Evidence map›Paper›PMID 33507479›Full record

ArticleJournal of general internal medicine2021

Health Literacy, Processing Capacity, Illness Knowledge, and Actionable Memory for Medication Taking in Type 2 Diabetes: Cross-Sectional Analysis.

Jessie Chin, Huaping Wang, Adam W Awwad, James F Graumlich, Michael S Wolf, Daniel G Morrow

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01296633 (Medtable), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
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.

NCT01296633 nacompletednot on this map

Medtable: An Electronic Medical Record (EMR) Strategy to Promote Patient Medication Understanding and Use

TypeinterventionalSponsorUniversity of Illinois at Urbana-ChampaignRan2011 to 2014Enrolled674ConditionsDiabetes MellitusArmsMedtable
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Jessie ChinUniversity of Illinois at Urbana-Champaign, Champaign, IL, USA. chin5@illinois.edu.ORCID 0000-0002-2878-8544
Huaping WangUniversity of Illinois College of Medicine in Peoria, Peoria, IL, USA.
Adam W AwwadUniversity of Illinois College of Medicine in Peoria, Peoria, IL, USA.
James F GraumlichUniversity of Illinois College of Medicine in Peoria, Peoria, IL, USA.
Michael S WolfNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Daniel G MorrowUniversity of Illinois at Urbana-Champaign, Champaign, IL, USA.
Illinois College · USUniversity of Illinois Urbana-Champaign · USNorthwestern University · US

Funding

Medtable: An EMR Strategy to Promote Patient Medication Understanding and UseR01NR011300 · NINR · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI MORROW, DANIEL G · 2010 to 2012
$1.8M
NINR NIH HHS R01 NR011300
6 · The paper itself

Abstract

backgroundPatient knowledge about the purpose of medications is crucial to ensure safe and correct use, so it is an important index of adherence in patients with chronic illness.

objectiveWe examined how health literacy and its components (processing capacity and knowledge about illness) influence memory for medication purposes.

designWe conducted a cross-sectional study to examine memory for medication purposes in relation to health literacy, processing capacity, and illness knowledge among patients with diabetes in outpatient clinics.

participantsSix hundred seventy-four adults who were diagnosed with type II diabetes mellitus, age 40 years or older, taking 5 or more current medications, native speakers of English, and with glycosylated hemoglobin (HbA1c) of 6.0 or more, were recruited to the study. MAIN MEASURES: We included measures of processing capacity, illness knowledge, health literacy, and actionable memory for medication taking (memory for medication purpose). KEY

resultsResults suggested an association between health literacy and both processing capacity and health knowledge, with some evidence that knowledge can compensate for limited processing capacity in order to maintain health literacy. Furthermore, health literacy was associated with memory for medication purposes, with processing capacity and health knowledge partly mediating this association. This pattern of results supports the process-knowledge model of health literacy.

conclusionsOur findings establish the role of health literacy in medication taking, in relation to broader cognitive abilities and knowledge. Implications for improving the learning of medication purpose among diverse older adults with chronic illness are discussed.

trial registrationNIH trial registry number: NCT01296633.

Indexed as

Diabetes Mellitus, Type 2Health LiteracyAdultAgedCross-Sectional StudiesHealth Knowledge, Attitudes, PracticeHumansMedication Adherencediabeteshealth literacyillness knowledgemedication schemasmemory for medication purpose

Identifiers

PMID33507479
PMCPMC8298723
OpenAlexW3125523317

What OpenQuestion holds

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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.