Health Literacy and Disease Knowledge of Patients With Peripheral Arterial Disease or Abdominal Aortic Aneurysm: A Scoping Review.

Autor: van Leeuwen GL; Department of Surgery, Division of Vascular Surgery, University Medical Centre Groningen, Groningen, the Netherlands. Electronic address: g.l.van.leeuwen@umcg.nl., Kooijman MA; Department of Surgery, Division of Vascular Surgery, University Medical Centre Groningen, Groningen, the Netherlands., Schuurmann RCL; Department of Surgery, Division of Vascular Surgery, University Medical Centre Groningen, Groningen, the Netherlands., van Leeuwen BL; Department of Surgery, Division of Vascular Surgery, University Medical Centre Groningen, Groningen, the Netherlands., van Munster BC; Department of Geriatric Medicine, University Medical Centre Groningen, Groningen, the Netherlands., van der Wal-Huisman H; Department of Surgery, Division of Vascular Surgery, University Medical Centre Groningen, Groningen, the Netherlands., de Vries JPM; Department of Surgery, Division of Vascular Surgery, University Medical Centre Groningen, Groningen, the Netherlands.
Jazyk: angličtina
Zdroj: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [Eur J Vasc Endovasc Surg] 2024 Jun; Vol. 67 (6), pp. 935-947. Date of Electronic Publication: 2024 Mar 27.
DOI: 10.1016/j.ejvs.2024.03.040
Abstrakt: Objective: This scoping review summarises health literacy and disease knowledge in patients with abdominal aortic aneurysm (AAA) or peripheral arterial disease (PAD) and the influencing factors.
Data Sources: A systematic search was conducted in PubMed, Embase, PsychINFO, and CINAHL covering the period January 2012 to October 2022.
Review Methods: This scoping review was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Inclusion criteria encompassed studies addressing health literacy, knowledge, perception, or awareness in patients with AAA or PAD. Two authors independently reviewed abstracts and full texts, resolving any discrepancies through discussion or by consulting a third author for consensus. All article types were included except letters, editorials, study protocols, reviews, and guidelines. No language restrictions were applied. Primary outcomes were health literacy and disease knowledge. Secondary outcomes were factors that could influence this. Quality assessment was done using the Mixed Methods Appraisal Tool (MMAT).
Results: The review included 32 articles involving a total of 5 268 patients. Four articles reported health literacy and the rest disease knowledge. Ten studies (31%) met all quality criteria. Twenty studies were quantitative, eight were qualitative, and four were mixed methods studies. The review revealed inadequate health literacy in the majority of patients, and disease knowledge was relatively low among patients with AAA and PAD, with disparities in measures and assessment tools across studies. Factors influencing health literacy and disease knowledge included socioeconomic status, education, income, and employment.
Conclusion: This scoping review revealed low health literacy and low disease knowledge in patients with AAA and PAD. Standardised health literacy assessment may contribute to improve communication strategies and decision aids to enhance patients' understanding and engagement in healthcare decisions, however further research is needed to prove its merits.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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