Sarah Dennis|Anna Williams|Jane Taggart|Anthony T. Newall|Elizabeth Denney?Wilson|Nicholas Zwar|Tim Shortus|Mark F Harris
Which providers can bridge the health literacy gap in lifestyle risk factor modification education: a systematic review and narrative synthesis
UNSW Sydney|UNSW Sydney|UNSW Sydney|UNSW Sydney|UNSW Sydney|UNSW Sydney|UNSW Sydney|UNSW Sydney
people low health literacy may capacity selfmanage health prevent development chronic disease lifestyle risk factor modification aim narrative synthesis determine effectiveness primary healthcare providers developing health literacy patients make snapw smoking nutrition alcohol physical activity weight lifestyle changesstudies identified searching medline embase cochrane library cinahl joanna briggs institute psychinfo web science scopus apais australian medical index community science google scholar 1 january 1985 30 april 2009 health literacy related concepts poorly indexed databases list text words developed tested use hand searches also conducted four key journals studies published english included males females aged 18 years least one snapw risk factor development chronic disease interventions implemented within primary health care aim influence health literacy patients make snapw lifestyle changes studies report outcome measure associated health literacy knowledge skills attitudes self efficacy stages change motivation patient activation snapw risk factorthe definition health literacy terms functional communicative critical health literacy provided guiding framework review52 papers included described interventions address health literacy lifestyle risk factor modification provided different health professionals studies 71 3752 demonstrated improvement health literacy particular interventions moderate high intensitynon medical health care providers effective improving health literacy however confounded intensity intervention provider barriers impacted relationship patientscapacity provide interventions sufficient intensity important condition effective health literacy support lifestyle change implications workforce development organisation primary health care