Stacy Cooper Bailey|Angela G. Brega|Trisha M. Crutchfield|Tom A. Elasy|Haley Herr|Kimberly A. Kaphingst|Andrew J. Karter|Sarah Moreland?Russell|Chandra Y. Osborn|Michael Pignone|Russell L. Rothman|Dean Schillinger
Update on Health Literacy and Diabetes
University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis|University of North Carolina at Chapel Hill|Native Health|Colorado School of Public Health|Vanderbilt University|Washington University in St. Louis
purpose inadequate literacy common among patients diabetes may lead adverse outcomes authors reviewed relationship literacy health outcomes patients diabetes potential interventions improve outcomes methods reviewed 79 articles covering 3 key domains 1 evaluation screening tools identify inadequate literacy numeracy 2 relationships range diabetesrelated health outcomes literacy numeracy 3 interventions reduce literacyrelated differences health outcomes results several screening tools available assess patients print literacy numeracy skills specifically addressing diabetes literacy numeracy consistently associated diabetesrelated knowledge studies suggest literacy numeracy associated intermediate outcomes including selfefficacy communication selfcare including adherence relationship literacy glycemic control mixed studies assessed distal health outcomes including diabetesrelated complications health care utilization safety quality life available studies suggest low literacy may associated increased risk complications including hypoglycemia several interventions appear effective improving diabetesrelated outcomes regardless literacy status unclear interventions reduce literacyrelated differences outcomes conclusions low literacy associated less diabetesrelated knowledge may related important health outcomes studies needed better elucidate pathways literacy skills affect health outcomes promising interventions available improve diabetes outcomes patients low literacy research needed determine effectiveness outside research settings