SynthesisHealth promotion international2023
Systematic review of health literacy champions: who, what and how?
Synthesis in Health promotion international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health literacy research on the island of Ireland: a systematic review.Health promotion international · 2025Pooled it
- What works to improve health and digital health literacy in disadvantaged groups: A policy-focused evidence brief.Public health in practice (Oxford, England) · 2026Article
- Clear Conversations: a mixed methods evaluation of a verbal health literacy initiative for health service providers.BMC health services research · 2026Article
- Co-Creating Organisational Health Literacy: Formative Evaluation and Feasibility Testing of OHL-Act.International journal of environmental research and public health · 2026Article
- Development of a health literacy framework for primary health care service users in Qatar: a mixed methods study.BMC health services research · 2026Article
- Digital health literacy framework for PE teachers: a grounded theory study.Frontiers in public health · 2026Article
- Implementation context, mechanisms and outcomes of a transitional care intervention to prevent delirium: a mixed-methods process evaluation from the TRADE study.BMC geriatrics · 2025Article
- Organizational health literacy of schools in Germany: results of a cross-sectional study.Health promotion international · 2025Article
- Care Providers' and Parents' Experiences with Implementing the Conversational Health Literacy Assessment Tool (CHAT)-Maternity-Care in the Netherlands: A Mixed Methods Study.Healthcare (Basel, Switzerland) · 2025Article
- Health literacy in Ireland: insights from rural and urban community perspectives.Health promotion international · 2025Article
- Strategies Used by Emergency Department Clinical Champions to Sustain Improvements in Intimate Partner Violence Screening: A Longitudinal Qualitative Study.Journal of nursing management · 2025Article
- Health Literacy in Africa-A Scoping Review of Scientific Publications.International journal of environmental research and public health · 2024Article
- Impact of a transformative health literacy model for Thai older adults with hypertension.BMC research notes · 2024Article
- Addressing Health Illiteracy and Stunting in Culture-Shocked Indigenous Populations: A Case Study of Outer Baduy in Indonesia.International journal of environmental research and public health · 2024Article
- Communicate to Care: Implementing Health Literacy in a Pediatric Ears, Nose, and Throat Clinic.Health literacy research and practice · 2024Article
- An Orthopedic Healthcare Facility Governance Assessed with a New Indicator System.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Health literacy is an important aspect of equitable, safe, and high-quality care. For organizations implementing health literacy initiatives, using 'change champions' appears to be a promising strategy. This systematic review aimed to identify the empirical and conceptual research that exists about health literacy champions. We conducted the systematic literature search using MEDLINE, Embase, CINAHL, Scopus, and PubMed, with additional studies identified by searching references and citations of included studies and reviews of organizational health literacy. Seventeen articles were included in the final review (case studies, n = 9; qualitative research, n = 4; quasi-experimental, n = 2; opinion articles without case studies, n = 2). Using JBI critical appraisal tools, most articles had a high risk of bias. Often champions were not the focus of the article. Champions included staff across frontline, management, and executive levels. Only five studies described training for champions. Key champion activities related to either (i) increasing organizational awareness and commitment to health literacy, or (ii) influencing organizational strategic and operational planning. The most common output was ensuring that the organization's health information materials met health literacy guidelines. Articles recommended engaging multiple champions at varying levels within the organization, including the executive level. Limited funding and resources were key barriers. Two of four articles reported positive impacts of champions on implementation of health literacy initiatives. Overall, few of the articles described health literacy champions in adequate detail. More comprehensive reporting on this implementation strategy and further experimental and process evaluation research are needed to progress this area of research. This systematic review was registered with PROSPERO (CRD42022348816).
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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.