Evidence map›Paper›PMID 27233237›Full record

Trial reportBMC public health2016

Evaluation of an Australian health literacy training program for socially disadvantaged adults attending basic education classes: study protocol for a cluster randomised controlled trial.

Kirsten J McCaffery, Suzanne Morony, Danielle M Muscat, Sian K Smith, Heather L Shepherd, Haryana M Dhillon, Andrew Hayen, Karen Luxford, Wedyan Meshreky, John Comings and 1 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2016. 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.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Oral Health Profiling for Young and Older Adults: A Descriptive Study.International journal of environmental research and public health · 2021
    Article
  8. Article
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  10. Implementation of the three good questions-A feasibility study in Dutch hospital departments.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Qualitative insights into the experience of teaching shared decision making within adult education health literacy programmes for lower-literacy learners.Health expectations : an international journal of public participation in health care and health policy · 2017
    Article
  16. 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

11 authors at 5 institutions in 2 countries.

Kirsten J McCafferySydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia. kirsten.mccaffery@sydney.edu.au.
Suzanne MoronySydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia.
Danielle M MuscatSydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia.
Sian K SmithPsychosocial Research Group, Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
Heather L ShepherdCentre for Medical Psychology and Evidence-based Decision-making (CeMPED), Sydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia.
Haryana M DhillonCentre for Medical Psychology and Evidence-based Decision-making (CeMPED), School of Psychology, The University of Sydney, Sydney, NSW, 2006, Australia.
Andrew HayenSchool of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
Karen LuxfordPatient Based Care, Clinical Excellence Commission, Sydney, NSW, 2000, Australia.
Wedyan MeshrekyNPS Medicinewise, Surry Hills, NSW, 2010, Australia.
John ComingsCenter for International Education, University of Massachusetts, Amherst, MA, 01003, USA.
Don NutbeamSydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia.
University of Sydney · AUUNSW Sydney · AUConcord Hospital · USMental Health Commission · AUUniversity of Massachusetts Amherst · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with low literacy and low health literacy have poorer health outcomes. Literacy and health literacy are distinct but overlapping constructs that impact wellbeing. Interventions that target both could improve health outcomes. METHODS/

designThis is a cluster randomised controlled trial with a qualitative component. Participants are 300 adults enrolled in basic language, literacy and numeracy programs at adult education colleges across New South Wales, Australia. Each adult education institute (regional administrative centre) contributes (at least) two classes matched for student demographics, which may be at the same or different campuses. Classes (clusters) are randomly allocated to receive either the health literacy intervention (an 18-week program with health knowledge and skills embedded in language, literacy, and numeracy training (LLN)), or the standard Language Literacy and Numeracy (LLN) program (usual LLN classes, specifically excluding health content). The primary outcome is functional health literacy skills - knowing how to use a thermometer, and read and interpret food and medicine labels. The secondary outcomes are self-reported confidence, more advanced health literacy skills; shared decision making skills, patient activation, health knowledge and self-reported health behaviour. Data is collected at baseline, and immediately and 6 months post intervention. A sample of participating teachers, students, and community health workers will be interviewed in-depth about their experiences with the program to better understand implementation issues and to strengthen the potential for scaling up the program. DISCUSSION: Outcomes will provide evidence regarding real-world implementation of a health literacy training program with health worker involvement in an Australian adult education setting. The evaluation trial will provide insight into translating and scaling up health literacy education for vulnerable populations with low literacy.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12616000213448 .

Indexed as

Health LiteracyVulnerable PopulationsAdolescentAdultFemaleHumansMaleNew South WalesYoung AdultAdult educationHealth disparitiesHealth literacyLiteracyMinority healthNumeracyShared decision makingSocial disadvantageSocial inequalityUnderserved patients

Identifiers

PMID27233237
PMCPMC4884424
OpenAlexW2403520889

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.