Laura Marciano|Anne-Linda Camerini|Peter Schulz
The Role of Health Literacy in Diabetes Knowledge, Self-Care, and Glycemic Control: a Meta-analysis
Università della Svizzera italiana|Università della Svizzera italiana|Università della Svizzera italiana
empirical evidence health literacy affects diabetes outcomes inconsistent purpose metaanalysis quantitatively summarize findings associations health literacy diabetes knowledge selfcare activities glycemic control diseaserelated outcomes specific focus type health literacy assessment nine databases medline cinahl communication mass media complete psychinfo psycharticles psychology behavioral sciences collection eric sociology embase searched peerreviewed original research articles published 31 march 2018 studies type 1 andor type 2 diabetes patients aged 18 older providing calculable baseline effect size functional health literacy diabetes knowledge selfcare activities hba1c included metaanalysis includes 61 studies total 18905 patients majority conducted usa type 2 diabetes patients used stofhla performancebased bhls perceptionbased measure functional health literacy metaanalytic results show three outcomes related health literacy diabetes knowledge best predicted performancebased health literacy measures selfcare selfreport measures glycemic control equally types health literacy assessment health literacy plays substantial role diabetes knowledge findings role health literacy selfcare glycemic control remain heterogeneous partly due type health literacy assessment performance vs perceptionbased implications use health literacy measures clinical settings original research metaanalysis limited functional health literacy due paucity studies investigate role dimensions including communicative critical health literacy