Evidence map›Paper›PMID 34886185›Full record

SynthesisInternational journal of environmental research and public health2021

The Role of Health Literacy in Health Behavior, Health Service Use, Health Outcomes, and Empowerment in Pediatric Patients with Chronic Disease: A Systematic Review.

Lisa Riemann, Johanna Sophie Lubasch, Axel Heep, Lena Ansmann

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% 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.

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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  9. Health literacy in pediatric thrombosis: a landscape analysis.Research and practice in thrombosis and haemostasis · 2025
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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

4 authors at 1 institution in 1 country.

Lisa RiemannOrganizational Health Services Research, School of Medicine and Health Sciences, University of Oldenburg, Ammerlaender Heerstr. 114-118, 26129 Oldenburg, Germany.
Johanna Sophie LubaschOrganizational Health Services Research, School of Medicine and Health Sciences, University of Oldenburg, Ammerlaender Heerstr. 114-118, 26129 Oldenburg, Germany.ORCID 0000-0002-4315-1816
Axel HeepDepartment of Paediatrics, School of Medicine and Health Sciences, University of Oldenburg, Rahel-Straus-Str. 10, 26133 Oldenburg, Germany.
Lena AnsmannOrganizational Health Services Research, School of Medicine and Health Sciences, University of Oldenburg, Ammerlaender Heerstr. 114-118, 26129 Oldenburg, Germany.
Carl von Ossietzky Universität Oldenburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

About 8% of all children and adolescents worldwide are affected by chronic diseases. Managing chronic conditions requires pediatric patients to be health literate. The purpose of this review is to examine the existing evidence on the links between health literacy and its outcomes proposed by the model by Sørensen et al. in chronically ill pediatric patients. Four electronic databases (PubMed, Scopus, CINAHL, PsycINFO) were searched to identify pertinent articles published up to November 2021. The search was conducted independently by two researchers and restricted to observational studies. Of 11,137 initial results, 11 articles met eligibility criteria. Overall, 6 studies identified a significant association between health literacy and one of the considered outcomes. Regarding health behavior, none of the studies on adherence found significant associations with health literacy. The results in terms of health service use were inconclusive. Regarding health outcomes, health literacy did not affect most physiological parameters, but it significantly improved health-related quality of life. Overall, evidence remains inconclusive but suggests that health literacy is associated with self-efficacy, health-related quality of life, and health service use in pediatric patients. Further research should be undertaken to strengthen the evidence.

Indexed as

Health LiteracyAdolescentChildChronic DiseaseHealth BehaviorHumansOutcome Assessment, Health CarePatient Acceptance of Health CareQuality of Lifeadolescentschildrenchronic conditionsempowermenthealth behaviorhealth literacyhealth outcomesreview

Identifiers

PMID34886185
PMCPMC8656602
OpenAlexW3215984545

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.