Health literacy interventions among patients with chronic diseases: A meta-analysis of randomized controlled trials

医学 心理干预 荟萃分析 健康素养 随机对照试验 物理疗法 内科学 梅德林 替代医学 家庭医学 老年学 医疗保健 精神科 病理 法学 经济 经济增长 政治学
作者
Yingshan Shao,Huaqin Hu,Yaxin Liang,Yangyang Hong,Yiqing Yu,Chenxi Liu,Yihua Xu
出处
期刊:Patient Education and Counseling [Elsevier BV]
卷期号:114: 107829-107829 被引量:17
标识
DOI:10.1016/j.pec.2023.107829
摘要

This study was conducted to determine the effectiveness and impact of health literacy interventions for patients with chronic diseases.We searched PubMed, Web of Science, Embase, Scopus, and EBSCO CINAHL from inception through March 2022. Eligible chronic diseases include diabetes, heart disease, cancer, and chronic obstructive pulmonary disease. RCTs were included in eligible studies to assess health literacy and other relevant health outcomes. Two investigators selected studies, extracted data, and assessed the methodological quality of included studies independently.A total of 18 studies involving 5384 participants were included in the final analysis. The implementation of health literacy interventions exhibited a significant improvement in the health literacy level of individuals diagnosed with chronic diseases (SMD = 0.75, 95% CI = 0.40-1.10). Analysis of heterogeneity sources indicated statistically significant variations in the effects of interventions across different diseases and age groups (P < 0.05). However, no significant impact was observed on patients with chronic obstructive pulmonary disease (COPD), interventions with a follow-up duration exceeding three months, or application-based interventions on the health literacy level of individuals with chronic diseases. Remarkably, our findings revealed that health literacy interventions exerted a positive influence on health status (SMD = 0.74, 95% CI = 0.13-1.34), depression and anxiety (SMD = 0.90, 95% CI = 0.17-1.63), as well as self-efficacy (SMD = 0.28, 95% CI = 0.15-0.41) among patients diagnosed with chronic diseases. Furthermore, a specific analysis was conducted to evaluate the effects of these interventions on hypertension and diabetes control. The results demonstrated that health literacy interventions were more effective in enhancing hypertension control compared to diabetes control.Health literacy interventions have demonstrated effectiveness in improving the health of patients with chronic diseases. The importance of emphasizing the quality of these interventions cannot be overstated, as factors such as appropriate intervention tools, extended intervention duration, and reliable primary care services play crucial roles in their efficacy.
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