Ronie Walters|Stephen Leslie|Rob Polson|Tara Cusack|Trish Gorely
Establishing the efficacy of interventions to improve health literacy and health behaviours: a systematic review
University of the Highlands and Islands|University of the Highlands and Islands|University of the Highlands and Islands|University College Dublin|University of the Highlands and Islands
primary aim review establish whether health literacy interventions adults effective improving health literacy two secondary aims assessed impact health literacy interventions health behaviours whether health literacy interventions conducted cardiovascular patientsa systematic review prospero registration crd42018110772 start date running april 2020 eligible studies conducted adults included prepost measure health literacy medline embase eric psychinfo cinahl psychology behavioural science hmic web science scopus social care online nhs scotland journals social policy practice global health searched two thousand one hundred twentyseven papers assessed 57 full text papers screened give 22 unique datasets 23 papers risk bias assessed regarding randomisation allocation sequence concealment blinding incomplete outcome data selective outcome reporting biases intervention reporting quality assessed using tidier checklisttwentytwo studies included reporting 10997 participants nine countries majority studies 1422 published 2018 later eight studies n 1268 participants also reported behavioural outcomes health literacy interventions resulted improvements least aspect health literacy 1522 studies n 10180 participants improved behavioural outcomes 78 studies n 1209 participants two studies conducted cardiovascular patients studies risk bias 18 judged high risk addition poor reporting intervention content little explication theoretical basis interventionshealth literacy interventions improve health literacy also lead changes health behaviours health literacy interventions offer way improve outcomes populations risk health inequalities health literacy developing field interventions using clear theoretical frameworks closer links health literacy behaviour change theories frameworks could result higher quality effective interventionsprospero registration crd42018110772