Evidence map›Paper›PMID 33549253›Full record

ArticleMayo Clinic proceedings2021

Disparities in Research Participation by Level of Health Literacy.

Sunil Kripalani, Kathryn Goggins, Catherine Couey, Vivian M Yeh, Katharine M Donato, John F Schnelle, Kenneth A Wallston, Vanderbilt Inpatient Cohort Study

Abstract read
In one paragraph

Article in Mayo Clinic proceedings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing 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

54 citing papers in PubMed.

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  14. Stakeholder perspectives on the use of patient-reported outcome measures in colorectal cancer survivorship care in general practice: qualitative study using interviews.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
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  17. Understanding how personalized pediatric asthma information and support addresses rural families' unmet needs.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Sunil KripalaniDivision of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN; Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN. Electronic address: sunil.kripalani@vumc.org.
Kathryn GogginsCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, TN; Center for Effective Health Communication, Vanderbilt University Medical Center, Nashville, TN.
Catherine CoueyCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, TN; Center for Effective Health Communication, Vanderbilt University Medical Center, Nashville, TN.
Vivian M YehCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, TN.
Katharine M DonatoGeorgetown University, Washington, DC.
John F SchnelleCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, TN.
Kenneth A WallstonCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, TN.
Vanderbilt Inpatient Cohort Study

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Health Literacy, Hospital Discharge, and Cardiovascular OutcomesR01HL109388 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL · 2011 to 2015
$3.3M
Brief Assessment of Health Literacy and Association with Cardiovascular OutcomesR21HL096581 · NHLBI · VANDERBILT UNIVERSITY · PI KRIPALANI, SUNIL · 2010 to 2011
$427k
NCATS NIH HHS UL1 TR000445NHLBI NIH HHS R01 HL109388NHLBI NIH HHS R21 HL096581
6 · The paper itself

Abstract

objectiveTo determine at which phase in the recruitment process for participation in clinical research studies do health literacy and other patient characteristics influence recruitment outcomes. PATIENTS AND

methodsUsing a sample of 5872 patients hospitalized with cardiovascular disease approached for participation in the Vanderbilt Inpatient Cohort Study from October 2011 through December 2015, we examined the independent association of patients' health literacy with two steps in their research participation decision-making process: (1) research interest - willingness to hear more about a research study; and (2) research participation - the decision to enroll after an informed consent discussion. Best practices for effective health communication were implemented in recruitment approaches and informed consent processes. Using logistic regression models, we determined patient characteristics independently associated with patients' willingness to hear about and participate in the study.

resultsIn unadjusted analyses, participants with higher health literacy, and those who were younger, female, or had more education had higher levels of both research interest and research participation. Health literacy remained independently associated with both outcomes in multivariable models, after adjustment for sociodemographic factors.

conclusionBecause identical variables predicted both research interest and eventual consent, efforts to recruit broad populations must include acceptable methods of approaching potential participants as well as explaining study materials.

Indexed as

Biomedical ResearchHealth LiteracyInformed ConsentPatient ParticipationAgedAge FactorsCardiovascular DiseasesFemaleHumansMaleMiddle AgedProspective StudiesSex FactorsTennessee

Identifiers

PMID33549253
PMCPMC7874435

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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.