Evidence map›Paper›PMID 20046798›Full record

ArticleJournal of clinical outcomes management : JCOM2009

Interventions to Improve Care for Patients with Limited Health Literacy.

Rebecca L Sudore, Dean Schillinger

Open access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in Journal of clinical outcomes management : JCOM, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 6 pooled it
17.3field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 6 syntheses or guidelines pooled it, 232 citations in OpenAlex.

  1. Pooled it
  2. Interventions Addressing Health Literacy in Cancer Care: A Systematic Review of Reviews.International journal of environmental research and public health · 2025
    Pooled it
  3. The Effect of Health Literacy Interventions on Self-management in Chronic Diseases: A Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Pooled it
  4. A systematic review of instruments to measure health literacy of patients in emergency departments.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Pooled it
  5. Interventions to Improve Health among Reproductive-Age Women of Low Health Literacy: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
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81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Rebecca L SudoreDivision of Geriatrics (Dr. Sudore), and the Division of General Internal Medicine (Dr. Schillinger), University of California, San Francisco, CA.
Dean Schillinger
University of California, San Francisco · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Enhancing Advance Care Planning in Diverse Elders with Limited LiteracyK23AG030344 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUDORE, REBECCA L · 2007 to 2008
$302k
NCRR NIH HHS UL1 RR024131NIA NIH HHS K23 AG030344
6 · The paper itself

Abstract

objectiveTo propose a framework and describe best practices for improving care for patients with limited health literacy (LHL).

methodsReview of the literature.

resultsApproximately half of the U.S. adult population has LHL. Because LHL is associated with poor health outcomes and contributes to health disparities, the adoption of evidence-based best practices is imperative. Feasible interventions at the clinician-patient level (eg, patient-centered communication, clear communication techniques, teach-to-goal methods, and reinforcement), at the system-patient level (eg, clear health education materials, visual aids, clear medication labeling, self-management support programs, and shame-free clinical environments), and at the community-patient level (eg, adult education referrals, lay health educators, and harnessing the mass media) can improve health outcomes for patients with LHL.

conclusionBecause LHL is prevalent, and because the recommended communication strategies can benefit patients of all literacy levels, clinicians, health system planners, and health policy leaders should promote the uptake of these strategies into routine care.

Identifiers

PMID20046798
PMCPMC2799039
OpenAlexW2281656270

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.