Literacy critical to heart failure management: a scoping review

Deek, Hiba; Itani, Leila; Davidson, Patricia M.

doi:10.1007/s10741-020-09964-6

Cited by 7 publications

(12 citation statements)

References 58 publications

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“…Finally, a total of 28 reviews were included in our review of reviews. 18–45 An overview of the 28 reviews is presented in Table 2. The types of reviews were mainly systematic reviews ( n = 11) 18,24,28,29,31,34,36,37,39,44,45 or narrative reviews ( n = 5).…”

Section: Resultsmentioning

confidence: 99%

“…The types of reviews were mainly systematic reviews ( n = 11) 18,24,28,29,31,34,36,37,39,44,45 or narrative reviews ( n = 5). 19,22,23,25,26 Diabetes, both type 1 and type 2, were the most studied chronic diseases ( n = 9), 18,19,26,27,29,36,38,41,45 followed by heart failure ( n = 5), 21,24,30,31,35 cardiovascular disease ( n = 2), 20,23 chronic kidney disease ( n = 2), 22,25 COPD ( n = 1), 32 asthma ( n = 1), 43 cancer ( n = 1), 42 hypertension ( n = 1) 33 and low back pain ( n = 1); 34 five reviews included studies on a combination of diseases. 28,37,39,40,44 The number of primary studies in the reviews found varied between 3 and 103; however, most of the time only a subset of these studies was considered relevant for this review of reviews.…”

Section: Resultsmentioning

confidence: 99%

“…Most of the associations between health literacy and outcome measures concerned knowledge ( n = 17), 18–20,23,24,28–31,33,35,36,38,40–43 self-efficacy ( n = 12) 18,19,24,28–30,33,34,36,40,42,45 and medical management ( n = 13). 18–20,23–25,27,29,33,35,36,39,42,44 Fewer reviews were found describing associations between health literacy and communication and navigation of the health care system ( n = 7), 18–20,25,28,33,42 lifestyle ( n = 2) 29,36 and coping with long-term consequences ( n = 2).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 17 reviews examined the association between health literacy and knowledge. The vast majority reported a positive association between health literacy and knowledge, 18–20,23,24,29–31,33,35,36,38,40,41,43 health literacy and the understanding of instructions, 38 and health literacy and correct disease-specific beliefs. 40 In the review of Rosas-Salazar et al, 43 patients with asthma and inadequate health literacy had more information needs, yet they displayed less information-seeking behaviour.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 13 reviews that examined the association between health literacy and self-efficacy, five reported a positive association 24,29,30,40,45 and eight did not. 18,19,33,34,36,42,43,45 In the more nuanced review of Xu et al, 45 functional and critical/communicative health literacy were distinguished, of which only critical/communicative health literacy is associated with self-efficacy in diabetes patients.…”

Section: Resultsmentioning

confidence: 99%

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The importance of health literacy for self-management: A scoping review of reviews

et al. 2021

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Objectives Self-management of chronic diseases is rather complex, especially for patients with limited health literacy. In this review, we aim to disentangle the specific difficulties patients with limited health literacy face in relation to self-management and their associated needs with respect to self-management support. Methods We performed a literature search in five databases. We used a broad definition of health literacy and self-management was categorized into four types of activities: medical management, changing lifestyle, communicating and navigating through the health care system and coping. Included reviews described the relationship between health literacy and different domains of self-management and were published after 2010. Results A total of 28 reviews were included. Some clear difficulties of patients with limited health literacy emerged, predominantly in the area of medical management (especially adherence), communication and knowledge. Other associations between health literacy and self-management were inconclusive. Barriers from the patients’ perspective described mainly medical management and the communication and navigation of the health care system. Discussion Patients with limited health literacy experience difficulties with specific domains of self-management. For a better understanding of the relationship between health literacy and self-management, a broader conceptualization of health literacy is warranted, including both cognitive and behavioural aspects.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The importance of health literacy for self-management: A scoping review of reviews

et al. 2021

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Health literacy and health information sources in relation to foodborne and waterborne diseases among adults in Gedeo zone, southern Ethiopia, 2022: A community-based cross-sectional study

Seboka

Negashe

Yehualashet

et al. 2023

Heliyon

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Health literacy and prognosis of heart failure: a prospective propensity-matched study in the community

Gomez

Andrey

Puerto

et al. 2022

European Journal of Cardiovascular Nursing

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Aims Health literacy (HL), the ability to obtain and understand health information, is critical to self-care in chronic disorders. A low HL is common among these patients and has been associated with a worse prognosis. Nevertheless, the relationship between HL and the prognosis of heart failure (HF) with reduced (HFrEF) vs. preserved (HFpEF) ejection fraction remains unsettled. To analyse the relationship between HL and the prognosis of patients with incident HFrEF and HFpEF. Methods and results Prospective study over 10 years (2010–19) on 6444 patients diagnosed with incident HF. The main outcomes were mortality, hospitalizations, and visits to emergency services. The independent relationship between HL and the prognosis, stratifying patients for cardiovascular comorbidity after propensity score-matching was analysed. After matching 5355 HF patients, 1785 with low HL (874 with HFrEF and 911 with HFpEF) vs. 3570 with adequate HL (1748 with HFrEF and 1822 with HFpEF), during a median follow-up of 5.41 years, 3874 patients died (72.3%) and 3699 patients were hospitalized (69.1%). After adjustment for potential confounders, an adequate HL was associated with a lower all-cause and cardiovascular mortality, less hospitalizations, and less 30-day readmissions [relative risk (RR) for HF <0.72 (0.66–0.86), RR for HFrEF <0.69 (0.63–0.95), and RR for HFpEF <0.62 (0.55–0.88), P < 0.001 in all cases], both for patients with HFrEF and HFpEF. Analyses of recurrent hospitalizations gave larger HL effects than time-to-first-event analyses. Conclusions In this propensity-matched study, a low HL is associated with a worse prognosis of patients with incident HFrEF and HFpEF.

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Literacy critical to heart failure management: a scoping review

Cited by 7 publications

References 58 publications

The importance of health literacy for self-management: A scoping review of reviews

The importance of health literacy for self-management: A scoping review of reviews

Health literacy and health information sources in relation to foodborne and waterborne diseases among adults in Gedeo zone, southern Ethiopia, 2022: A community-based cross-sectional study

Health literacy and prognosis of heart failure: a prospective propensity-matched study in the community

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