Evidence map›Paper›PMID 40655032›Full record

SynthesisGlobal heart2025

Quality of Available Cardiovascular Disease Knowledge Tools: A Systematic Review.

Michael A Fajardo, Cassia Yung, Samuel Cornell, Rajesh Puranik, Anna L Hawkes, Shiva Raj Mishra, Jenny Doust, Carissa Bonner

Abstract readSystematic Review
In one paragraph

Synthesis in Global heart, 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.

Michael A FajardoFaculty of Medicine and Health, School of Public Health, University of Sydney, NSW, Australia.
Cassia YungFaculty of Medicine and Health, School of Public Health, University of Sydney, NSW, Australia.ORCID 0009-0003-7311-6338
Samuel CornellFaculty of Medicine and Health, School of Public Health, University of Sydney, NSW, Australia.ORCID 0000-0003-4944-7826
Rajesh PuranikFaculty of Medicine and Health, School of Public Health, University of Sydney, NSW, Australia.
Anna L HawkesSchool of Public Health, Faculty of Medicine, University of Queensland, Herston, QLD, Australia.ORCID 0000-0002-4232-6127
Shiva Raj MishraFaculty of Medicine and Health, School of Public Health, University of Sydney, NSW, Australia.ORCID 0000-0002-2993-3504
Jenny DoustAustralian Women and Girls' Health Research (AWaGHR) Centre, School of Public Health, Faculty of Medicine, University of Queensland, Herston, QLD, Australia.ORCID 0000-0002-4024-9308
Carissa BonnerFaculty of Medicine and Health, School of Public Health, University of Sydney, NSW, Australia.ORCID 0000-0002-4797-6460

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiovascular disease (CVD) is the leading cause of morbidity and mortality. Most people can reduce their CVD risk through lifestyle improvements and medication. Having low health literacy is a barrier to CVD prevention and management and is associated with worse health outcomes. Knowledge is a key component of health literacy, but there is no standard way for clinicians to assess this to tailor education about CVD. The aim of this review was to identify available CVD knowledge tests and evaluate their quality. Methods: Electronic database searches were conducted using Medline, CINAHL, PsycINFO and PsycTESTS between inception and October 2022. Identified tools were assessed using the Psychometric Grading Framework (PGF) to assess the quality of included tests. Results: A total of 28 studies were identified, of which 18 were original test development papers and 10 were language translation papers. The five most common domains were CVD risk factors, nutrition, heart physiology, physical activity, and treatment options. Three papers achieved an A grading on the PGF. Only one test provided a guide to classify patients based on the results. Conclusions: This review identified 15 additional knowledge assessment tools compared to previous research, including some available in multiple languages. Clinicians can access a wide range of CVD knowledge assessment tools to understand and respond to patient knowledge levels, but some are higher quality than others. Alternative tools may be needed to assess specific risk factor and condition knowledge. Further work is needed to tailor CVD knowledge tests for populations lower health literacy, and to validate the tests against health outcomes to improve clinical practice. PROSPERO: CRD42022370227. What is Known: Having low health literacy is associated with worse cardiovascular outcomes.Knowledge is a key component of health literacy, but there is no standard way to assess this for CVD.An assessment of the quality and reliability of CVD knowledge tests could support clinicians to tailor patient education to health literacy needs. What the Study Adds: We identified 15 additional tests development papers that were not captured in earlier reviews of CVD knowledge tests.There are multiple high quality CVD knowledge tests available to clinicians, and tests available in different languages.These tests may be used to tailor patient education to individual health literacy needs.

Indexed as

Cardiovascular DiseasesHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansCardiovascular DiseaseHealth KnowledgeHealth LiteracyPatient Health QuestionnaireSystematic Review

Identifiers

PMID40655032
PMCPMC12247824

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.