SynthesisBMC public health2017
Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence.
Synthesis in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 54 papers, 3 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
54 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Community-Based Culturally Tailored Education Programs for Black Communities with Cardiovascular Disease, Diabetes, Hypertension, and Stroke: Systematic Review Findings.Journal of racial and ethnic health disparities · 2023Pooled it
- Shaping Alcohol Health Literacy: A Systematic Concept Analysis and Review.Health literacy research and practice · 2020Pooled it
- Deprescribing interventions and their impact on medication adherence in community-dwelling older adults with polypharmacy: a systematic review.BMC geriatrics · 2019Pooled it
- Using an experience based design approach to advance health literacy in Ireland.Dialogues in health · 2026Article
- Knowledge, attitude, and practice (KAP) of self-medication and healthcare-seeking behavior among residents in the vicinity of a tertiary healthcare center in Madhesh Province, Nepal.Annals of medicine and surgery (2012) · 2026Article
- Relationships between support provision, social cohesion and belonging, and well-being among community-dwelling older people: a longitudinal survey study.BMC geriatrics · 2026Article
- Interventions to promote critical health literacy: a scoping review.Health promotion international · 2026Article
- Effectiveness of the health literacy education program for medical student clerkships: a one-group pretest-posttest study.BMC medical education · 2026Article
- Re-evaluating the access imperative in healthcare in the United States.Journal of public health policy · 2026Review
- Health literacy assessment and healthcare access difficulties of Vietnamese migrants in Japan: A cross-sectional study.PloS one · 2026Article
- Article
- Association of health literacy with illness perception of Chinese community patients with chronic disease.BMC public health · 2025Article
- Conceptualisation of critical health literacy-insights from Western and East Asian perspectives: a scoping review.BMJ global health · 2025Article
- Barriers to health equity in the United States of America: can they be overcome?International journal for equity in health · 2025Review
- Harnessing the power of empathy, visual art and patient narratives to improve health literacy: An exploratory study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Article
- Health literacy in physical trauma patients : Evaluation of the general understanding of patients in an outpatient clinic using the German Short Test of Functional Health Literacy.Wiener klinische Wochenschrift · 2024Article
- Harnessing the Qualities and Principles of Adult Education for Health Literacy Learning.Health literacy research and practice · 2024Article
- Qualitative Evaluation of a Health Literacy Program for Older Adults Who Live in a Community Dwelling in Brazil.Health literacy research and practice · 2024Article
- The mediating effect of traditional Chinese medicine (TCM) health literacy between TCM culture promotion and residents' health status.Frontiers in public health · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCritical health literacy enables older adults to make informed health decisions and take actions for the health and wellbeing of themselves and their community, within their own social and cultural context. A community-based approach has the potential to improve the critical health literacy of older adults and their communities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this study explored how community-based initiatives address the critical health literacy of older adults and their communities.
methodsA systematic literature search was conducted. Two reviewers independently screened titles and abstracts, as well as the quality of the methodological and community-based elements of the studies. In addition, a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 included studies.
resultsWe identified two main themes, which are practices that contribute to the critical health literacy of older adults as well as their communities: 1) collaborative learning, and 2) social support. In these practices we identified reciprocity as a key characteristic of both co-learning and social support.
conclusionsThis study provides the first overview of community-based initiatives that implicitly address the critical health literacy of older adults and their community. Our results demonstrate that in the context of one's own life collaborative learning and social support could contribute to people's understanding and ability to judge, sift and use health information. We therefore suggest to add these two practices to the definition of critical health literacy.
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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.