Interventions to improve health among reproductive-age women of low health literacy: a systematic review
Author(s)
Vila-Candel, Rafael
Martinez-Arnau, Francisco Miguel
de la Camara-de las Heras, Juan Maria
Castro-Sanchez, Enrique
Perez-Ros, Pilar
Type
Journal Article
Abstract
Background: Limited or low health literacy (HL) has been associated with poor health outcomes, including inadequate self-caring and preventive behaviors. A few studies have systematically summarized the effect of interventions to improve reproductive health and care in women with insufficient HL. The main objective of the study was to investigate health care promotion interventions and examine their effectiveness on women with inadequate HL through a systematic review of randomized controlled trials (RCT). Methods: RCTs and quasi-experimental studies that assessed HL interventions to improve reproductive health of women with low HL were included. The study protocol was registered with PROSPERO (CRD42020137059). Results: Of the 292 records initially identified, a total of 6 articles were included for review. Five different HL screening tools were used. Four different interventions were included: educational intervention, communication skills, a multimedia interactive tool, and text adaptation to enhance reading comprehension. Not enough research practice has been conducted on the influence of interventions on HL, and thus, it is difficult to implement evidence-based interventions. Conclusions: Interventions aiming to benefit and improve HL should consider the complex web of intersectional determinants that end up shaping the opportunities of women to make optimal decisions regarding their health and care, and which may require attention to much more than clinical or service delivery factors.
Date Issued
2020-10-12
Date Acceptance
2020-10-08
Citation
International Journal of Environmental Research and Public Health, 2020, 17 (20), pp.1-17
ISSN
1660-4601
Publisher
MDPI AG
Start Page
1
End Page
17
Journal / Book Title
International Journal of Environmental Research and Public Health
Volume
17
Issue
20
Copyright Statement
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access
article distributed under the terms and conditions of the Creative Commons Attribution
(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
article distributed under the terms and conditions of the Creative Commons Attribution
(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
License URL
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000585650200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
Subjects
Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
health literacy
numeracy
reading ability
reading skill
pregnant women
intervention
GESTATIONAL WEIGHT-GAIN
RANDOMIZED-TRIAL
PATIENT
Publication Status
Published
Article Number
ARTN 7405
Date Publish Online
2020-10-12