Evidence map›Paper›PMID 40564506›Full record

ArticleBehavioral sciences (Basel, Switzerland)2025

Primary and Emergency Care Use: The Roles of Health Literacy, Patient Activation, and Sleep Quality in a Latent Profile Analysis.

Dietmar Ausserhofer, Verena Barbieri, Stefano Lombardo, Timon Gärtner, Klaus Eisendle, Giuliano Piccoliori, Adolf Engl, Christian J Wiedermann

Abstract read
In one paragraph

Article in Behavioral sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Dietmar AusserhoferInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.
Verena BarbieriInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.
Stefano LombardoProvincial Institute for Statistics of the Autonomous Province of Bolzano-South Tyrol (ASTAT), 39100 Bolzano, Italy.ORCID 0009-0009-8034-8480
Timon GärtnerProvincial Institute for Statistics of the Autonomous Province of Bolzano-South Tyrol (ASTAT), 39100 Bolzano, Italy.ORCID 0000-0001-6187-5159
Klaus EisendleDirectorate, Claudiana-College of Health Professions, 39100 Bolzano, Italy.ORCID 0000-0002-8234-9964
Giuliano PiccolioriInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.ORCID 0000-0003-1974-4184
Adolf EnglInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.
Christian J WiedermannInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.ORCID 0000-0002-4639-8195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesHealthcare utilization is a behavioral phenomenon influenced by psychosocial factors. This study took place in South Tyrol, a culturally diverse autonomous province in northern Italy, and aimed to identify latent profiles of primary healthcare users based on health literacy, patient activation, sleep quality, and service use, and to examine the sociodemographic and health-related predictors of profile membership.

methodsA cross-sectional survey was conducted with a representative adult sample (

resultsAmong the 1645 respondents with complete data, a three-cluster solution showed a good model fit (BIC = 19,518; silhouette = 0.130). The identified profiles included 'Balanced Self-Regulators' (72.8%), 'Struggling Navigators' (25.8%), and 'Hyper-Engaged Users' (1.4%). Sleep quality could be used to differentiate between different levels of service use (

conclusionsThe latent profiling revealed distinct patterns in health care engagement. Behavioral segmentation can inform more tailored and culturally sensitive public health interventions in diverse settings such as South Tyrol.

Indexed as

healthcare engagementhealth literacylatent profile analysispatient activationprimary healthcare utilizationsleep qualitySouth Tyrol

Identifiers

PMID40564506
PMCPMC12189281

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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.