Evidence map›Paper›PMID 36260214›Full record

ArticleAging clinical and experimental research2023

Health literacy of informal caregivers of older adults with dementia: results from a cross-sectional study conducted in Florence (Italy).

Chiara Lorini, Primo Buscemi, Enrico Mossello, Annamaria Schirripa, Barbara Giammarco, Lisa Rigon, Giuseppe Albora, Duccio Giorgetti, Massimiliano Alberto Biamonte, Letizia Fattorini and 5 more

Abstract read
In one paragraph

Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Digital health interventions for informal cancer caregivers' mental health management: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  2. Article
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  4. Dementia Care Partner Health Literacy as a Mediator Between Education and Burden at Hospital Discharge.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
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  7. Response to: "Exploring the determinants of health literacy and its effects on health‑related outcomes in family caregivers of patients with cancer".Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 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

15 authors.

Chiara LoriniDepartment of Health Science, University of Florence, Florence, Italy.
Primo BuscemiMedical Specialization School in Hygiene and Preventive Medicine, University of Florence, viale GB Morgagni 48, 50134, Florence, Italy. primo.buscemi@unifi.it.
Enrico MosselloDivision of Geriatric and Intensive Care Medicine, Careggi Hospital, Firenze, Italy.
Annamaria SchirripaMedical Specialization School in Hygiene and Preventive Medicine, University of Florence, viale GB Morgagni 48, 50134, Florence, Italy.
Barbara GiammarcoMedical Specialization School in Hygiene and Preventive Medicine, University of Florence, viale GB Morgagni 48, 50134, Florence, Italy.
Lisa RigonMedical Specialization School in Hygiene and Preventive Medicine, University of Florence, viale GB Morgagni 48, 50134, Florence, Italy.
Giuseppe AlboraMedical Specialization School in Hygiene and Preventive Medicine, University of Florence, viale GB Morgagni 48, 50134, Florence, Italy.
Duccio GiorgettiMedical Specialization School in Hygiene and Preventive Medicine, University of Florence, viale GB Morgagni 48, 50134, Florence, Italy.
Massimiliano Alberto BiamonteMedical Specialization School in Hygiene and Preventive Medicine, University of Florence, viale GB Morgagni 48, 50134, Florence, Italy.
Letizia FattoriniMedical Specialization School in Hygiene and Preventive Medicine, University of Florence, viale GB Morgagni 48, 50134, Florence, Italy.
Rita Manuela BrunoSchool of Geriatric Medicine, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Gemma GiustiDepartment of Health Science, University of Florence, Florence, Italy.
Yari LongobuccoDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Andrea UngarDivision of Geriatric and Intensive Care Medicine, Careggi Hospital, Firenze, Italy.
Guglielmo BonaccorsiDepartment of Health Science, University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to measure the prevalence of inadequate health literacy (HL) in a sample of family caregivers of older adults with dementia, and to assess the relationship of HL with characteristics of caregiver and persons with dementia.

methodsThe study followed a cross-sectional design. Persons with dementia and their family caregivers were enrolled in an outpatients' geriatric memory clinic. For the caregivers, the following information was collected: socio-demographic data, level of HL, cognitive impairment (using the Mini-Cog). For persons with dementia, the following data were collected: socio-demographic data, functional status (using the Basic and Instrumental Activities of Daily Living), cognitive impairment (using the Mini Mental State Evaluation, and the Global Deterioration Scale) behavioral and psychological symptoms associated with dementia (assessed using the Neuropsychiatric Inventory).

resultsA total of 174 person with dementia/caregiver dyads were enrolled. About 45% of the caregivers presented a possibility or a high likelihood of inadequate HL. The percentage of caregivers with inadequate HL was higher among spousal caregivers than in offspring. Female gender, higher age and lower education were independent predictors of low HL. On multiple logistic regression analysis, persons with dementia assisted by caregivers with a high likelihood of limited HL presented higher risk of a more severe disease.

conclusionThe results of this study suggest that the HL of dementia caregivers has to be included in the comprehensive geriatric assessment, to develop an appropriate individualized care plan. Moreover, public health interventions are needed to increase the HL of dementia caregivers.

Indexed as

DementiaHealth LiteracyActivities of Daily LivingAgedCaregiversCross-Sectional StudiesFemaleHumansDementiaFamily caregiverHealth literacyOlder adults

Identifiers

PMID36260214
PMCPMC9580430

What OpenQuestion holds

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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.