Evidence map›Paper›PMID 42555370›Full record

ArticleHealth promotion international2026

Interventions to promote critical health literacy: a scoping review.

Martin Kalteis, Anke Steckelberg, Sandro Zacher, Jana Hinneburg

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 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

4 authors.

Martin KalteisInstitute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Magdeburger Straße 8, Halle (Saale) 06112, Germany.ORCID 0009-0007-4222-8651
Anke SteckelbergInstitute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Magdeburger Straße 8, Halle (Saale) 06112, Germany.ORCID 0000-0002-8687-3149
Sandro ZacherInstitute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Magdeburger Straße 8, Halle (Saale) 06112, Germany.ORCID 0000-0002-3549-0455
Jana HinneburgInstitute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Magdeburger Straße 8, Halle (Saale) 06112, Germany.ORCID 0000-0002-7154-9418

Funding

Martin Luther University Halle-Wittenberg
6 · The paper itself

Abstract

Critical health literacy (CHL) is regarded essential for critically appraising health information and making informed decisions. However, evidence on CHL-promoting interventions is low, leaving unclear how such interventions are implemented and evaluated, and which conceptualizations of CHL they draw on. This scoping review systematically identified and characterized CHL interventions, including target populations and settings, theoretical and methodological underpinnings, CHL dimensions addressed, evaluation approaches and reported implementation barriers and facilitators. We searched MEDLINE, CINAHL, APA PsycInfo, PSYNDEXplus and ERIC to September 2025 and supplemented this with backward citation searching. Publications reporting interventions with a stated or implicit CHL focus were included and synthesized narratively. Database searches yielded 3715 records and citation searching identified 117 additional records. After screening, 81 publications describing 53 distinct interventions were included. Publication activity increased from 2016 onwards, peaking between 2021 and 2025. Interventions were conducted in 19 countries and were concentrated in educational settings, mostly targeting school and university students. Most interventions focused on appraisal skills and individual action (e.g. informed decision-making), while broader CHL dimensions such as understanding social determinants of health and collective action were rarely addressed. Barriers included limited time and resources, technical infrastructure constraints and high demands on teachers, while facilitators included leadership support, training or coaching and high-quality learning materials. To strengthen CHL's preventive potential in health promotion, future interventions should prioritize large-scale effectiveness and follow-up studies, while accounting for context-sensitive adaptation, implementation conditions and broader operationalizations of all CHL dimensions across settings.

Indexed as

Health LiteracyHealth PromotionHumanscritical health competencecritical health literacycritical thinkinghealth interventionhealth literacyscoping review

Identifiers

PMID42555370
PMCPMC13440308

What OpenQuestion holds

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LicenceCC BY
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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.