ArticleAfrican journal of primary health care & family medicine2017
Development of a Hypertension Health Literacy Assessment Tool for use in primary healthcare clinics in South Africa, Gauteng.
Article in African journal of primary health care & family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- Assessment Tools for Health Literacy among the General Population: A Systematic Review.International journal of environmental research and public health · 2018Pooled it
- The relationships among disease perception, perceived control, and self-care behaviors in hypertensive patients: Results of a cross-sectional study.Journal of education and health promotion · 2025Article
- Developing a Health Literacy Scale for adults in Hong Kong: A modified e-Delphi study with healthcare consumers and providers.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Health literacy of Sesotho-speaking patients diagnosed with chronic conditions in South Africa.African journal of primary health care & family medicine · 2022Article
- Development and Validation of the Health Literacy Assessment Instrument for Patients with Chronic Pain.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Conveying hypertension message: An investigation into the language and content used in primary health clinics in South Africa.African journal of primary health care & family medicine · 2020Article
- Levels of health literacy and English comprehension in patients presenting to South African primary healthcare facilities.African journal of primary health care & family medicine · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension is a universal risk factor for cardiovascular morbidity and mortality in both the ageing and obese populations and patients must be literate in hypertension health issues to participate actively in the management of their disease. Little research has been done to investigate hypertension health literacy levels among South Africans.
aimTo develop a Hypertension Heath Literacy Assessment Tool to establish patients' comprehension of the health education they receive in primary healthcare (PHC) clinics in Tshwane, Gauteng, South Africa.
settingPHC clinics in Tshwane, Gauteng, South Africa.
methodsThe design was quantitative, descriptive and contextual in nature. The study population comprised health promoters who were experts in the field of health, documents containing hypertension health education content and individuals with hypertension. Participants were conveniently and purposefully selected. A modified Delphi technique was used to develop and validate the Hypertension Health Literacy Assessment Tool (HHLAT). To ensure validity and reliability of the HHLAT, the tool was administered to 195 participants concurrently with the Learning Ability Battery (LAB).
resultsThere was a strong positive (F = 76.0, p < 0.0001, R2 = 28.25%) correlation between the LAB and the HHLAT. The HHLAT indicated that only 37 (19%) of the patients with hypertension had poor hypertension health literacy levels.
conclusionThe HHLAT is a valid tool that can be used in busy PHC clinics as it takes less than two minutes to administer. This tool can inform the healthcare worker on the depth of hypertension health education to be given to the patient, empowering the patient and saving time in PHC facilities.
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