Trial reportResearch in nursing & health2025
The Effect of European Health Literacy-Based e-Pulse Education and e-Pulse Instructional Materials on Health Literacy Levels in Adults Aged 45-64: A Randomized Controlled Trial.
Trial report in Research in nursing & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05831254 (Comparison of the Effects of European Health Literacy Based Education and E-Pulse Education on the Level of Health Literacy in Adults Aged 45-64), which is not on this map. Cited by 1 paper.
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.
Comparison of the Effects of European Health Literacy Based Education and E-Pulse Education on the Level of Health Literacy in Adults Aged 45-64: a Randomized Controlled Study with Active Control Group
Who cites it
1 citing paper in PubMed.
- Construction of an e-Health Literacy Program for Patients with Obstructive Sleep Apnea-Hypopnea Syndrome Based on Integrative Model of eHealth Use.Nature and science of sleep · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
e-Pulse is an electronic personal health record system known as e-Nabız in Turkey. This study compares the effect of European Health Literacy-based e-Pulse education and e-Pulse instructional materials on the health literacy levels of adults aged 45-64 with inadequate and problematic-limited health literacy levels. This single-blind, randomized controlled trial was conducted from June 2023 to September 2023. It included 140 participants, assigned to either the intervention group (n = 70) or the active control group (n = 70). The intervention group received HLS-EU-based e-Pulse education, which consisted of two 45-min sessions over 6 weeks, along with the e-Pulse user guide and introduction video. The active control group only received the e-Pulse user guide and introduction video, and each participant was individually briefed on the e-Pulse system content for 5-10 min. Results were measured using the European Health Literacy Survey Questionnaire (HLS-EU-Q47) and the eHealth Literacy Scale (eHEALS) at baseline and the sixth week. Both the intervention and active control groups showed an increase in health literacy and eHealth literacy scores, but the mean change was greater in the intervention group. A statistically significant difference was found in the effects of HLS-EU-based e-Pulse education and e-Pulse instructional materials on both health literacy (F (1, 137) = 25.215; p < 0.001) and eHealth literacy (F (1, 137) = 36.134; p < 0.001). HLS-EU-based e-Pulse education significantly improved health literacy (d = 0.8492; p < 0.001) and eHealth literacy (d = 1.0175; p < 0.001) compared to e-Pulse instructional materials. The intervention group demonstrated significantly higher rates of sufficient (32.9%) and excellent (12.9%) health literacy. Notably, a medium correlation (r = 0.602; p < 0.001) was observed between health literacy and eHealth literacy. Trial Registration: ClinicalTrials.gov (ID: NCT05831254) https://clinicaltrials.gov/study/NCT05831254.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.