Evidence map›Paper›PMID 24291145›Full record

ArticlePatient education and counseling2014

A conceptual model of verbal exchange health literacy.

Kathleen F Harrington, Melissa A Valerio

Abstract read
In one paragraph

Article in Patient education and counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The impact of health literacy on healthcare spending: theory and evidence from China.International journal of health economics and management · 2026
    Article
  3. Article
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  12. Shared Decision Making in the Emergency Department Among Patients With Limited Health Literacy: Beyond Slower and Louder.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016
    Article
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.

Kathleen F HarringtonUniversity of Alabama at Birmingham, Birmingham, USA. Electronic address: kharring@uab.edu.
Melissa A ValerioUniversity of Texas Health Science Center at Houston, School of Public Health, San Antonio, USA.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Development of the Verbal Exchange Health Literacy MeasureR21NR011923 · NINR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HARRINGTON, KATHY F, VALERIO-SHEWMAKER, MELISSA A. · 2011 to 2012
$432k
NIDDK NIH HHS P30 DK092926NINR NIH HHS 1R21NR01192301A1NINR NIH HHS R21 NR011923PHS HHS R40MC8728
6 · The paper itself

Abstract

objectiveTo address a gap in understanding of verbal exchange (oral and aural) health literacy by describing the systematic development of a verbal exchange health literacy (VEHL) definition and model which hypothesizes the role of VEHL in health outcomes.

methodsCurrent health literacy and communication literature was systematically reviewed and combined with qualitative patient and provider data that were analyzed using a grounded theory approach.

resultsAnalyses of current literature and formative data indicated the importance of verbal exchange in the clinical setting and revealed various factors associated with the patient-provider relationship and their characteristics that influence decision making and health behaviors. VEHL is defined as the ability to speak and listen that facilitates exchanging, understanding, and interpreting of health information for health-decision making, disease management and navigation of the healthcare system. A model depiction of mediating and influenced factors is presented.

conclusionA definition and model of VEHL is a step toward addressing a gap in health literacy knowledge and provides a foundation for examining the influence of VEHL on health outcomes. PRACTICE IMPLICATIONS: VEHL is an extension of current descriptions of health literacy and has implications for patient-provider communication and health decision making.

Indexed as

CommunicationHealth LiteracyModels, TheoreticalPatient ParticipationDecision MakingFocus GroupsHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicQualitative ResearchVerbal BehaviorHealth literacyOral exchangeOral literacyPatient–provider communication

Identifiers

PMID24291145
PMCPMC3944213

What OpenQuestion holds

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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.