Trial reportJournal of health communication2015
The Health Literacy and ESL study: a community-based intervention for Spanish-speaking adults.
Trial report in Journal of health communication, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 7 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, 7 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Is Primary Care Patient Experience Associated with Provider-Patient Language Concordance and Use of Interpreters for Spanish-preferring Patients: A Systematic Literature Review.Journal of racial and ethnic health disparities · 2025Pooled it
- Gender differences in the context of interventions for improving health literacy in migrants: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2024Pooled it
- A systematic review and narrative synthesis of health literacy interventions among Spanish speaking populations in the United States.BMC public health · 2024Pooled it
- Interventions to promote health literacy among working-age populations experiencing socioeconomic disadvantage: systematic review.Frontiers in public health · 2024Pooled it
- Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023Pooled it
- Gender differences of health literacy in persons with a migration background: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- Establishing the efficacy of interventions to improve health literacy and health behaviours: a systematic review.BMC public health · 2020Pooled it
- A Cardiovascular Health Intervention for Spanish Speakers: The Health Literacy and ESL Curriculum.Journal of community health · 2018Trial
- Evaluation of an Australian health literacy training program for socially disadvantaged adults attending basic education classes: study protocol for a cluster randomised controlled trial.BMC public health · 2016Trial
- Characterizing Health Literacy Among Spanish Language-Preferring Latinos Ages 50-75.Nursing researchTrial
- A Scoping Review of Health Literacy Measurement in U.S. Interventions: Trends, Tools, and Gaps.Health literacy research and practice · 2026Article
- Non-native English-speaking applicants and the likelihood of physician assistant program matriculation.Medical education online · 2024Article
- Impact of English Proficiency on Health Literacy in Older Korean Immigrants: Mediating Effects of Social Support and Acculturation.Journal of immigrant and minority health · 2024Article
- Utilizing RE-AIM to scope potential for feasible immigrant cancer literacy education.Preventive medicine reports · 2023Article
- 'You have to have a level of trust': Consumer-described health literacy barriers and enablers to engaging with health care professionals.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2023Article
- Community health literacy outcome measurement practices: A scoping review of recent interventions.Health science reports · 2022Article
- The effect of community-based health education programs on health literacy in severely impoverished counties in Southwestern China: Results from a quasi-experimental design.Frontiers in public health · 2022Article
- Development and pilot testing of a health education program to improve immigrants' access to Canadian health services.BMC health services research · 2020Article
- Evaluation of an Australian Health Literacy Program Delivered in Adult Education Settings.Health literacy research and practice · 2019Article
- Developing Verbal Health Literacy with Adult Learners Through Training in Shared Decision-Making.Health literacy research and practice · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
Although Hispanics have a documented high risk of limited health literacy, there is a scarcity of research with this population group, and particularly with Hispanic immigrants who generally confront language barriers that have been related to low health literacy. The National Action Plan to Improve Health Literacy identified community-based English-language instruction as a strategy that can facilitate a health literate society. However, the literature lacks discussion on this type of intervention. This randomized control trial aimed to test the feasibility of using conventional English-as-a-second-language (ESL) instruction for improving health literacy among Spanish-speaking adults. Objectives included the development, implementation, and evaluation of a health literacy/ESL curriculum. The Test of Functional Health Literacy in Adults (TOFHLA) in English was used to assess health literacy levels. Analyses included independent sample t test, chi-square, and multiple linear regression. A total of 155 people participated. Results showed a significantly higher increase in the TOFHLA posttest score in the intervention group (p = .01), and noticeable differences in health literacy levels between groups. Results indicate that ESL constitutes a promising venue for improving health literacy among Spanish-speaking adults. Incorporating health literacy-related content may provide additional benefits.
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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.