Andrea K. Morrison|Matthew P. Myrvik|David C. Brousseau|Raymond G. Hoffmann|Rachel Stanley
The Relationship Between Parent Health Literacy and Pediatric Emergency Department Utilization: A Systematic Review
Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Michigan Medicine
backgroundlow health literacy parents potentially impact understanding childs diagnosis treatment course reviews addressed parent health literacy emergency department ed relationship parent health literacy child ed utilization impact low literacy interventions child ed utilizationobjectiveto systematically evaluate peerreviewed literature pertaining parental health literacy ed utilization following key questions addressed question q 1 prevalence low health literacy estimated validated health literacy measures parents ed q2 parent low health literacy related ed use children q3 low literacy interventions targeting parents likely low health literacy affect ed use childrendata sourcesthe authors reviewed 483 unduplicated titles abstracts published 1980 may 2012 using pubmed cinahl 117 retained full review 17 included final analytic reviewstudy eligibility criteria participants interventionsall included articles valid measure parent health literacy q1 descriptive measurement population q2 ed utilization q3 utilized low literacy educational interventionstudy appraisal synthesis methodsone author extracted data verified second author studies rated quality authorsresultsq1 median 30 interquartile range 2236 parents ed possesses low health literacy q2 studies investigating relationship health literacy ed yielded mixed results q3 seven 8 low literacy interventions associated reduction ed use random effects pooled odds ratios 6 studies showed intervention effectiveness odds ratio 035 95 ci 015081limitationsno intervention studies measured health literacy limiting ability determine whether low literacy intervention targeted health literacyconclusions implications key findingsroughly 1 3 parents children presenting ed low health literacy importantly interventions targeting parents likely low health literacy impact reducing ed utilization