Tasuku Okui, Jinsang Park
Analysis of the regional distribution of road traffic mortality and associated factors in Japan
Injury epidemiology
previous research found association low health literacy poor clinical outcomes type 2 diabetes mellitus t2dm patients sought determine association mitigated selfmanagement support sms program provided trained health workers using technology assisted menu driven program called connection health cth study secondary analysis randomized trial 2 similar versions cth implemented 12 northern california community health centers part participant completed single validated question assess health literacy used unadjusted adjusted linear regression analyses determine extent baseline health literacy predictive prepost changes hemoglobin a1c hba1c 365 participants prepost hba1c data available hba1c concentrations declined average 076 99 92 95 ci 05310 almost 114 312 participants low health literacy significant association health literacy reduction hba1c concentrations either unadjusted adjusted models baseline health literacy predict prepost changes body mass index medication adherence exercise diet study found implementing cth program 2 versions via randomized clinical trial improved hba1c concentrations without increasing disparities participants high low health literacy suggests cthlike programs enhance diabetes outcomes community health centers without exacerbating inequities low health literacy