Kevin J Blair, Michael de Virgilio, Fanny Nadia Dissak-Delon, Lauren Eyler Dang, S Ariane Christie, Melissa Carvalho, Rasheedat Oke, Mbiarikai Agbor Mbianyor, Alan E Hubbard, Alain Mballa Etoundi, Thompson Kinge, Richard L Njock, Daniel N Nkusu, Jean-Gustave Tsiagadigui, Rochelle A Dicker, Alain Chichom-Mefire, Catherine Juillard
Associations between social determinants of health and interpersonal violence-related injury in Cameroon: a cross-sectional study
BMJ global health
advance care planning vital ensuring individuals receive endoflife care consistent care preferences improves patient quality life satisfaction care however 11 americans discussed advance care planning healthcare provider individuals limited health literacy even less likely participate advance care planning due difficulty comprehending complex health information purpose review identify randomized controlled trials designed address effects limited health literacy advance care planning evaluate quality studies summarize evaluation data inform future studies systematic review examined randomized controlled trials published january 1997 july 2020 using pubmed cinahl psycinfo scopus databases data extracted two reviewers independently evaluated quality studies using joanna briggs institute critical appraisal tool database search yielded 253 studies five studies included final review studies conducted mostly white patients outpatient clinics united states researchers wrote text lower reading levels added images materials created videos enhance communication health literacy interventions increased participant knowledge preference comfort care engagement care documentation however several methodological issues identified including baseline differences treatment control groups issues blinding lack valid reliable outcome measures inappropriate statistical analyses highquality intervention studies address effects limited health literacy advance care planning diverse populations settings needed future intervention studies use reliable valid instruments measure advance care planning outcomes clinicians use materials appropriate patients health literacy levels address advance care planning needs