Evidence map›Paper›PMID 22276600›Full record

SynthesisBMC public health2012

Health literacy and public health: a systematic review and integration of definitions and models.

Kristine Sørensen, Stephan Van den Broucke, James Fullam, Gerardine Doyle, Jürgen Pelikan, Zofia Slonska, Helmut Brand, (HLS-EU) Consortium Health Literacy Project European

6 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 2,442 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,442citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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.

NCT02606175 nacompletednot on this mapstarted 2016, after this paper: background citation

Medication Knowledge, Medication Adherence and Health Literacy in Patients Who Underwent a Kidney Transplantation.

TypeinterventionalSponsorUniversitaire Ziekenhuizen KU LeuvenRan2016 to 2019Enrolled60ConditionsAdherence to Medication RegimeArmsTaking questionnaires and tests
NCT04669340 nacompletednot on this mapstarted 2021, after this paper: background citation

E-learning in Patient Education to Patients With Rheumatoid Arthritis - An Evaluation of the Effectiveness, the Patient Perspective and the Implementation

TypeinterventionalSponsorAarhus University HospitalRan2021 to 2024Enrolled181ConditionsRheumatoid Arthritis, Patient Involvement, Self EfficacyArmsE-learning patient education, Standard face-to-face patient education
NCT04684316 nacompletednot on this mapstarted 2019, after this paper: background citation

Economic Evaluation of an Online Screening Tool With Selective Follow-up Versus Periodic Health Screening by the Occupational Physician

TypeinterventionalSponsorKU LeuvenRan2019 to 2020Enrolled889ConditionsOccupational Health, Screening, Surveys and QuestionnairesArmsElectronic survey with selective consultations
NCT04779086 unknown statusnot on this mapstarted 2021, after this paper: background citation

Investigation of E-health Literacy Levels of Physiotherapy and Rehabilitation Department Students

TypeobservationalSponsorAnkara Yildirim Beyazıt UniversityRan2021 to 2021Enrolled220ConditionsHealth Behavior, Health Attitude, Health Knowledge
NCT06490406 nacompletednot on this mapstarted 2020, after this paper: background citation

Communication Practices to Develop the Health Literacy Competencies in Nursing Students: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CadizRan2020 to 2020Enrolled82ConditionsHealth Literacy, Competence, Nursing StudentsArmsMultimodal intervention (communication and education simulations) for EG1
NCT07462975 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

The Effect of Receiving Education in Pregnancy School on Pregnant Women's Breastfeeding Health Literacy: A Randomized Controlled Study

TypeinterventionalSponsorSerap Ozturk AltinayakRan2025 to 2026Enrolled70ConditionsThe Status of Pregnant Women's Breastfeeding Health LiteracyArmsBreastfeeding Education
3 · Its place in the literature

Who cites it

2,442 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Navigating Social Media: Balancing Connectivity With Media Literacy to Combat Misinformation and Protect Mental Well-Being.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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2,382 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

8 authors.

Kristine SørensenDepartment of International Health, Research School of Primary Care and Public Health, Maastricht University, Maastricht, The Netherlands. K.Sorensen@Maastrichtuniversity.nl
Stephan Van den Broucke
James Fullam
Gerardine Doyle
Jürgen Pelikan
Zofia Slonska
Helmut Brand
(HLS-EU) Consortium Health Literacy Project European

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth literacy concerns the knowledge and competences of persons to meet the complex demands of health in modern society. Although its importance is increasingly recognised, there is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The aim of the study is to review definitions and models on health literacy to develop an integrated definition and conceptual model capturing the most comprehensive evidence-based dimensions of health literacy.

methodsA systematic literature review was performed to identify definitions and conceptual frameworks of health literacy. A content analysis of the definitions and conceptual frameworks was carried out to identify the central dimensions of health literacy and develop an integrated model.

resultsThe review resulted in 17 definitions of health literacy and 12 conceptual models. Based on the content analysis, an integrative conceptual model was developed containing 12 dimensions referring to the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information within the healthcare, disease prevention and health promotion setting, respectively.

conclusionsBased upon this review, a model is proposed integrating medical and public health views of health literacy. The model can serve as a basis for developing health literacy enhancing interventions and provide a conceptual basis for the development and validation of measurement tools, capturing the different dimensions of health literacy within the healthcare, disease prevention and health promotion settings.

Indexed as

Concept FormationHealth LiteracyModels, TheoreticalPublic HealthHumansTerminology as Topic

Identifiers

PMID22276600
PMCPMC3292515

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.