ArticlePatient education and counseling2017
The association of health literacy and blood pressure reduction in a cohort of patients with hypertension: The heart healthy lenoir trial.
Article in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Associations of Health Literacy with Blood Pressure and Dietary Salt Intake among Adults: A Systematic Review.Nutrients · 2021Pooled it
- Food Insecurity Interventions to Improve Blood Pressure: The Healthy Food First Factorial Randomized Clinical Trial.JAMA internal medicine · 2025Trial
- Intergenerational Influence on Hypertension Prevention and Management: A Discursive Paper.Journal of advanced nursing · 2026Review
- The Role of Health Literacy in Cardiometabolic Disease among People with Serious Mental Illness.Community mental health journal · 2026Article
- Review
- Association Between Health Literacy and Prehypertension in South Korean Adults: Cross-Sectional Study Using the 2023 Korea National Health and Nutrition Examination Survey.JMIR public health and surveillance · 2026Article
- Article
- [What is confirmed in the treatment of difficult-to-control arterial hypertension?]Innere Medizin (Heidelberg, Germany) · 2025Review
- A cross-sectional study of the relationship between health literacy and health-promoting lifestyles in patients with hypertension in northwest Iran.BMC primary care · 2025Article
- Exploring various models of health coaching for improving blood pressure control among patients with hypertension attending primary health care settings: A scoping review.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2025Review
- The Effect of Health Literacy and Adherence to Medical Treatment on Hypertension Control in the Elderly.Research in heart yield and translational medicine · 2025Article
- Long way to impact health: outputs and outcomes of a four-year multilevel participatory family health promotion programme in a low-income neighbourhood.BMJ public health · 2025Article
- Impact of a transformative health literacy model for Thai older adults with hypertension.BMC research notes · 2024Article
- Health Literacy, Self-Care Behaviors, and Biochemical Parameters Among Hypertensive Patients with Renal Complications in the Tai Lue Ethnic Community of Thailand.Vascular health and risk management · 2024Article
- Article
- Impact of health literacy and illness perception on medication adherence among older adults with hypertension in Iran: a cross-sectional study.Frontiers in public health · 2024Article
- The mediating role of health literacy between the presence of chronic disease and psychological distress among older persons in Xi'an city of China.BMC public health · 2023Article
- Effectiveness of a Health Education Program in Hypertensive Patients with Dyslipidemia and/or Microalbuminuria: A Quasi-Experimental Study in Vinh Long Province, Vietnam.Healthcare (Basel, Switzerland) · 2023Article
- Estimation of health literacy levels in patients with cardiovascular diseases in a Gulf country.BMC health services research · 2023Article
- Assessment of the Readability and Quality of Online Patient Education Material for Chronic Medical Conditions.Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
objectiveLower health literacy is associated with poorer health outcomes. Few interventions poised to mitigate the impact of health literacy in hypertensive patients have been published. We tested if a multi-level quality improvement intervention could differentially improve Systolic Blood Pressure (SBP) more so in patients with low vs. higher health literacy.
methodsWe conducted a non-randomized prospective cohort trial of 525 patients referred with uncontrolled hypertension. Stakeholder informed and health literacy sensitive strategies were implemented at the practice and patient level. Outcomes were assessed at 0, 6, 12, 18 and 24 months.
resultsAt 12 months, the low and higher health literacy groups had statistically significant decreases in mean SBP (6.6 and 5.3mmHg, respectively), but the between group difference was not significant (Δ 1.3mmHg, P=0.067). At 24 months, the low and higher health literacy groups reductions were 8.1 and 4.6mmHg, respectively, again the between group difference was not significant (Δ 3.5mmHg, p=0.25). CONCLUSIONS/PRACTICE IMPLICATIONS: A health literacy sensitive multi-level intervention may equally lower SBP in patients with low and higher health literacy. Practical health literacy appropriate tools and methods can be implemented in primary care settings using a quality improvement approach.
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