Health literacy and coronary artery disease: a systematic review

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dc.creatorGabriela Lima de Melo Ghisi
dc.creatorGabriela Suéllen da Silva Chaves
dc.creatorRaquel Rodrigues Britto
dc.creatorPaul Oh
dc.date.accessioned2022-12-22T19:09:00Z
dc.date.accessioned2025-09-08T23:50:18Z
dc.date.available2022-12-22T19:09:00Z
dc.date.issued2018-02
dc.identifier.doihttps://doi.org/10.1016/j.pec.2017.09.002
dc.identifier.issn1873-5134
dc.identifier.urihttps://hdl.handle.net/1843/48386
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofPatient Education and Counseling
dc.rightsAcesso Restrito
dc.subjectAlfabetização em saúde
dc.subjectAvaliação de resultados (Cuidados de Saúde)
dc.subjectCoronariopatias
dc.subjectQuestionários
dc.subjectRevisão sistemática
dc.subject.otherHealth literacy
dc.subject.otherHealth outcomes
dc.subject.otherCoronary artery disease
dc.subject.otherQuestionnaires
dc.subject.otherSystematic review
dc.titleHealth literacy and coronary artery disease: a systematic review
dc.typeArtigo de periódico
local.citation.epage184
local.citation.issue2
local.citation.spage177
local.citation.volume101
local.description.resumoObjective: Identify health literacy (HL) screening instruments available to CAD patients; describe the prevalence of low HL; explore the predictors of low HL; and, identify the association between HL, health behaviors, and outcomes among these patients. Methods: A literature search of electronic databases was conducted for published articles from database inception to February 2017. Eligible articles included the assessment of HL in CAD patients. Health behaviors and outcomes included diet, exercise, smoking, medication use, hospital readmission, knowledge, health-related quality of life (HRQoL), and psychosocial indicators. Results: Overall, ten articles were included, of which two were RCTs, and seven were considered “good” quality. The most used screening instruments were REALM and TOFHLA. The average prevalence of low HL was 30.5%. Low HL participants were more likely to be older, male, from a non-white ethnic group, have many CVD comorbidities, lower educational level, disadvantaged socioeconomic position, and less likely to be employed. Low HL was consistently associated with hospital readmissions, low HRQoL, higher anxiety and lower social support. Conclusion: The literature on HL in CAD patients is very limited. Practice implications: Healthcare providers should start adopting strategies that can potentially mitigate the impact of low HL in the care of CAD patients.
local.identifier.orcidhttp://orcid.org/0000-0001-7946-3718
local.identifier.orcidhttps://orcid.org/0000-0002-9533-3654
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0738399117305396?via%3Dihub

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