Abdu Tabor Yimam, Gizachew Tadesse Wassie, Getu Degu Alene
Postoperative trachomatous trichiasis and associated factors among adults who underwent trachomatous trichiasis surgery in Ambassel District, North-East Ethiopia
PloS one
growing move towards patientcentred care led substantial research improving health literacy skills patients members public hence pressing need assess methodology used contemporary randomized controlled trials rcts interventions directed health literacy particular quality risk bias types outcomes reported conducted systematic database search rcts involving interventions directed health literacy adults published 2009 2014 cochrane risk bias tool used assess quality rct implementation also checked sample size calculation primary outcomes reported evidence efficacy statistical significance extracted intervention outcomes three domains effect knowledge behaviour health status demographics intervention participants also extracted including socioeconomic status found areas methodological strength good randomization allocation concealment areas weakness regarding blinding participants people delivering intervention outcomes assessors substantial attrition losses monitoring time point seen third rcts potentially leading insufficient power obtain precise estimates intervention effect primary outcomes rcts showed health literacy interventions beneficial effect knowledge outcomes typically less 3 months intervention end far fewer reports significant improvements substantive patientoriented outcomes beneficial effects behavioural change health clinical status rcts featured participants vulnerable populations evaluation shows health literacy trial design conduct reporting could considerably improved particularly reducing attrition obtaining longer followup meaningful rcts would also result health literacy trials designed public patient involvement focus clinically important patientoriented outcomes rather knowledge behaviour skills isolation