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Leviton A, Loddenkemper T. Improving the health literacy of persons with epilepsy. Epilepsy Behav 2025; 163:110237. [PMID: 39742650 DOI: 10.1016/j.yebeh.2024.110237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2024] [Revised: 12/12/2024] [Accepted: 12/22/2024] [Indexed: 01/04/2025]
Abstract
Improving health literacy can improve health. This essay reviews the resources available to help improve epilepsy health literacy, including websites, drug inserts/labels/information leaflets, patient educators, handouts, plain language, lay summaries, and other efforts to close the gaps between research and epilepsy health literacy.
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Affiliation(s)
- Alan Leviton
- Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
| | - Tobias Loddenkemper
- Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
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Boumendil K, Yakubu NA, Al Wachami N, Arraji M, Iderdar Y, Mourajid Y, Bouchachi FZ, Chahboune M. How Nurses' Interventions Promote Health Literacy in Patients With Non-Communicable Diseases: A Systematic Review. J Clin Nurs 2025. [PMID: 39876828 DOI: 10.1111/jocn.17669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 12/26/2024] [Accepted: 01/13/2025] [Indexed: 01/31/2025]
Abstract
BACKGROUND More than one-third of all diseases in the world are non-communicable diseases (NCDs), and poorer health outcomes are linked to low health literacy (HL), in which nurses have a significant role to play. Various studies have confirmed that there is an association between HL and NCDs. However, less is known about how nurses can intervene in the development of HL in patients with NCDs. This systematic review was carried out to explore, in a comprehensive way, nursing interventions that could promote HL in patients with NCDs. METHODS A systematic review (PROSPERO registration number: CRD370625) was carried out on five databases (PubMed MEDLINE, Web of Science, Scopus, ScienceDirect and JSTOR). Sequences that provided information for our study topic were retrieved and analysed following PRISMA guidelines for systematic reviews. RESULTS In total, 1915 titles and abstracts were screened, 71 articles were assessed in full-text screening and 25 studies were included in the review. Around 23 different nurse-led intervention strategies were identified, but only 11 major ones were explored in detail. The majority of them prioritised communication (teach-back), self-management programs, counselling and education. In the majority of the trials, a significant positive outcome was discovered. Both nurses and patients needed to devote time and attention to the complex nurse-led HL interventions. CONCLUSION Nurses' HL interventions have shown promise in promoting HL and other health outcomes in people with NCDs, but they need to be tailored to fit specific patients. Nursing programs should include more than just patient teaching strategies. RELEVANCE TO CLINICAL PRACTICE Nurses' HL efforts hold potential for enhancing HL in NCD patients, provided they are customised to individual needs.
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Affiliation(s)
- Karima Boumendil
- Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
| | - Nana-Ayisha Yakubu
- Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
| | - Nadia Al Wachami
- Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
| | - Maryem Arraji
- Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
| | - Younes Iderdar
- Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
| | - Yassmine Mourajid
- Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
| | - Fatima Zahra Bouchachi
- Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
| | - Mohamed Chahboune
- Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
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Mackel E, Breda KL. Living well: Evidence-based self-management of chronic diseases for community-dwelling older adults. Nursing 2024; 54:38-43. [PMID: 39302750 DOI: 10.1097/nsg.0000000000000051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/22/2024]
Abstract
ABSTRACT Self-management of chronic diseases, which increase with age, is vital. This article discusses the benefits of chronic disease self-management and how nurses and other healthcare professionals can provide supportive care. It also presents an evidence-based intervention project that promoted chronic disease self-management among community-dwelling older adults.
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Affiliation(s)
- Erin Mackel
- At the University of Hartford, College of Education, Nursing and Health Professions in West Hartford, Conn., Erin Mackel is a community health nurse and Karen Breda is an associate professor
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Kim E. Exploring the Relationship between Health Literacy and Depression among Individuals with Chronic Conditions: Insights from the KCHS. Healthcare (Basel) 2024; 12:1927. [PMID: 39408107 PMCID: PMC11476441 DOI: 10.3390/healthcare12191927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2024] [Revised: 09/16/2024] [Accepted: 09/24/2024] [Indexed: 10/20/2024] Open
Abstract
Objectives: This study, utilizing data from the 2021 Korean Community Health Survey (KCHS), aimed to investigate the role of health literacy in mitigating depression among individuals with chronic diseases, particularly focusing on how sociodemographic and subjective factors influence this relationship. Methods: With a sample of 77,133 subjects primarily dealing with hypertension and diabetes, the study employed various analytical tools to identify factors associated with an increased risk of depression. Results: These factors included marital status (OR 1.47, 95% CI 1.40-1.54), residential district (OR 1.43, 95% CI 1.39-1.50), unemployment (OR 1.47, 95% CI 1.41-1.54), enrollment in the national basic living security program (OR 1.50, 95% CI 1.40-1.62), unmet healthcare needs (OR 2.32, 95% CI 2.14-2.51), fair subjective health status (OR 1.74, 95% CI 1.63-1.90), poor subjective health status (OR 4.33, 95% CI 4.05-4.63), and stress (OR 4.56, 95% CI 4.36-4.77). Notably, individuals with higher health literacy showed a significantly lower susceptibility to depression (OR 0.74, 95% CI 0.68-0.75), underscoring the importance of health literacy as a critical factor in mental health outcomes. Conclusions: Such initiatives could serve as effective preventive measures against depression in this vulnerable population.
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Affiliation(s)
- Eungyeong Kim
- Department of Nursing, Kunsan National University, Gunsan 54150, Republic of Korea
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Magi CE, Bambi S, Rasero L, Longobucco Y, El Aoufy K, Amato C, Vellone E, Bonaccorsi G, Lorini C, Iovino P. Health Literacy and Self-Care in Patients with Chronic Illness: A Systematic Review and Meta-Analysis Protocol. Healthcare (Basel) 2024; 12:762. [PMID: 38610184 PMCID: PMC11011384 DOI: 10.3390/healthcare12070762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Revised: 03/22/2024] [Accepted: 03/29/2024] [Indexed: 04/14/2024] Open
Abstract
Self-care plays a critical role in symptom recognition, management, and risk factor modification for patients with chronic illnesses. Despite its significance, self-care levels in this population are generally poor. Health literacy (HL) is pivotal for promoting effective self-care, yet the association across specific chronic illnesses remains fragmented and conflicting. Therefore, a systematic review and meta-analysis will be conducted. Inclusion criteria encompass quantitative studies involving adult patients with at least one chronic illness reporting on the association between a measure of HL and one or more elements of self-care behaviors as outcomes. Databases to be searched include PubMed, CINAHL, APA PsycINFO, Embase, Web of Science, and Cochrane Central Register of Controlled Trials. The studies will undergo risk of bias and certainty of evidence assessment using ROBINS-E and GRADE. Extracted data will include authors, publication date, aim(s), study location, design, sample characteristics, chronic illness type, study length, HL, and self-care measures. Understanding the link between HL and self-care can aid healthcare providers in implementing strategies to enhance health-promoting behaviors, contributing valuable insights to the scientific community and fostering nuanced discussions. This protocol ensures methodological transparency, stimulates discourse, and paves the way for informed interventions to improve overall health outcomes.
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Affiliation(s)
- Camilla Elena Magi
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
- Department of Biomedicine and Prevention, Faculty of Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy;
| | - Stefano Bambi
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
| | - Laura Rasero
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
| | - Yari Longobucco
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
| | - Khadija El Aoufy
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
| | - Carla Amato
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
- Department of Biomedicine and Prevention, Faculty of Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy;
| | - Ercole Vellone
- Department of Biomedicine and Prevention, Faculty of Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy;
- Department of Nursing and Obstetrics, Wroclaw Medical University, 50-367 Wroclaw, Poland
| | - Guglielmo Bonaccorsi
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
| | - Chiara Lorini
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
| | - Paolo Iovino
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (S.B.); (L.R.); (Y.L.); (K.E.A.); (C.A.); (G.B.); (C.L.); (P.I.)
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Ishizuki S, Hirano M. Online health information searching and health literacy among middle-aged and older adults: A cross-sectional study. Nurs Health Sci 2024; 26:e13098. [PMID: 38369320 DOI: 10.1111/nhs.13098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 12/28/2023] [Accepted: 01/25/2024] [Indexed: 02/20/2024]
Abstract
Given the rapid increase in health information available, health literacy is now more important than ever when searching for health information online. Furthermore, health literacy and online health information searching are reported to be associated with support from others. In this study, we examined the associations of health literacy and social support with online health information searching among individuals in their 50s and 60s. Between March and May 2022, an anonymous self-administered questionnaire was administered among 750 middle-aged and older adults (age 50-69) living in northern Japan. The questionnaire items included personal characteristics, frequency of online health information searching, health literacy domains, and social support. A total of 237 respondents answered all the items (response rate: 31.6%). Multiple logistic regression analysis revealed that communicative health literacy was significantly associated with searching for information about illnesses and health promotion, while critical health literacy was significantly associated with searching for information about medical institutions. Controlling for personal characteristics, health literacy, was associated with online health information searching, suggesting that improving health literacy is important in a digital and information society.
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Affiliation(s)
- Shiho Ishizuki
- Graduate School of Health Sciences, Hokkaido University, Sapporo, Japan
| | - Michiyo Hirano
- Faculty of Health Sciences, Hokkaido University, Sapporo, Japan
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Bulfone G, Bressan V, Zerilli I, Mazzotta R, Favara G, Magnano San Lio R, Barchitta M, Agodi A. Nursing students' Health Literacy skills: a scoping review protocol for driving research. BMJ Open 2024; 14:e075682. [PMID: 38382950 PMCID: PMC10882316 DOI: 10.1136/bmjopen-2023-075682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 01/31/2024] [Indexed: 02/23/2024] Open
Abstract
INTRODUCTION The healthcare systems in Europe are changing rapidly due to the increased complexity of healthcare needs, specifically for the ageing population with chronic diseases. Nurses play a key role in providing care for patients with chronic diseases, encouraging patients to take care of their own health improving their Health Literacy (HL) too. Previous works have highlighted the paucity of HL content in nursing curricula, and the need to prioritise the development of HL skills in academic teaching and assessment methods. The aim of this study is to analyse HL skills nursing literature to further develop scientific knowledge in this area of research. METHODS AND ANALYSIS This scoping review will be conducted following Arksey and O'Malley's framework. This study is based on the Joanna Briggs Institute manual. A systematic search will be performed by four researchers using the electronic databases of MEDLINE (via PubMed), the Education Resources Information Centre, the Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science and Google Scholar. We will include any paper that focuses on HL skills and undergraduate nursing students. We will select every primary study (quantitative, qualitative and mixed method design) published in peer-reviewed journals up until February 2023, in both Italian and English language, without any time limit. ETHICS AND DISSEMINATION This scoping review is part of a large project of the University of Catania which aims at developing higher educational standards for nursing student. This project will not involve patients/public and does not require ethical committee approval. This scoping review will be submitted to international peer-reviewed journals. REGISTRATION DETAILS The protocol was registered with the Open Science Framework on 20 April 2023 (https://osf.io/cn8d7).
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Affiliation(s)
- Giampiera Bulfone
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
| | - Valentina Bressan
- Department of Specialistic Medicine, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Irene Zerilli
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Roma, Italy
| | - Rocco Mazzotta
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Roma, Italy
| | - Giuliana Favara
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
| | - Roberta Magnano San Lio
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
| | - Martina Barchitta
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
| | - Antonella Agodi
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
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