacy and self-care behaviors. Conclusion: The average level of HL in the period of the review was marginal among Iranian women. The relationship of HL with self-efficacy and self-care behaviors was statistically significant but moderate.

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“…Full-text articles were retrieved for eligibility assessment based on inclusion and exclusion criteria. In this study, 52 studies met the inclusion criteria, which included 45 cross-sectional studies , 3 randomized control trials (RCT) [42,43,51], and 4 semiexperimental studies [20,25,52,62]. The quality of included studies was low, across RCTs.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…We included 45 crosssectional studies , 3 randomized control trials (RCT) [42,43,51], and 4 semi-experimental studies [20,25,52,62] evaluated 7 interventions ranging from education sessions or coaching sessions targeted at patients or health providers, booklets or DVD decision aids and counseling sessions. The development and design of six out [20,25,42,51,52,62] of seven interventions are developed and designed specifically for low socioeconomic (literacy and low income) people with chronic diseases. All these studies used the health literacy framework to improve HL skills, self-efficacy, and health promotion behaviors of the intervention program.…”

Section: Study Designs and Populationsmentioning

confidence: 99%

“…Of 52 included studies, 25 (48%) studies included populations with health conditions , and 24 (46.3%) studies included patient participants with chronic disease [12,27,, and other disease (3/52; 5.7%) [55,56,59] (Table 1). We included 45 cross-sectional studies , 3 randomized control trials (RCT) [42,43,51], and 4 semiexperimental studies [20,25,52,62] evaluated 7 interventions ranging from education sessions or coaching sessions targeted at patients or health providers, booklets or DVD decision aids and counseling sessions. The development and design of six out [20,25,42,51,52,62] of seven interventions are developed and designed specifically for low socioeconomic (literacy and low income) people with chronic diseases.…”

Section: Study Designs and Populationsmentioning

confidence: 99%

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The Health Literacy Status and Its Role in Interventions in Iran: A Systematic and Meta-Analysis

Sany

Doosti

Mahdizadeh

et al. 2021

IJERPH

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There are increasing calls for public health policies to realize the visions of a health literate society and health literacy on a global scale. However, there are still more gaps in what researchers recognize and what steps they should take to improve health literacy (HL) skills. This review aimed to measure the HL status of the Iranian population and the effect size of the underlying association between HL and other health outcomes, and to examine the effectiveness of HL interventions on improving the functional dimension of HL, self-efficacy, and health-promoting behaviors. All full text published articles written in English and Persian language were included from inception until January 2019, but the type of study is not limited. A total of 52 potentially relevant articles with data on 36,523 participants were included in this review. In the population with health conditions, the average HL score was 62.51 (95% CI: 59.95–65.08), while in the patient population, the HL score was 64.04 (95% CI: 60.64–67.45). Health literacy was positively and significantly correlated with self-care behaviors 0.42 (95% CI; 0.35–0.49), self-efficacy 0.35 (95% CI; 0.26–0.43), knowledge 0.50 (95% CI; 0.44–0.55), communication skills 0.33 (95% CI; 0.25–0.41), and health promotion behaviors 0.39 (95% CI; 0.35–0.44). The meta-analyses showed that overall, HL interventions significantly improved HL status, self-efficacy, and health promotion behaviors. Results indicate that HL status was in the range of marginal HL level in the Iranian population. Our finding highlights the beneficial impact of HL intervention on health-promoting behaviors and self-efficacy, particularly in low literacy/socioeconomic status people.

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Effect of educational interventions on health literacy in patients with heart failure

Cited by 19 publications

References 20 publications

The roles of health literacy and social support in improving adherence to self‐care behaviours among older adults with heart failure

The roles of health literacy and social support in improving adherence to self‐care behaviours among older adults with heart failure

Health Literacy in Iranian Women: A Systematic Review and Meta-Analysis

The Health Literacy Status and Its Role in Interventions in Iran: A Systematic and Meta-Analysis

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