Bas Geboers|Julii Brainard|Yoon K. Loke|C.J.H. Jansen|Charlotte Salter|Sijmen A. Reijneveld|Andrea F. de Winter
The association of health literacy with adherence in older adults, and its role in interventions: a systematic meta-review
University Medical Center Groningen|University of Groningen|University of East Anglia|University of East Anglia|University of Groningen|University of East Anglia|University Medical Center Groningen|University of Groningen|University Medical Center Groningen|University of Groningen
low health literacy common problem among older adults often suggested associated poor adherence suggested association implies need effective adherence interventions low health literate people however previous reviews show mixed results association low health literacy poor adherence systematic metareview systematic reviews conducted study association health literacy adherence adults age 50 evidence effectiveness adherence interventions among adults age group low health literacy also exploredeight electronic databases medline eric embase psycinfo cinahl dare cochrane library web knowledge searched using variety keywords regarding health literacy adherence additionally references identified articles checked systematic reviews included assessed association health literacy adherence evaluated effectiveness interventions improve adherence older adults low health literacy amstar tool used assess quality included reviews selection procedure dataextraction quality assessment performed two independent reviewers seventeen reviews selected inclusionreviews varied widely quality reviews high low quality found weak mixed associations health literacy adherence among older adults reviews report seven studies assess effectiveness adherence interventions among low health literate older adults results suggest adherence interventions effective group interventions described reviews focused mainly education lowering health literacy demands adherence instructions conclusions could drawn type intervention could beneficial populationevidence association health literacy adherence older adults relatively weak adherence interventions potentially effective vulnerable population older adults low levels health literacy evidence topic limited research needed association health literacy general health behavior effectiveness interventions