Effective intervention strategies to improve health outcomes for cardiovascular disease patients with low health literacy skills

A systematic review

Taewha Lee, Seon Heui Lee, Hye Hyun Kim, Soo Jin Kang

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose: Systematic studies on the relationship between health literacy and health outcomes demonstrate that as health literacy declines, patients engage in fewer preventive health and self-care behaviors and have worse disease-related knowledge. The purpose of this study was to identify effective intervention strategies to improve health outcomes in patients with cardiovascular disease and low literacy skills. Methods: This study employs the following criteria recommended by Khan Kunz, Keijnen, and Antes (2003) for systematic review: framing question, identifying relevant literature, assessing quality of the literature, summarizing the evidence, and interpreting the finding. A total of 235 articles were reviewed by the research team, and 9 articles met inclusion criteria. Although nine studies were reviewed for their health outcomes, only six studies, which had a positive quality grade evaluation were used to recommend effective intervention strategies. Results: Interventions were categorized into three groups: tailored counseling, self-monitoring, and periodic reminder. The main strategies used to improve health outcomes of low literacy patients included tailored counseling, improved provider-patient interactions, organizing information by patient preference, self-care algorithms, and self-directed learning. Specific strategies included written materials tailored to appropriate reading levels, materials using plain language, emphasizing key points with large font size, and using visual items such as icons or color codes. Conclusion: With evidence-driven strategies, health care professionals can use tailored interventions to provide better health education and counseling that meets patient needs and improves health outcomes.

Original languageEnglish
Pages (from-to)128-136
Number of pages9
JournalAsian Nursing Research
Volume6
Issue number4
DOIs
Publication statusPublished - 2012 Dec 1

Fingerprint

Health Literacy
Cardiovascular Diseases
Health
Counseling
Self Care
Preventive Health Services
Patient Preference
Health Education
Reading
Language
Color
Learning
Delivery of Health Care
Research

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

@article{b60f1e7532e14822a5dbd2a0c3e9428d,
title = "Effective intervention strategies to improve health outcomes for cardiovascular disease patients with low health literacy skills: A systematic review",
abstract = "Purpose: Systematic studies on the relationship between health literacy and health outcomes demonstrate that as health literacy declines, patients engage in fewer preventive health and self-care behaviors and have worse disease-related knowledge. The purpose of this study was to identify effective intervention strategies to improve health outcomes in patients with cardiovascular disease and low literacy skills. Methods: This study employs the following criteria recommended by Khan Kunz, Keijnen, and Antes (2003) for systematic review: framing question, identifying relevant literature, assessing quality of the literature, summarizing the evidence, and interpreting the finding. A total of 235 articles were reviewed by the research team, and 9 articles met inclusion criteria. Although nine studies were reviewed for their health outcomes, only six studies, which had a positive quality grade evaluation were used to recommend effective intervention strategies. Results: Interventions were categorized into three groups: tailored counseling, self-monitoring, and periodic reminder. The main strategies used to improve health outcomes of low literacy patients included tailored counseling, improved provider-patient interactions, organizing information by patient preference, self-care algorithms, and self-directed learning. Specific strategies included written materials tailored to appropriate reading levels, materials using plain language, emphasizing key points with large font size, and using visual items such as icons or color codes. Conclusion: With evidence-driven strategies, health care professionals can use tailored interventions to provide better health education and counseling that meets patient needs and improves health outcomes.",
author = "Taewha Lee and Lee, {Seon Heui} and Kim, {Hye Hyun} and Kang, {Soo Jin}",
year = "2012",
month = "12",
day = "1",
doi = "10.1016/j.anr.2012.09.001",
language = "English",
volume = "6",
pages = "128--136",
journal = "Asian Nursing Research",
issn = "1976-1317",
publisher = "Elsevier (Singapore) Pte Ltd",
number = "4",

}

Effective intervention strategies to improve health outcomes for cardiovascular disease patients with low health literacy skills : A systematic review. / Lee, Taewha; Lee, Seon Heui; Kim, Hye Hyun; Kang, Soo Jin.

In: Asian Nursing Research, Vol. 6, No. 4, 01.12.2012, p. 128-136.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effective intervention strategies to improve health outcomes for cardiovascular disease patients with low health literacy skills

T2 - A systematic review

AU - Lee, Taewha

AU - Lee, Seon Heui

AU - Kim, Hye Hyun

AU - Kang, Soo Jin

PY - 2012/12/1

Y1 - 2012/12/1

N2 - Purpose: Systematic studies on the relationship between health literacy and health outcomes demonstrate that as health literacy declines, patients engage in fewer preventive health and self-care behaviors and have worse disease-related knowledge. The purpose of this study was to identify effective intervention strategies to improve health outcomes in patients with cardiovascular disease and low literacy skills. Methods: This study employs the following criteria recommended by Khan Kunz, Keijnen, and Antes (2003) for systematic review: framing question, identifying relevant literature, assessing quality of the literature, summarizing the evidence, and interpreting the finding. A total of 235 articles were reviewed by the research team, and 9 articles met inclusion criteria. Although nine studies were reviewed for their health outcomes, only six studies, which had a positive quality grade evaluation were used to recommend effective intervention strategies. Results: Interventions were categorized into three groups: tailored counseling, self-monitoring, and periodic reminder. The main strategies used to improve health outcomes of low literacy patients included tailored counseling, improved provider-patient interactions, organizing information by patient preference, self-care algorithms, and self-directed learning. Specific strategies included written materials tailored to appropriate reading levels, materials using plain language, emphasizing key points with large font size, and using visual items such as icons or color codes. Conclusion: With evidence-driven strategies, health care professionals can use tailored interventions to provide better health education and counseling that meets patient needs and improves health outcomes.

AB - Purpose: Systematic studies on the relationship between health literacy and health outcomes demonstrate that as health literacy declines, patients engage in fewer preventive health and self-care behaviors and have worse disease-related knowledge. The purpose of this study was to identify effective intervention strategies to improve health outcomes in patients with cardiovascular disease and low literacy skills. Methods: This study employs the following criteria recommended by Khan Kunz, Keijnen, and Antes (2003) for systematic review: framing question, identifying relevant literature, assessing quality of the literature, summarizing the evidence, and interpreting the finding. A total of 235 articles were reviewed by the research team, and 9 articles met inclusion criteria. Although nine studies were reviewed for their health outcomes, only six studies, which had a positive quality grade evaluation were used to recommend effective intervention strategies. Results: Interventions were categorized into three groups: tailored counseling, self-monitoring, and periodic reminder. The main strategies used to improve health outcomes of low literacy patients included tailored counseling, improved provider-patient interactions, organizing information by patient preference, self-care algorithms, and self-directed learning. Specific strategies included written materials tailored to appropriate reading levels, materials using plain language, emphasizing key points with large font size, and using visual items such as icons or color codes. Conclusion: With evidence-driven strategies, health care professionals can use tailored interventions to provide better health education and counseling that meets patient needs and improves health outcomes.

UR - http://www.scopus.com/inward/record.url?scp=84871922302&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871922302&partnerID=8YFLogxK

U2 - 10.1016/j.anr.2012.09.001

DO - 10.1016/j.anr.2012.09.001

M3 - Article

VL - 6

SP - 128

EP - 136

JO - Asian Nursing Research

JF - Asian Nursing Research

SN - 1976-1317

IS - 4

ER -