Coraline Stormacq|Jacqueline Wosinski|Evelyne Boillat|Stephan Van den Broucke
Effects of health literacy interventions on health-related outcomes in socioeconomically disadvantaged adults living in the community: a systematic review
UCLouvain|University of Applied Sciences and Arts Western Switzerland|Coral Reef Alliance|University of Applied Sciences and Arts Western Switzerland|Adventist University of Central Africa|University of Applied Sciences and Arts Western Switzerland|UCLouvain
objectives objectives review identify synthesize best available evidence effectiveness healthrelated outcomes health literacy interventions enabling socioeconomically disadvantaged people living community access understand appraise apply health information ii identify components health literacy interventions associated improved healthrelated outcomes introduction health literacy defined persons competence accessing understanding appraising applying health information order make sound health decisions high level health literacy positively related better health outcomes however nearly half american european populations low health literacy levels socioeconomically disadvantaged groups particular present weakest health literacy levels suggesting differences health literacy levels contribute health disparities therefore need understand conditions health literacy interventions aiming improving healthrelated outcomes among socioeconomically disadvantaged people implemented inclusion criteria review considered studies socioeconomically disadvantaged adults living community identified using socially stratifying progress factors place residence raceethnicity occupation gender religion education socioeconomic status social capital review considered studies evaluating following interventions targeting health literacy based either clinical andor public health approach ii delivered individual interpersonal community societal level iii delivered healthcaresocial work professional iv using single multicomponent strategy comparator treatment standard care variation intervention randomized nonrandomized controlled trials well quasiexperimental designs included outcomes considered healthrelated quality life healthrelated outcomes ii health behavior outcomes iii outcomes related access use healthcare services methods threestep strategy conducted primary research published may 2018 across seven databases without language restriction search gray literature also conducted titles abstracts screened assessment inclusion criteria studies met inclusion criteria retrieved full assessed detail inclusion criteria critical appraisal undertaken using standardized critical appraisal instruments jbi data extracted included studies using standardized data extraction tools jbi metaanalysis possible findings presented narrative form results twentyone studies included review three studies addressed health literacy competency understanding health information 18 addressed competency applying health information thirteen studies found effective based variety healthrelated outcomes mainly clinical outcomes preventive health practices behaviors healthpromoting behaviors results enabled identification effective intervention operational components including cultural appropriateness tailoring skills building goal setting active discussions multifaceted interventions combining information transfer medium contact interventionist appear effective single modality interventions use appropriate theoretical foundation also important factor successful interventions conclusion improve healthrelated outcomes among socioeconomically disadvantaged people health literacy interventions likely successful theorybased multifaceted use personcentered operational components cultural appropriateness tailoring skills building goal setting active discussions