Evidence map›Paper›PMID 41564018›Full record

ArticleHealth promotion international2026

A scoping review of measures to assess health professionals' competencies related to health literacy.

Olivia Mac, Sarah Marshall, Kathleen McFadden, Julie Ayre, Kirsten J McCaffery, Sk Masum Billah, Danielle M Muscat

Abstract readScoping Review
In one paragraph

Article in Health promotion international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Olivia MacSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Room 128c Edward Ford Building (A27), Sydney, NSW 2006, Australia.ORCID 0000-0002-6760-4779
Sarah MarshallSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Room 128c Edward Ford Building (A27), Sydney, NSW 2006, Australia.ORCID 0000-0002-1462-3087
Kathleen McFaddenSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Room 128c Edward Ford Building (A27), Sydney, NSW 2006, Australia.
Julie AyreSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Room 128c Edward Ford Building (A27), Sydney, NSW 2006, Australia.ORCID 0000-0002-5279-5189
Kirsten J McCafferySydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Room 128c Edward Ford Building (A27), Sydney, NSW 2006, Australia.ORCID 0000-0003-2696-5006
Sk Masum BillahSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Room 128c Edward Ford Building (A27), Sydney, NSW 2006, Australia.ORCID 0000-0002-8690-6932
Danielle M MuscatORCID 0000-0001-6106-6298

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health professionals play an important role in addressing health literacy and ensuring that health systems and information are easy to understand, access, and navigate. We conducted a scoping review to identify and describe measures and tools that assess health professionals' health literacy competency related to knowledge, skills, practices, attitudes, self-efficacy, and behavioural intentions. Electronic databases MEDLINE, Embase, CINAHL, PubMed, and Scopus were searched in August 2023 and updated in November 2024. Articles were eligible if they included a measure of health professionals' knowledge, skills, and competencies related to health literacy. We included quantitative studies conducted in all clinical settings and all study types. Two authors independently screened titles, abstracts, and full text articles. The relevant data were extracted and narratively synthesized. In total, 128 articles were identified. We identified 88 unique measures to assess health professionals' health literacy competencies, which were applied across a range of health professional contexts. Overall 59% (n = 76) of tools were purpose-built and used only once. The most frequently assessed domain of health literacy competency was performance-based knowledge, assessed by 45 unique measures. Thirty-seven unique measures reported some form of validity and/or reliability testing, however, of these measures only 16% (n = 6) examined construct validity. This review provides a comprehensive overview of existing measures and highlights the need for rigorous and externally valid tools that are more closely aligned with health literacy competency frameworks.

Indexed as

Clinical CompetenceHealth LiteracyHealth PersonnelProfessional CompetenceHealth Knowledge, Attitudes, PracticeHumansReproducibility of ResultsSelf Efficacyeducation and training (see medical education and training)health literacymedical education and training

Identifiers

PMID41564018
PMCPMC12822595

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.