Evidence map›Paper›PMID 29138204›Full record

ArticleBMJ open2017

Health literacy in Italy: a cross-sectional study protocol to assess the health literacy level in a population-based sample, and to validate health literacy measures in the Italian language.

Chiara Lorini, Francesca Santomauro, Maddalena Grazzini, Sarah Mantwill, Virginia Vettori, Vieri Lastrucci, Angela Bechini, Sara Boccalini, Alessandro Bussotti, Guglielmo Bonaccorsi

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–field-weighted citation impact
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

46 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Comprehension of an artificial intelligence-generated discharge letter versus a traditional discharge letter: two controlled quasi-experimental parallel-group studies.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Health Literacy Gaps Across Language Groups: A Population-Based Assessment in Alto Adige/South Tyrol, Italy.European journal of investigation in health, psychology and education · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. The effect of social care nurses on health related quality of life in patients with advanced cancer: A non-randomized, multicenter, controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Chiara LoriniDepartement of Health Science, University of Florence, Florence, Italy.
Francesca SantomauroDepartement of Health Science, University of Florence, Florence, Italy.
Maddalena GrazziniSchool of Specialization in Hygiene and Preventive Medicine, University of Florence, Florence, Italy.
Sarah MantwillDepartment of Health Sciences & Health Policy, University of Lucerne, Lucerne, Switzerland.
Virginia VettoriDepartement of Health Science, University of Florence, Florence, Italy.
Vieri LastrucciDepartement of Health Science, University of Florence, Florence, Italy.
Angela BechiniDepartement of Health Science, University of Florence, Florence, Italy.
Sara BoccaliniDepartement of Health Science, University of Florence, Florence, Italy.
Alessandro BussottiCareggi University Hospital, Florence, Italy.
Guglielmo BonaccorsiDepartement of Health Science, University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealth literacy (HL) concerns the knowledge and competences necessary for people to meet complex health demands. The aims of this study are to assess the level of HL in a sample using the Italian version of the Newest Vital Sign and the association of HL and selected antecedents with health outcomes, and to develop and validate the Italian version of the three Brief Health Literacy Screeners, two subjective numeracy items and the short form and the short-short form of the European Health Literacy Survey Questionnaire. METHODS AND ANALYSIS: The study adopts a cross-sectional design and is being conducted in Florence, with information collected through telephone interviews. The population-based sample has been randomly selected using the registries of eight general practitioners (GPs). Based on a power calculation, 480 subjects will be included. Participants have been randomly offered two different questionnaires, each containing different HL measures. Data on sociodemographics and important antecedents and consequences of HL will be collected and the distribution of HL levels calculated. The mediating role of HL will be assessed using Preacher and Hayes' model. To assess the concurrent validity of the HL scales, correlation and receiver operating characteristic analyses will be performed. ETHICS AND DISSEMINATION: The study protocol has been approved by the Ethics Committee of the Area Vasta Centro. Results will be disseminated via scientific journals and conference presentations, and individual data made available to the GPs.

Indexed as

Health Knowledge, Attitudes, PracticeHealth LiteracyResearch DesignSurveys and QuestionnairesCross-Sectional StudiesHumansItalyLanguageROC CurveTranslatingValidation Studies as Topicantecedentsconsequenceshealth literacyItalian languagemeasuresvalidation

Identifiers

PMID29138204
PMCPMC5695375

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.