Comprehensibility of Health-Related Documents for Older Adults with Different Levels of Health Literacy: A Systematic Review
| Autor: | Carel Jansen, Andrea F. de Winter, Ruth Koops van 't Jagt, John Hoeks, Sijmen A. Reijneveld |
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| Přispěvatelé: | Public Health Research (PHR) |
| Rok vydání: | 2015 |
| Předmět: |
Gerontology
Health (social science) Psychological intervention MEDLINE Health literacy Health Promotion Library and Information Sciences 03 medical and health sciences 0302 clinical medicine MEDICATION Informed consent Medicine Humans 030212 general & internal medicine PATIENT EDUCATION Randomized Controlled Trials as Topic RISK 030505 public health INFORMED-CONSENT business.industry Communication Public Health Environmental and Occupational Health PRIMARY-CARE WRITTEN RANDOMIZED CONTROLLED-TRIAL Middle Aged Health Literacy Comprehension Health promotion Data extraction CANCER INFORMATION DECISION AIDS HEART-FAILURE 0305 other medical science business Social psychology Patient education |
| Zdroj: | Journal of Health Communication, 21(2), 159-177. TAYLOR & FRANCIS INC |
| ISSN: | 1087-0415 1081-0730 |
| Popis: | A systematic review was conducted to assess the available evidence for the effectiveness of interventions aiming to improve the comprehensibility of health-related documents in older adults (≥50) with different levels of health literacy. Seven databases were searched (2005 forward), and references in relevant reviews were checked. The selection procedure was conducted by 2 independent reviewers. Data extraction and assessment of the quality of the resulting studies were conducted by 1 reviewer and checked for accuracy by a 2nd reviewer. A total of 38 intervention studies had a study population of older adults (n = 35) or made an explicit comparison between age groups, including older adults (n = 3). Inconsistent evidence was found for the importance of design features to enhance the comprehensibility of health-related documents. Only for narratives and multiple-feature revisions (e.g., combining revisions in textual and visual characteristics) did the included studies provide evidence that they may be effective for older adults. Using narrative formats and/or multiple-feature revisions of health-related documents seem to be promising strategies for enhancing the comprehensibility of health-related documents for older adults. The lack of consistent evidence for effective interventions stresses the importance of (a) replication and (b) the use of standardized research methodologies. |
| Databáze: | OpenAIRE |
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