Health literacy research and practice最新文献

{"title":"Evaluating Whether Icons and Visual Elements Help or Hinder Understanding of Key Information for Research Studies: Results From a Randomized Trial.","authors":"Mary C Politi, Clara N Lee, Eliana C Goldstein, Krista E Cooksey, Jessica Mozersky, Ashley J Housten, Jingxia Lu, Shuang Wu, Molly Volkmar, Victor Catalan-Gallegos, Kimberly A Kaphingst","doi":"10.3928/24748307-20260309-02","DOIUrl":"10.3928/24748307-20260309-02","url":null,"abstract":"<p><strong>Objective: </strong>Informed consent forms for research are often lengthy and complex. One way to improve consent forms is to clarify the key information page required for federally funded research in the United States. We developed a visual key information page using color, plain language, bulleted text, and icons. In formative studies, the visual key information page was positively received, but some asked whether icons improve outcomes or distract from information. This study tested whether icons affect knowledge, satisfaction, or engagement with study information.</p><p><strong>Methods: </strong>We recruited English-speaking, U.S.-based adults through Prime Panels. Participants were randomized to view one of three versions of a key information page about a hypothetical biobank study: Version A used bulleted, plain language text organized in boxes, incorporating icons and visual elements; Version B was identical but with no icons or other visual elements; Version C displayed identical plain language text only. We measured participants' intention to join the study, decisional conflict about choice intention, knowledge of study details, satisfaction with the information, and engagement with the information. Finally, they viewed all versions and reported their preference among the three and their attitudes about icons in Version A.</p><p><strong>Key results: </strong>A total of 453 participants responded; we analyzed 422 valid responses. There were no significant differences in outcomes by version (all <i>p</i> values > .05), including when stratifying by health literacy. After viewing all versions, most (69.4%) preferred Version A over other versions. In addition, most liked the icons (78.2%), found them helpful (74.2%) and did not find them distracting (77%).</p><p><strong>Conclusions: </strong>Although participants preferred icons and visual elements over text alone, icons and visual elements did not affect knowledge, satisfaction, or engagement with study information. Future research will investigate whether and how visual key information enhances text-based consent forms in a multisite randomized trial with ongoing studies.</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 2","pages":"e44-e51"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional Perspective: Development of the National Academies of Practice Joint Health Literacy Position Statement.","authors":"Teresa Wagner, Vincent Salyers, Bich Nguyen, Tanya Sudia, Kate Taylor, Devora R Winkfield, Nancy Colletti, Felicia Chew, Sarah Manspeaker","doi":"10.3928/24748307-20260309-01","DOIUrl":"10.3928/24748307-20260309-01","url":null,"abstract":"","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 2","pages":"e39-e43"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Care Delivered Through the Self-Management Promotion Model on Health Literacy Levels in Patients With Chronic Obstructive Pulmonary Disease: Quasi-Experimental Research.","authors":"Zahra Salahi, Elahe Tavasoli, Hadi Raeisi, Fatemeh Aliakbari","doi":"10.3928/24748307-20260310-02","DOIUrl":"10.3928/24748307-20260310-02","url":null,"abstract":"<p><strong>Background: </strong>Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death worldwide. Many patients with COPD lack the necessary skills to manage their condition independently, often due to insufficient health literacy. This deficiency leads to frequent re-hospitalizations and decreased quality of life. Implementing interventions to address these factors is essential, with the self-management promotion model being a particularly effective approach for chronic patients. Therefore, this study was designed to examine the impact of implementing care based on the self-management promotion model on health literacy levels among patients with COPD attending Shahrekord teaching hospitals in 2024.</p><p><strong>Objective: </strong>The aim of this study was to examine the impact of implementing care based on the self-management promotion model on health literacy levels among patients with chronic obstructive pulmonary disease attending Shahrekord teaching hospitals in 2024.</p><p><strong>Methods: </strong>This semiexperimental study involved 70 patients with COPD at educational hospital afield to Shahrekord University of Medical Sciences. Participants were selected gradually based on study criteria, and random assignment divided them into control and intervention groups, with 35 individuals in each group. In addition to routine care, the intervention group received a self-management enhancement program consisting of eight in-person and virtual sessions. Patients completed demographic questionnaires and health literacy assessments at the study's commencement, immediately postintervention, and 2 months later. Data analysis was conducted using SPSS 21 software.</p><p><strong>Key results: </strong>The average age of participants was 57.19 ± 11.2 years. Three months' postintervention, a significant improvement in health literacy scores was noted in the intervention group (<i>p</i> = .001), while no significant change was observed in the control group (<i>p</i> = .183).</p><p><strong>Conclusion: </strong>The findings of this study demonstrate the effectiveness of the self-management promotion model intervention in enhancing health literacy among patients with COPD. Consequently, implementing this model is recommended as a valuable component of chronic patient empowerment programs. Additionally, the inclusion of patients' families was identified as a positive factor contributing to improved health literacy and self-care in this patient population.</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 2","pages":"e60-e68"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13236060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing the Probability of Comparing Between Traditional Medicare and Medicare Advantage.","authors":"Lisa M Grabert, Brian J Miller, Kathryn L Wagner","doi":"10.3928/24748307-20260310-01","DOIUrl":"10.3928/24748307-20260310-01","url":null,"abstract":"<p><strong>Background: </strong>Having knowledge of out-of-pocket cost and access to services constitutes an advanced level of health literacy within the Medicare population. The cost and services offered within Medicare change annually, yet less than 30% of beneficiaries compare their coverage options (between traditional or fee-for-service Medicare and Medicare Advantage)-an important application of health care knowledge. Failure to compare can expose the financing of the Medicare program and the beneficiary to financial risk if a beneficiary has not elected a coverage option that best suits their individual needs. The factors driving beneficiaries to compare are poorly understood.</p><p><strong>Objective: </strong>Our objective was to examine the association between different levels of information reviewed (exposure) and comparing coverage (outcome).</p><p><strong>Methods: </strong>This pooled cross-sectional study included 28,924 Medicare beneficiaries using data from the 2019-2021 Medicare Current Beneficiary Survey. Multivariable probit regressions were performed using Stata version 18.</p><p><strong>Key results: </strong>Reviewing both cost and service information increased the probability of comparing coverage by 159% (44.4 percentage points). Exposure to service-only information increased the probability of comparing coverage by 97% (27.2 percentage points) and 68% (19.1 percentage points) for cost-only information, relative to those who reviewed neither cost nor service information. Forty-seven percent of beneficiaries did not review cost nor service information, followed by 39% who reviewed both, 8% cost-only, and 6% service-only. The probability of comparing coverage increased by 8.2% (2.3 percentage points) for beneficiaries who reviewed both cost and service information and those who had an education greater than high school.</p><p><strong>Conclusion: </strong>A targeted outreach and education campaign geared toward increasing the type of information reviewed could result in an increase in comparing Medicare coverage options.</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 2","pages":"e52-e59"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13238151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum for \"Innovating a Teach-Back Model for Community Health Workers Led Health Literacy Practice to Improve COVID-19 Health Equity\".","authors":"","doi":"10.3928/24748307-20260223-02","DOIUrl":"10.3928/24748307-20260223-02","url":null,"abstract":"","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 1","pages":"e27"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12956310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Puzzle of Gratitude.","authors":"Michael K Paasche-Orlow","doi":"10.3928/24748307-20251216-01","DOIUrl":"10.3928/24748307-20251216-01","url":null,"abstract":"","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 1","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12788874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Literacy and Usability of Public Health Websites for COVID-19 Vaccine Search.","authors":"Farnaz Nouraei, Timothy Bickmore, Michael K Paasche-Orlow","doi":"10.3928/24748307-20250915-03","DOIUrl":"10.3928/24748307-20250915-03","url":null,"abstract":"<p><strong>Background: </strong>Millions of United States residents made use of public health websites during the coronavirus disease 2019 (COVID-19) pandemic to obtain information about vaccines and determine vaccine eligibility.</p><p><strong>Objective: </strong>For public health websites to be effective, they must be usable. This study aimed to evaluate the usability of government websites for vaccine information, by examining whether these platforms helped users determine COVID-19 vaccine eligibility accurately and satisfactorily, as well as how health literacy (HL) plays a role in accurate eligibility judgments and satisfaction with the media.</p><p><strong>Methods: </strong>A within-subject experiment was conducted (<i>N</i> = 39), where each participant used two websites and one embodied conversational agent system to determine their own eligibility for vaccination, as well as that of a fictitious persona as a standardized task. The website conditions in the study included the Centers for Disease Control (CDC) website, as well as vaccines.gov and mass.gov. The accuracy of participant-estimated eligibility and usability were further analyzed for association with HL.</p><p><strong>Key results: </strong>Participants' estimate of vaccine eligibility was generally inaccurate for all website conditions, with an overall rate of 53.8% for correct responses. Participants with low HL had more incorrect responses and confusion, and HL was found to be a significant predictor of eligibility correctness when they were determining their own vaccine eligibility using the CDC website. Participants also reported having a significantly higher ability to find information and were more satisfied when interacting with the embodied conversational agent system, compared to the websites.</p><p><strong>Conclusions: </strong>Government websites-particularly the CDC website-were found to lack usability, especially for those with low HL. High error rates and low satisfaction underscore the need for simplification of public health site content and design and motivate the development of novel education methods for public health communication.</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 1","pages":"e11-e22"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Information Literacy as a Determinant of Digital Self-Efficacy.","authors":"Tuuli T Turja","doi":"10.3928/24748307-20250915-01","DOIUrl":"10.3928/24748307-20250915-01","url":null,"abstract":"<p><p>This brief report examines the association between health information literacy and digital self-efficacy (DSE) in patients with multiple sclerosis or epilepsy (pwMS/E). The focus is specifically on critical and risk-conscious aspects of health information literacy. The study used survey data (<i>N</i> = 287) collected from pwMS/E. The analysis comprises a principal component analysis and a regression analysis. In a model controlling age, gender and subjective anxiousness and/or depression, a high level of health information literacy was associated with higher DSE. The model explained over one-third of the variance in DSE. The found association between health information literature and DSE in a Finnish sample of pwMS/E increases the generalizability of the findings of the previous review study. Chronically ill patients with adequate health information literacy are confident in their ability to manage their illness, including on digital platforms.</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 1","pages":"e23-e26"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12956311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Literacy Recommendations for Digital Mental Health Treatments.","authors":"Alana C Fisher, Atria Rezwan, Danielle M Muscat, Julie Ayre, Madelyne Bisby, Taylor Hathway, Isabella Choi, Nickolai Titov, Blake F Dear","doi":"10.3928/24748307-20250714-01","DOIUrl":"10.3928/24748307-20250714-01","url":null,"abstract":"<p><strong>Background: </strong>Digital mental health (dMH) treatments have garnered much attention for increasing access to treatment, yet real-world engagement with these treatments remains a challenge. In upscaling these treatments, we need to ensure that they are equitable and do not exclude groups who already experience inequities in health care, such as people with lower health literacy.</p><p><strong>Objective: </strong>To co-develop recommendations for the design and delivery of dMH treatments for people with a variety of health literacy levels.</p><p><strong>Methods: </strong>Drafted recommendations were based on a thematic analysis of 357 free-text comments (likes, dislikes/other suggestions) from 213 people (<i>n</i> = 80 lower, and <i>n</i> = 133 higher health literacy) who had completed unguided internet-delivered cognitive behaviour therapy (iCBT) for depression and anxiety, as part of a trial. The initial set of drafted recommendations were iteratively modified and refined based on a review by a multidisciplinary project team with professional and lived-experience expertise (<i>n</i> = 9) and focus group consultations with people with relevant lived experience (<i>n</i> = 8).</p><p><strong>Key results: </strong>The co-development process resulted in seven final recommendations: (1) Focus on informative and practical content; (2) Prioritize accessibility and ease of use; (3) Structure content in a progressive, layered way; (4) Enhance interactivity and engagement; (5) Employ strategies to enhance motivation and accountability; (6) Consider participants' emotional wellbeing; (7) Incorporate diverse modes of delivering content. Most recommendations were based on comments from people with lower and higher health literacy.</p><p><strong>Conclusions: </strong>These recommendations advance both research and practice by outlining a flexible and practical framework for dMH treatment developers and service providers to meet the preferences and needs of people with diverse health literacy strengths and needs. Further research is needed to determine the feasibility and impact of implementing these recommendations across different dMH treatment delivery formats, settings, and populations.</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"10 1","pages":"e3-e10"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12788875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to the Development of Health Literacy in Iran's Health System: A Qualitative Study.","authors":"Fateme Darabi, Arash Ziapour, Fatemeh Mohammadkhah, Murat Yıldırım, Nazila Nejhaddadgar","doi":"10.3928/24748307-20250612-03","DOIUrl":"10.3928/24748307-20250612-03","url":null,"abstract":"<p><strong>Background: </strong>Despite the significance of health literacy, studies show the inadequacy of health literacy in the health system of Iran. Inadequate health literacy is considered a warning for service providers. It needs to be integrated into educational programs that are administered within health and medical centers.</p><p><strong>Objective: </strong>Therefore, the present study was conducted to explore the barriers to health literacy in Iran's health system.</p><p><strong>Methods: </strong>The present qualitative study was conducted in 2023 using a conventional content analysis. To this aim, 18 participants were selected among urban health center staff, 21 from rural health centers, 10 health volunteers, and 8 trainees (people participating in training classes) for interviews and group discussions. After the first interview, continuous data analysis began and continued to saturation level. The data were collected through semi-structured interviews and focus group discussions and were simultaneously analysed using a conventional qualitative analysis.</p><p><strong>Key results: </strong>Two main categories of internal and external barriers were detected. The data analysis led to the extraction of four main subcategories: (1) personal barriers (trainee's inadequate competence, lack of physical or mental health, low motivation and commitment of health staff, beliefs, contextual barriers); (2) interpersonal barriers (health care providers' misunderstanding of correct training, malcommunication or miscommunication in training sessions, the trainer's limited skill, underestimated role of education in behavior change); (3) organizational barriers (high workload of health care staff, inadequate human resources, poor management and distrust in the health system, low organizational motivation); and (4) social barriers (uninterest in learning about health issues, issues related to the internet and cyberspace, lack of interpectoral cooperation).</p><p><strong>Conclusion: </strong>Considering the multidimensional nature of barriers to health literacy, it is recommended to make and implement a comprehensive plan to integrate efforts by health authorities and institutions, mass media, experts, decision-makers, policymakers, and service providers to remove barriers.</p>","PeriodicalId":36651,"journal":{"name":"Health literacy research and practice","volume":"9 4","pages":"e105-e116"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}