Trial reportEpilepsy & behavior : E&B2020
Health literacy and education level correlates of participation and outcome in a remotely delivered epilepsy self-management program.
Trial report in Epilepsy & behavior : E&B, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 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
40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Service delivery, behavioural, and self-management interventions for adults with epilepsy.The Cochrane database of systematic reviews · 2025Pooled it
- Pooled it
- Pooled it
- Delivery Model Matters for Digital Interventions in Pain Self-Management: Mixed Methods Study.Journal of medical Internet research · 2026Trial
- [EPICAP: educational intervention using instructional clips in patients with epilepsy. A randomised clinical trial].Revista de neurologia · 2023Trial
- Health literacy of the Deaf community: a scoping review.Journal of deaf studies and deaf education · 2026Article
- The Association Between Preoperative Education Level and Long-Term Outcomes After Hip Arthroscopy.Orthopaedic journal of sports medicine · 2026Article
- Enhancing Participation in Alzheimer's Research: A Comparative Study of Community Health Worker -Led and Digital Recruitment Strategies in Hispanic/Latino Communities.Journal of racial and ethnic health disparities · 2026Article
- The role of social context in cognitive and neurobehavioural outcomes in epilepsy.Nature reviews. Neurology · 2026Review
- A study on the trajectory of change and influencing factors of care dependence in elderly patients during hospitalization after total hip arthroplasty.BMC nursing · 2026Article
- Racial and ethnic disparities in diabetes-related healthcare service use.Frontiers in clinical diabetes and healthcare · 2026Article
- eHealth literacy mediates the relationship between health literacy and concussion attitudes among parents in South Korea.Frontiers in public health · 2026Article
- Health literacy of the higher education community in a European country: a cross-sectional survey.BMC public health · 2025Article
- Public community knowledge regarding multidisciplinary rehabilitation of spinal cord injury in Lebanon: a cross-sectional study.BMC public health · 2025Article
- Public Perception of Clinical Trials and Its Predictors Among Polish Adults.Journal of clinical medicine · 2025Article
- Health Literacy and Self-Efficacy in Parents of Toddlers-A Cross-Sectional Study.Nursing open · 2025Article
- Quality of Oral Anticoagulation Control with Warfarin According to Sex: A Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Effectiveness of Virtual Home Health Care for Chronic Diseases Management: A Cross-Sectional Study Among the Saudi Population.Journal of multidisciplinary healthcare · 2025Article
- Relationship between health-seeking behavior and digital health literacy in epilepsy patients.Revista da Escola de Enfermagem da U S P · 2025Article
- Correlations of health literacy with individuals' understanding and use of medications in Southern Taiwan.Open medicine (Warsaw, Poland) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
significanceHealth literacy, the ability to understand necessary health information to make proper health decisions, has been linked to greater frequency of hospitalizations. However, there is limited literature on the associations between health literacy and outcomes in patients with epilepsy, and thus, this secondary analysis investigates the associations between health literacy and outcomes in patients with epilepsy enrolled in the self-management intervention "Self-management for people with epilepsy and a history of negative events" (SMART). We examined the associations between higher health literacy and higher education level and outcomes of the SMART trial.
methodsThis is a secondary analysis of data from the SMART self-management intervention, where individuals were randomized to the SMART intervention or a 6-month waitlist (WL) control. Health literacy was assessed at baseline before randomization using the Rapid Estimate of Adult Literacy in Medicine (REALM-R). Education level was self-reported by participants at baseline. Pearson correlations between REALM-R scores and continuous demographic and clinical variables were conducted. Point-biserial Pearson correlations were computed for REALM-R and dichotomous variables. The effect of education on change in negative health events (NHEs) counts from baseline to six months was conducted using a linear regression. A logistic regression with health literacy and randomization arm as predictors and improvement in NHE (1 = improvement, 0 = no change or increased NHEs at 6 months) as the outcome was conducted.
resultsLower education and lower income were significantly correlated with lower health literacy (p < 0.001 and p = 0.03). Higher education level was associated with a greater improvement in 6-month seizure counts (r
conclusionsThe SMART intervention appears effective for individuals regardless of health literacy competency. Nevertheless, individuals with higher levels of education have fewer epilepsy complications, and thus, those with limited education may still require additional support while participating in epilepsy self-management programs.
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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.