Evidence map›Paper›PMID 39998926›Full record

ReviewThe Journal of clinical endocrinology and metabolism2025

Insights on Improving Health Insurance Literacy in Diabetes.

Julia E Blanchette, Laura M Nally, Katherine Wentzell, Allyson S Hughes, Nancy A Allen, Michelle L Litchman

Abstract readReview
In one paragraph

Review in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Julia E BlanchetteDiabetes and Metabolic Care Center, Division of Endocrinology, Department of Medicine, University Hospitals, Cleveland, OH 44106, USA.ORCID 0000-0002-6714-4792
Laura M NallySchool of Medicine, Yale University, New Haven, CT 06510, USA.ORCID 0000-0003-4349-4808
Katherine WentzellPediatric, Adolescent and Young Adult Section, Joslin Diabetes Center, Boston, MA 02215, USA.ORCID 0000-0002-3589-2980
Allyson S HughesDepartment of Primary Care, Ohio University Heritage College of Osteopathic Medicine, Athens, OH 45701, USA.ORCID 0000-0003-1054-7096
Nancy A AllenCollege of Nursing, University of Utah, Salt Lake City, UT 84112, USA.ORCID 0000-0001-7358-2265
Michelle L LitchmanCollege of Nursing, University of Utah, Salt Lake City, UT 84112, USA.ORCID 0000-0002-8928-5748

Funding

Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI GERALD I SHULMAN · 1993 to 2026
$44.0M
Investigating the Impact of Financial Toxicity in Young Adults with T1DK23DK138324 · NIDDK · BOSTON COLLEGE · PI Katherine Wentzell · 2024 to 2026
$586k
NIDDK NIH HHS K23 DK138324NIDDK NIH HHS P30 DK045735
6 · The paper itself

Abstract

contextMany adults with diabetes cannot afford medications or health care and have low health insurance literacy, resulting in psychological distress and barriers to optimal self-management.

objectiveThis mini-review aimed to explore the effectiveness of health-insurance literacy interventions and provide recommendations for diabetes practice.

methodsWe conducted a thorough search of relevant PubMed and Scopus studies from 2014 to 2024. Our inclusion criteria were interventions or pilot intervention studies using the search terms "health insurance" OR "health insurance literacy" OR "population (oncology, young adults/college/university students, and adults)." We then meticulously analyzed the quality of these studies, and assessments were conducted in Excel. We synthesized the evidence on interventions used to support health-insurance literacy across chronic health conditions and the general population, and their applications to diabetes care. Our findings showed effective interventions address a population's specific learning needs and literacy level. Multiple/diverse methods were used, including web-based decision aids, virtual sessions, hands-on support from navigators, Serious Games, educational workshops, and online microvideo Toolkits. Critical gaps included defining and measuring health-care literacy.

conclusionSolutions for health-insurance education include strategies to incorporate education into academic curricula, diabetes transition programs, community health fairs, and employing community health workers within health-care systems. Although there is a validated health insurance literacy measure, consistent use of this measure across future programs can further the critically needed science in this field.

Indexed as

Diabetes MellitusHealth LiteracyInsurance, HealthHumansdiabetesfinancial stresshealth insurancehealth insurance literacy

Identifiers

PMID39998926
PMCPMC12054720

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.