Marilyn M. Schapira|Sheila Swartz|Pamela Ganschow|Elizabeth A. Jacobs|Joan Neuner|Cindy M. Walker|Kathlyn E. Fletcher
Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review
University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison
background relative value universal compared contingent approaches communication behavioral interventions persons low health literacy remains unknown objective examine effectiveness interventions tailored individual health literacy level compared nontailored interventions healthrelated outcomes design systematic review data sources pubmed embase databases eligibility criteria studies eligible english used experimental observational design included intervention tailored based individuals level education health literacy health numeracy comparator group intervention tailored individual characteristics review methods databases searched inception january 2016 retrieved reference lists hand searched abstracts met picos criteria underwent dual review data extraction assess study details study quality qualitative synthesis conducted results 2323 unique citations 458 underwent full review 9 met criteria systematic review five studies positive rated good quality 3 negative 2 good quality 1 mixed results fair quality positive studies conducted clinical domains hypertension diabetes depression interventions including educational materials disease management sessions literacy training physician notification limited health literacy among patients negative studies conducted clinical domains heart disease glaucoma nutrition interventions including medication reconciliation educational materials conclusions tailoring communication behavioral interventions individual level health literacy may effective strategy improve knowledge indicators disease control selected clinical settings