Trial reportJournal of general internal medicine2005
Physician notification of their diabetes patients' limited health literacy. A randomized, controlled trial.
Trial report in Journal of general internal medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 55 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- Quality improvement strategies at primary care level to reduce inequalities in diabetes care: an equity-oriented systematic review.BMC endocrine disorders · 2018Pooled it
- Understanding the internal and external validity of health literacy interventions: a systematic literature review using the RE-AIM framework.Journal of health communication · 2011Pooled it
- Pharmacy-Based Approach to Improving Heart Failure Medication Use by Older Adults with Limited Health Literacy: Learning from Interdisciplinary Experience.Drugs & aging · 2018Trial
- Health Literacy Predicts Morbidity and Mortality in Rural Patients With Heart Failure.Journal of cardiac failure · 2015Trial
- Nurse overestimation of patients' health literacy.Journal of health communication · 2013Trial
- Primary care provider perceptions of the effectiveness of two self-management support programs for vulnerable patients with diabetes.Journal of diabetes science and technology · 2012Trial
- An advance directive redesigned to meet the literacy level of most adults: a randomized trial.Patient education and counseling · 2007Trial
- Review
- Tools to Measure Health Literacy among Adult Hispanic Populations with Type 2 Diabetes Mellitus: A Review of the Literature.International journal of environmental research and public health · 2022Review
- [DNVF Memorandum Health Literacy (Part 2) - Operationalisation and Measuring of Health Literacy from a Health Services Research Perspective].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Article
- Exploring Health Literacy, Transition Readiness, and Healthcare Utilization in Medicaid Chronically Ill Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- Validity of a Computational Linguistics-Derived Automated Health Literacy Measure Across Race/Ethnicity: Findings from The ECLIPPSE Project.Journal of health care for the poor and underserved · 2021Article
- Employing computational linguistics techniques to identify limited patient health literacy: Findings from the ECLIPPSE study.Health services research · 2021Article
- Challenges and solutions to employing natural language processing and machine learning to measure patients' health literacy and physician writing complexity: The ECLIPPSE study.Journal of biomedical informatics · 2021Article
- Health Literacy 2.0: Integrating Patient Health Literacy Screening with Universal Precautions.Health literacy research and practice · 2019Article
- Improving Communication in Breast Cancer Treatment Consultation: Use of a Computer Test of Health Numeracy.Journal of women's health (2002) · 2019Article
- Prostate Cancer Patients' Understanding of the Gleason Scoring System: Implications for Shared Decision-Making.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019Article
- Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses.MedEdPORTAL : the journal of teaching and learning resources · 2019Article
- Simple screening tools to identify limited health literacy in a low-income patient population.Medicine · 2018Article
- Screening Hospitalized Patients for Low Health Literacy: Beyond the REALM of Possibility?Health education & behavior : the official publication of the Society for Public Health Education · 2017Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMany patients with chronic disease have limited health literacy (HL). Because physicians have difficulty identifying these patients, some experts recommend instituting screening programs in clinical settings. It is unclear if notifying physicians of patients' limited HL improves care processes or outcomes.
objectiveTo determine whether notifying physicians of their patients' limited HL affects physician behavior, physician satisfaction, or patient self-efficacy.
designWe screened all patients for limited HL and randomized physicians to be notified if their patients had limited HL skills.
participantsSixty-three primary care physicians affiliated with a public hospital and 182 diabetic patients with limited HL. MEASUREMENTS: After their visit, physicians reported their management strategies, satisfaction, perceived effectiveness, and attitudes toward HL screening. We also assessed patients' self-efficacy, feelings regarding HL screening's usefulness, and glycemic control.
resultsIntervention physicians were more likely than control physicians to use management strategies recommended for patients with limited HL (OR 3.2, P=.04). However, intervention physicians felt less satisfied with their visits (81% vs 93%, P=.01) and marginally less effective (38% vs 53%, P=.10). Intervention and control patients' post-visit self-efficacy scores were similar (12.6 vs 12.9, P=.6). Sixty-four percent of intervention physicians and 96% of patients felt HL screening was useful.
conclusionsPhysicians are responsive to receiving notification of their patients' limited HL, and patients support the potential utility of HL screening. However, instituting screening programs without specific training and/or system-wide support for physicians and patients is unlikely to be a powerful tool in improving diabetes outcomes.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.