Observational studyBMC health services research2022
Considering health literacy in cardiovascular disease management: a qualitative study on healthcare professionals' and patients' perspectives.
Observational study in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03949309 (Pilot Study of ILIADE), which is not on this map. Cited by 9 papers.
What it found
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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.
Pilot Study of ILIADE: Exploring Health Literacy Within Patients Hospitalized for Acute Cardiovascular Events
Who cites it
9 citing papers in PubMed.
- Rehabilitation Experiences and Support Needs of Patients With Hemiplegic Shoulder Pain Based on the ICF Framework: A Qualitative Study.Musculoskeletal care · 2026Article
- Healthcare Professionals' Perspectives on Barriers and Facilitators to Medication Adherence Post Myocardial Infarction: A Qualitative Study Using the Theoretical Domains Framework.Pharmacy (Basel, Switzerland) · 2026Article
- Role of Shame and Concealment in Patient-Provider Communication Among Individuals With Low Health Literacy: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- Validation of health literacy competencies for healthcare professionals in Korea: a psychometric evaluation study.BMC medical education · 2026Article
- Effects of medagogy-based health literacy enhancement on self-management behaviors and functional capacity among older persons with chronic heart failure: A randomized controlled trial.Belitung nursing journal · 2026Article
- Association between health literacy and kinesiophobia in patients after percutaneous coronary intervention.Frontiers in psychology · 2026Article
- Barriers to health literacy of patients with cardiac implantable electronic devices: A qualitative approach.Health information and libraries journal · 2025Article
- Health literacy and motivation to change health behavior among cardiovascular patients.BMC cardiovascular disorders · 2025Article
- Development and validity of a booklet on myocardial revascularization for patient and caregiver education.Revista brasileira de enfermagem · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundImplementing practices adapted to patient health literacy (HL) is a promising avenue for improving their outcomes in the context of cardiovascular diseases (CVD). The health communication skills of healthcare professionals (HCPs) and the quality of information provided are essential for low-HL patients. We aimed to explore HCP knowledge about HL, patients' and HCPs' views on current practices regarding low-HL patients, and facilitators and barriers to adapting communication to patients' HL level, in order to prepare the implementation of a complex intervention dedicated to improve CVD management for low-HL patients.
methodsWe conducted face-to-face semi-structured interviews with HCPs practicing in cardiology units and patients hospitalized for CVD. The study design and analysis were based on the Theory of Planned Behavior for HCPs and on the framework of Health Literacy and Health Action for patients. Deductive and inductive thematic analysis were used. Barriers and facilitators were structured into an Ishikawa fishbone diagram and implementation strategies were selected to address resulting themes from the Expert Recommendations for Implementing Change (ERIC).
resultsFifteen patients and 14 HCPs were interviewed. HCPs had partial knowledge of HL dimensions. Perceptions of HCPs and patients were not congruent regarding HCP-patient interactions and information provided by hospital and community HCPs. HCPs perceived they lacked validated tools and skills, and declared they adapted spontaneously their communication when interacting with low-HL patients. Patients expressed unmet needs regarding communication during hospital discharge and at return to home.
conclusionTo implement HL-tailored practices in this setting, our results suggest that several implementation strategies will be valuable at individual (engaging patients and their family), interactional (educating and training of HCPs about HL), and organizational levels (creating a multidisciplinary HCP interest group dedicated to HL).
trial registrationClinicalTrials.gov, (NCT number) NCT03949309, May 10, 2019.
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