Trial reportJournal of cardiac failure2015
Health Literacy Predicts Morbidity and Mortality in Rural Patients With Heart Failure.
Trial report in Journal of cardiac failure, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
What it found
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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
48 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic Review of Clinical Insights into Novel Coronavirus (CoVID-19) Pandemic: Persisting Challenges in U.S. Rural Population.International journal of environmental research and public health · 2020Pooled it
- Health Literacy and Outcomes Among Patients With Heart Failure: A Systematic Review and Meta-Analysis.JACC. Heart failure · 2020Pooled it
- Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients' point of view.PloS one · 2019Trial
- Health Literacy Mediates the Relationship Between Age and Health Outcomes in Patients With Heart Failure.Circulation. Heart failure · 2016Trial
- Health literacy of the Deaf community: a scoping review.Journal of deaf studies and deaf education · 2026Article
- Evaluating the Readability, Accessibility, and Quality of Online Health Information on Opioid Use Disorder: A Comparative Analysis of Government and Non-Government Websites.Advances in health information science and practice · 2026Article
- Predictors of health literacy among Deaf American Sign Language users.Patient education and counseling · 2026Article
- Health Literacy, Label Comprehension, and Consumer Perceptions of Quasi-Drug Information Among Korean Adults: A Cross-Sectional Study.Risk management and healthcare policy · 2025Article
- Rural Suicide: Demographics, Causes, and Treatment Implications.Community mental health journal · 2025Article
- Nutrition literacy and its relationship with diet quality and quality of life among white-collar employees: a study from Türkiye.BMC public health · 2024Article
- Patient-reported predictors of postdischarge mortality after cardiac hospitalization.Journal of hospital medicine · 2024Article
- Relationship between microbiota awareness, nutrition literacy, and health literacy among adolescents.Turkish journal of medical sciences · 2024Article
- Co-Occurrence of Social Risk Factors and Associated Outcomes in Patients With Heart Failure.Journal of the American Heart Association · 2023Article
- Improving heart failure care with an Experience-Based Co-Design approach: what matters to persons with heart failure and their family members?BMC health services research · 2023Article
- Evaluation of Health Literacy Levels and Associated Factors Among Patients with Acute Coronary Syndrome and Heart Failure in Qatar.Patient preference and adherence · 2023Article
- Role of personal aptitudes as determinants of incident morbidity, lifestyles, quality of life, use of health services, and mortality (DESVELA cohort): quantitative study protocol for a prospective cohort study in a hybrid analysis.Frontiers in public health · 2023Article
- Impact of low health literacy on patients' health outcomes: a multicenter cohort study.BMC health services research · 2022Article
- A Prospective Observational Study Assessing the Impacts of Health Literacy and Psychosocial Determinants of Health on 30-day Readmission Risk.Journal of patient experience · 2022Article
- Literacy critical to heart failure management: a scoping review.Heart failure reviews · 2021Article
- Health Literacy Within a Diverse Community-Based Cohort: The Multi-Ethnic Study of Atherosclerosis.Journal of immigrant and minority health · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundPatients hospitalized with heart failure are often readmitted. Health literacy may play a substantial role in the high rate of readmissions. The purpose of this study was to examine the association of health literacy with the composite end point of heart failure readmission rates and all-cause mortality in patients with heart failure living in rural areas. METHODS AND
resultsRural adults (n = 575), hospitalized for heart failure within the past 6 months, completed the Short Test of Functional Health Literacy in Adults (STOFHLA) to measure health literacy and were followed for ≥2 years. The percentage of patients with the end point of heart failure readmission or all-cause death was different (P = .001) among the 3 STOFHLA score levels. Unadjusted analysis revealed that patients with inadequate and marginal health literacy were 1.94 (95% confidence interval [CI] 1.43-2.63; P < .001) times, and 1.91 (95% CI 1.36-2.67; P < .001) times, respectively, more likely to experience the outcome. After adjustment for covariates, health literacy remained a predictor of outcomes. Of the other covariates, worse functional class, higher comorbidity burden, and higher depression score predicted worse outcomes.
conclusionsInadequate or marginal health literacy is a risk factor for heart failure rehospitalization or all-cause mortality among rural patients with heart failure.
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