ArticleJournal of health communication2011
Patient activation and advocacy: which literacy skills matter most?
Article in Journal of health communication, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 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
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Venous Access: National Guideline and Registry Development (VANGUARD): Advancing Patient-Centered Venous Access Care Through the Development of a National Coordinated Registry Network.Journal of medical Internet research · 2023Guideline
- The impact of health literacy environment on patient stress: a systematic review.BMC public health · 2020Pooled it
- Health Coaching Has Differential Effects on Veterans with Limited Health Literacy and Numeracy: a Secondary Analysis of ACTIVATE.Journal of general internal medicine · 2019Trial
- Knowledge of Interpreter Rights and Medication Delays in Diabetes Care.Journal of immigrant and minority health · 2026Article
- A Surgeon's Field Guide to Value-Based Specialty Care.Laryngoscope investigative otolaryngology · 2025Review
- Psychometric evaluation of self-advocacy scale in patients with cancer: a psychometric evaluation protocol in Iran.BMJ open · 2025Article
- Influencing factors of self-advocacy in stroke patients from multiple perspectives: a qualitative study.BMC health services research · 2025Article
- Association of Neighborhood-Level Material Deprivation With Atrial Fibrillation Care in a Single-Payer Health Care System: A Population-Based Cohort Study.Circulation · 2022Article
- Performing an Organizational Health Literacy Assessment in a Shelter Serving People with Mental Illness.Health literacy research and practice · 2022Article
- The Dispersion of Health Information-Seeking Behavior and Health Literacy in a State in the Southern United States: Cross-sectional Study.JMIR formative research · 2022Article
- From Provider to Advocate: The Complexities of Traumatic Brain Injury Prompt the Evolution of Provider Engagement.Journal of clinical medicine · 2021Review
- Reproductive Health in Women with Physical Disability: A Conceptual Framework for the Development of New Patient-Reported Outcome Measures.Journal of women's health (2002) · 2020Article
- Assessing Mobile Phone Digital Literacy and Engagement in User-Centered Design in a Diverse, Safety-Net Population: Mixed Methods Study.JMIR mHealth and uHealth · 2019Article
- Chinese health literacy scale for tuberculosis patients: a study on development and psychometric testing.BMC infectious diseases · 2019Article
- The k conditional nearest neighbor algorithm for classification and class probability estimation.PeerJ. Computer science · 2019Article
- Patient Health Engagement (PHE) model in enhanced recovery after surgery (ERAS): monitoring patients' engagement and psychological resilience in minimally invasive thoracic surgery.Journal of thoracic disease · 2018Review
- Financial barriers and adverse clinical outcomes among patients with cardiovascular-related chronic diseases: a cohort study.BMC medicine · 2017Article
- Exploring the impact of financial barriers on secondary prevention of heart disease.BMC cardiovascular disorders · 2017Article
- A conceptual model of verbal exchange health literacy.Patient education and counseling · 2014Article
- Development of patient-centric linguistically tailored psychoeducational messages to support nutrition and medication self-management in type 2 diabetes: a feasibility study.Patient preference and adherence · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
Attention to the effect of a patient's literacy skills on health care interactions is relatively new. So, too, are studies of either structural or personal factors that inhibit or support a patient's ability to navigate health services and systems and to advocate for their own needs within a service delivery system. Contributions of the structural environment, of interpersonal dynamics, and of a variety of psychological and sociological factors in the relationship between patients and providers have long been under study. Less frequently examined is the advocacy role expected of patients. However, the complex nature of health care in the United States increasingly requires a proactive stance. This study examined whether four literacy skills (reading, numeracy, speaking, and listening) were associated with patient self-advocacy--a component of health literacy itself--when faced with a hypothetical barrier to scheduling a medical appointment. Although all literacy skills were significantly associated with advocacy when examined in isolation, greater speaking and listening skills remained significantly associated with better patient advocacy when all four skills were examined simultaneously. These findings suggest that speaking and listening skills and support for such skills may be important factors to consider when developing patient activation and advocacy skills.
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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.