ArticlePreventing chronic disease2014
Assessing the impact of health literacy on education retention of stroke patients.
Article in Preventing chronic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Current exercise-based rehabilitation impacts on poststroke exercise capacity, blood pressure, and lipid control: a meta-analysis.Frontiers in cardiovascular medicine · 2025Pooled it
- Personalized Video-Based Educational Platform to Improve Stroke Knowledge: A Randomized Clinical Trial.Journal of the American Heart Association · 2024Trial
- Admission Health Literacy and Depressive Symptoms 3 Months After Discharge in Home-Discharged Acute Stroke Patients: A Prospective Cohort Study.International journal of behavioral medicine · 2026Article
- Social determinants of health and stroke risk: A dose-response analysis of cumulative socioeconomic burden in US adults.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- The mediating role of out-of-hospital adherence between health literacy and quality of life in Chinese stroke survivors: a cross-sectional study.Frontiers in public health · 2026Article
- Assessing stroke survivors' knowledge: a scoping review of tools and influencing factors.Journal of health, population, and nutrition · 2025Article
- Association between general self-efficacy and health literacy among stroke survivors 1-year post-discharge: a cross-sectional study.Scientific reports · 2024Article
- Lessons on Health Literacy and Communication in Post-Stroke Rehabilitation:: A Primer and Proposal.Delaware journal of public health · 2023Article
- Changes in the health literacy of residents aged 15-69 years in central China: A three-round cross-sectional study.Frontiers in public health · 2023Article
- Perspectives and Experiences of Cardiac Rehabilitation after Stroke-A Qualitative Study.Healthcare (Basel, Switzerland) · 2022Article
- "Lessons Learned" Preventing Recurrent Ischemic Strokes through Secondary Prevention Programs: A Systematic Review.Journal of clinical medicine · 2021Review
- An Evaluation of the Video Narrative Technique on the Self-Efficacy of Medication Understanding and Use Among Post-Stroke Patients: A Randomized-Controlled Trial.Patient preference and adherence · 2020Article
- Care Coordination for Community Transitions for Individuals Post-stroke Returning to Low-Resource Rural Communities.Journal of community health · 2017Article
- Article
- Comparative study of different SES neighborhood clinics for health literacy and internet access.Digital healthArticle
- Preferred Method of Education Among Patients in Ophthalmic Care in Saudi Arabia.Middle East African journal of ophthalmologyArticle
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInadequate health literacy is a pervasive problem with major implications for reduced health status and health disparities. Despite the role of focused education in both primary and secondary prevention of stroke, the effect of health literacy on stroke education retention has not been reported. We examined the relationship of health literacy to the retention of knowledge after recommended stroke education.
methodsThis prospective cross-sectional study was conducted at an urban safety-net hospital. Study subjects were patients older than 18 admitted to the hospital stroke unit with a diagnosis of acute ischemic stroke who were able to provide informed consent to participate (N = 100). Health literacy levels were measured by using the short form of Test of Functional Health Literacy in Adults. Patient education was provided to patients at an inpatient stroke unit by using standardized protocols, in compliance with Joint Commission specifications. The education outcomes for poststroke care education, knowledge retention, was assessed for each subject. The effect of health literacy on the Stroke Patient Education Retention scores was assessed by using univariate and multivariate analyses.
resultsOf the 100 participating patients, 59% had inadequate to marginal health literacy. Stroke patients who had marginal health literacy (mean score, 7.45; standard deviation [SD], 1.9) or adequate health literacy (mean score, 7.31; SD, 1.76) had statistically higher education outcome scores than those identified as having inadequate health literacy (mean score, 5.58; SD, 2.06). Results from multivariate analysis indicated that adequate health literacy was most predictive of education outcome retention.
conclusionsThis study demonstrated a clear relationship between health literacy and stroke education outcomes. Studies are needed to better understand the relationship of health literacy to key educational outcomes for primary or secondary prevention of stroke and to refine stroke education for literacy levels of high-risk populations.
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