Evidence map›Paper›PMID 38535715›Full record

ArticleNursing reports (Pavia, Italy)2024

The Rising Challenge of Poor Health Literacy of Patients with Systemic Sclerosis: Preliminary Data Identify Important Unmet Needs in an Italian Cohort.

Khadija El Aoufy, Maria Ramona Melis, Paolo Iovino, Stefano Bambi, Chiara Lorini, Guglielmo Bonaccorsi, Ilaria Galetti, Carla Garbagnati, Paola Canziani, Silvia Tonolo and 6 more

Open access · goldAbstract read
In one paragraph

Article in Nursing reports (Pavia, Italy), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

16 authors at 5 institutions in 2 countries.

Khadija El AoufyDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Maria Ramona MelisDepartment of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy.
Paolo IovinoDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Stefano BambiDepartment of Health Science, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-0360-4470
Chiara LoriniHealth Literacy Laboratory, Department of Health Science, University of Florence, 50134 Florence, Italy.ORCID 0000-0003-3170-1857
Guglielmo BonaccorsiHealth Literacy Laboratory, Department of Health Science, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-5171-4308
Ilaria GalettiGILS (Gruppo Italiano Lotta alla Sclerodermia), 50134 Milan, Italy.
Carla GarbagnatiGILS (Gruppo Italiano Lotta alla Sclerodermia), 50134 Milan, Italy.
Paola CanzianiGILS (Gruppo Italiano Lotta alla Sclerodermia), 50134 Milan, Italy.
Silvia TonoloANMAR Onlus (Associazione Nazionale Malati Reumatici), 00145 Rome, Italy.
Marco MitolaASSMAF (Associazione per lo Studio della Sclerosi Sistemica e delle Malattie Fibrosanti), 50143 Florence, Italy.
Serena GuiducciRheumatology Unit, Department of Experimental and Clinical Medicine, Section of Internal Medicine, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence, 50134 Florence, Italy.
Daniel E FurstRheumatology Unit, Department of Experimental and Clinical Medicine, Section of Internal Medicine, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence, 50134 Florence, Italy.
Marco Matucci-CerinicUnit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS San Raffaele Hospital, 20132 Milan, Italy.
Laura RaseroDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Silvia Bellando-RandoneRheumatology Unit, Department of Experimental and Clinical Medicine, Section of Internal Medicine, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence, 50134 Florence, Italy.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · ITAssociazione Italiana Sclerosi Multipla · ITUniversity of California, Los Angeles · USVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RATIONALE AND

aimHealth literacy (HL) is pivotal for the successful self-management of chronic diseases. Little HL information is currently available in SSc patients; therefore, the present study aims at evaluating the HL levels in an Italian cohort of SSc patients.

methodsSSc patients were enrolled with the support of Italian patient associations, from September 2022 to March 2023. Health literacy characteristics were derived from the Health Literacy Scale European Questionnaire-16 (HLS-EU-Q16), consisting of 16 items designed on a four-point Likert scale ranging from "very difficult" to "very easy", and three HL levels were identified: inadequate HL (0-8 score); problematic HL (9-12 score); and sufficient HL (13-16 score).

resultsEnrolled patients (n = 57, mean age = 59 years, SD = 13.2) were mostly female (98.2%), partnered (73.7%), and unemployed or retired (67.9%). Almost half of SSc patients were diagnosed more than 10 years ago, with first symptoms appearing on average 19 years ago (SD 10.5). In 63% of the participants, the overall health literacy skills were inadequate, or problematic, especially in the health care and disease prevention domains. Indeed, 49.2% of the patients declared difficulty in finding information on treatments for illnesses and where to get professional help (42.1%), 47.6% found difficulty in retrieving information on how to manage mental health problems, and 40.4% declared difficulties in judging whether the information on health risks in the media was reliable.

conclusionsOur findings show that SSc patients have inadequate or problematic levels of HL, suggesting the need for periodic screenings to uncover poor health literacy skills and to provide tailored and understandable educational material. This study was not registered.

Indexed as

health literacyobservational studysclerodermaself-caresystemic sclerosis

Identifiers

PMID38535715
PMCPMC10976134
OpenAlexW4392459296

What OpenQuestion holds

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LicenceCC BY
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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.