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Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review

Background: The relative value of universal compared to contingent approaches to communication and behavioral interventions for persons of low health literacy remains unknown. Objective: To examine the effectiveness of interventions that are tailored to individual health literacy level compared to n...

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Autores principales: Schapira, Marilyn M., Swartz, Sheila, Ganschow, Pamela S., Jacobs, Elizabeth A., Neuner, Joan M., Walker, Cindy M., Fletcher, Kathlyn E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124923/
https://www.ncbi.nlm.nih.gov/pubmed/30288424
http://dx.doi.org/10.1177/2381468317714474
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author Schapira, Marilyn M.
Swartz, Sheila
Ganschow, Pamela S.
Jacobs, Elizabeth A.
Neuner, Joan M.
Walker, Cindy M.
Fletcher, Kathlyn E.
author_facet Schapira, Marilyn M.
Swartz, Sheila
Ganschow, Pamela S.
Jacobs, Elizabeth A.
Neuner, Joan M.
Walker, Cindy M.
Fletcher, Kathlyn E.
author_sort Schapira, Marilyn M.
collection PubMed
description Background: The relative value of universal compared to contingent approaches to communication and behavioral interventions for persons of low health literacy remains unknown. Objective: To examine the effectiveness of interventions that are tailored to individual health literacy level compared to nontailored interventions on health-related outcomes. Design: Systematic review. Data Sources: PubMed and Embase databases. Eligibility Criteria: Studies were eligible if they were in English, used an experimental or observational design, included an intervention that was tailored based on the individual’s level of education, health literacy or health numeracy, and had a comparator group in which the intervention was not tailored to individual characteristics. Review Methods: Databases were searched from inception to January 2016, and the retrieved reference lists hand searched. Abstracts that met PICOS criteria underwent dual review for data extraction to assess study details and study quality. A qualitative synthesis was conducted. Results: Of 2,323 unique citations, 458 underwent full review, and 9 met criteria for the systematic review. Five studies were positive and rated as good quality, 3 were negative with 2 of those of good quality, and 1 had mixed results (fair quality). Positive studies were conducted in the clinical domains of hypertension, diabetes, and depression with interventions including educational materials, disease management sessions, literacy training, and physician notification of limited health literacy among patients. Negative studies were conducted in the clinical domains of heart disease, glaucoma, and nutrition with interventions including medication reconciliation and educational materials. Conclusions: Tailoring communication and behavioral interventions to the individual level of health literacy may be an effective strategy to improve knowledge and indicators of disease control in selected clinical settings.
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spelling pubmed-61249232018-10-04 Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review Schapira, Marilyn M. Swartz, Sheila Ganschow, Pamela S. Jacobs, Elizabeth A. Neuner, Joan M. Walker, Cindy M. Fletcher, Kathlyn E. MDM Policy Pract Original Article Background: The relative value of universal compared to contingent approaches to communication and behavioral interventions for persons of low health literacy remains unknown. Objective: To examine the effectiveness of interventions that are tailored to individual health literacy level compared to nontailored interventions on health-related outcomes. Design: Systematic review. Data Sources: PubMed and Embase databases. Eligibility Criteria: Studies were eligible if they were in English, used an experimental or observational design, included an intervention that was tailored based on the individual’s level of education, health literacy or health numeracy, and had a comparator group in which the intervention was not tailored to individual characteristics. Review Methods: Databases were searched from inception to January 2016, and the retrieved reference lists hand searched. Abstracts that met PICOS criteria underwent dual review for data extraction to assess study details and study quality. A qualitative synthesis was conducted. Results: Of 2,323 unique citations, 458 underwent full review, and 9 met criteria for the systematic review. Five studies were positive and rated as good quality, 3 were negative with 2 of those of good quality, and 1 had mixed results (fair quality). Positive studies were conducted in the clinical domains of hypertension, diabetes, and depression with interventions including educational materials, disease management sessions, literacy training, and physician notification of limited health literacy among patients. Negative studies were conducted in the clinical domains of heart disease, glaucoma, and nutrition with interventions including medication reconciliation and educational materials. Conclusions: Tailoring communication and behavioral interventions to the individual level of health literacy may be an effective strategy to improve knowledge and indicators of disease control in selected clinical settings. SAGE Publications 2017-06-15 /pmc/articles/PMC6124923/ /pubmed/30288424 http://dx.doi.org/10.1177/2381468317714474 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Schapira, Marilyn M.
Swartz, Sheila
Ganschow, Pamela S.
Jacobs, Elizabeth A.
Neuner, Joan M.
Walker, Cindy M.
Fletcher, Kathlyn E.
Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review
title Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review
title_full Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review
title_fullStr Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review
title_full_unstemmed Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review
title_short Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review
title_sort tailoring educational and behavioral interventions to level of health literacy: a systematic review
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124923/
https://www.ncbi.nlm.nih.gov/pubmed/30288424
http://dx.doi.org/10.1177/2381468317714474
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