Trial reportNursing research
Health Literacy and Outcomes of a Community-Based Self-Help Intervention: A Case of Korean Americans With Type 2 Diabetes.
Trial report in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.
What it found
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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
33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Gender differences in the context of interventions for improving health literacy in migrants: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2024Pooled it
- Cultural Tailoring and Implementation Science for Cardiometabolic Interventions in Asian Americans: A Systematic Review.Nursing open · 2024Pooled it
- Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023Pooled it
- The relationship between patient empowerment and related constructs, affective symptoms and quality of life in patients with type 2 diabetes: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- The Effect of Health Literacy Intervention on Patients with Diabetes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Establishing the efficacy of interventions to improve health literacy and health behaviours: a systematic review.BMC public health · 2020Pooled it
- Effect of online infographics for enhancing health literacy among patients with type 2 diabetes in primary care unit during the COVID-19 pandemic: a randomized controlled trial.BMC primary care · 2024Trial
- Knowledge, attitudes and practices towards cardiac rehabilitation among patients with heart failure.BMC public health · 2026Article
- Association of Health Literacy with Sociodemographic Factors and Medication Adherence Among Primary Health Care Users in Montenegro.Healthcare (Basel, Switzerland) · 2026Article
- The relationship of the nutritional literacy level of individuals with diabetes on nutrition, quality of life, and metabolic control.BMC public health · 2025Article
- From Passive to Active-Improving the Healthy Self-Help Behavior of Older Adults Through Community Health Association: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Prevention of type 2 diabetes in migrant populations from low- and middle-income countries living in high-income countries.Diabetologia · 2025Review
- Sociodemographic disparities in health literacy among American adults: A national survey study.Preventive medicine reports · 2025Article
- The Morisky Method for Measuring Medication Adherence in Older Adults With Chronic Diseases: A Cross-Sectional Study.Health science reports · 2025Article
- Caring skills in nursing students at a university.European journal of translational myology · 2025Article
- Article
- Health literacy and quality of life of riverine populations in primary health care.Revista latino-americana de enfermagem · 2025Article
- Health literacy and self-care among adult immigrants with type 2 diabetes: a scoping review.BMC public health · 2024Article
- The development of an online-based rural community of practice framework for addressing health issues among rural citizens: a grounded theory approach.BMC public health · 2024Article
- Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2024Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAlthough scientific reports increasingly document the negative impact of inadequate health literacy on health-seeking behaviors, health literacy's effect on health outcomes in patients with diabetes is not entirely clear, owing to insufficient empirical studies, mixed findings, and insufficient longitudinal research.
objectiveThe aim of this study was to empirically examine underlying mechanisms of health literacy's role in diabetes management among a group of Korean Americans with Type 2 diabetes mellitus.
methodsData from a randomized clinical trial of a health literacy-focused Type 2 diabetes self-management intervention conducted during 2012-2016 in the Korean American community were collected at baseline and at 3, 6, 9, and 12 months. A total of 250 Korean Americans with Type 2 diabetes participated (intervention, 120; control, 130). Participants were first-generation Korean American immigrants. Health literacy knowledge was measured with the original Rapid Estimate of Adult Literacy in Medicine and the diabetes mellitus-specific Rapid Estimate of Adult Literacy in Medicine. Functional health literacy was measured with the numeracy subscale of the Test of Functional Health Literacy in Adults and the Newest Vital Sign screening instrument, which also uses numeracy. Primary outcomes included glucose control and diabetes quality of life. Multivariate analyses included latent variable modeling.
resultsA series of path analyses identified self-efficacy and self-care skills as significant mediators between health literacy and glucose control and quality of life. Education and acculturation were the most significant correlates of health literacy. DISCUSSION: Despite inconsistent findings in the literature, this study indicates that health literacy may indirectly influence health outcomes through mediators such as self-care skills and self-efficacy. The study highlights the importance of health literacy, as well as underlying mechanisms with which health literacy influences processes and outcomes of diabetes self-management.
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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.