1,347
Views
21
CrossRef citations to date
0
Altmetric
ARTICLES

Comprehensibility of Health-Related Documents for Older Adults with Different Levels of Health Literacy: A Systematic Review

, , , &
Pages 159-177 | Published online: 23 Nov 2015

References

  • Abraham, C. & Kools, M. (Eds.). (2012). Writing health communication: An evidence-based guide. London, UK: Sage.
  • Adams, R. J., Piantadosi, C., Ettridge, K., Miller, C., Wilson, C., Tucker, G. & Hill, C. L. (2013). Functional health literacy mediates the relationship between socio-economic status, perceptions and lifestyle behaviors related to cancer risk in an Australian population. Patient Education and Counseling, 91, 206–212. doi:10.1016/j.pec.2012.12.001
  • Al Sayah, F., Majumdar, S. R., Williams, B., Robertson, S. & Johnson, J. A. (2013). Health literacy and health outcomes in diabetes: A systematic review. Journal of General Internal Medicine, 28, 444–452. doi:10.1007/s11606–012-2241-z
  • Ashida, S., Goodman, M., Pandya, C., Koehly, L. M., Lachance, C., Stafford, J. & Kaphingst, K. A. (2011). Age differences in genetic knowledge, health literacy and causal beliefs for health conditions. Public Health Genomics, 14, 307–316. doi:10.1159/000316234
  • Astley, C. A., Chew, D. P., Aylward, P. E., Molloy, D. A. & De Pasquale, C. G. (2008). A randomised study of three different informational AIDS prior to coronary angiography, measuring patient recall, satisfaction and anxiety. Heart, Lung and Circulation, 17, 25–32. doi:10.1016/j.hlc.2007.04.008
  • Bailey, S. C., Sarkar, U., Chen, A. H., Schillinger, D. & Wolf, M. S. (2012). Evaluation of language concordant, patient-centered drug label instructions. Journal of General Internal Medicine, 27, 1707–1713. doi:10.1007/s11606–012-2035–3
  • Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., Viera, A., Crotty, K. & Viswanathan, M.. (2011). Health literacy interventions and outcomes: An updated systematic review (Evidence Reports/Technology Assessments, No. 199). Rockville, MD: Agency for Healthcare Research and Quality.
  • Bostock, S. & Steptoe, A. (2012). Association between low functional health literacy and mortality in older adults: Longitudinal cohort study. British Medical Journal, 344, e1602–e1602. doi:10.1136/bmj.e1602
  • Brooke, R. E., Herbert, N. C., Isherwood, S., Knapp, P. & Raynor, D. K. (2013). Balance appointment information leaflets: Employing performance-based user-testing to improve understanding. International Journal of Audiology, 52(3), 162–168. doi:10.3109/14992027.2012.745200
  • Cardarelli, R., Mann, C., Fulda, K. G., Balyakina, E., Espinoza, A. & Lurie, S. (2011). Improving accuracy of medication identification in an older population using a medication bottle color symbol label system. BMC Family Practice, 12, 142. doi:10.1186/1471-2296-12-142
  • Chin, J., Morrow, D. G., Stine-Morrow, E. A. L., Conner-Garcia, T., Graumlich, J. F. & Murray, M. D. (2011). The process-knowledge model of health literacy: Evidence from a componential analysis of two commonly used measures. Journal of Health Communication, 16(Suppl. 3), 222–241. doi:10.1080/10810730.2011.604702
  • Coleman, C. A., Hudson, S. & Maine, L. (2013). Health literacy practices and educational competencies for health professionals: A consensus study. Journal of Health Communication, 18(Suppl. 1), 82–102. doi:10.1080/10810730.2013.829538
  • Creemers, H. E., Verhulst, F. C. & Huizink, A. C. (2009). Temperamental risk factors for adolescent cannabis use: A systematic review of prospective general population studies. Substance Use & Misuse, 44, 1833–1854. doi:10.3109/10826080802494933
  • Donelle, L., Arocha, J. F. & Hoffman-Goetz, L. (2008). Health literacy and numeracy: Key factors in cancer risk comprehension. Chronic Diseases in Canada, 29(1), 1–8.
  • Donelle, L., Hoffman-Goetz, L., Gatobu, S. & Arocha, J. F. (2009). Comprehension of Internet-based numeric cancer information by older adults. Informatics for Health and Social Care, 34(4), 209–224. doi:10.3109/17538150903358552
  • Downs, S. H. & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health, 52, 377–384. doi:10.1136/jech.52.6.377
  • Freed, E., Long, D., Rodriguez, T., Franks, P., Kravitz, R. L. & Jerant, A. (2013). The effects of two health information texts on patient recognition memory: A randomized controlled trial. Patient Education and Counseling, 92, 260–265. doi:10.1016/j.pec.2013.03.008
  • Friedman, D. B. & Hoffman-Goetz, L. (2007). An exploratory study of older adults’ comprehension of printed cancer information: Is readability a key factor? Journal of Health Communication, 12(5), 423–437. doi:10.1080/10810730701438658
  • Frosch, D. L., Legare, F. & Mangione, C. M. (2008). Using decision aids in community-based primary care: A theory-driven evaluation with ethnically diverse patients. Patient Education and Counseling, 73(3), 490–496. doi:10.1016/j.pec.2008.07.040
  • Gattellari, M. & Ward, J. E. (2005). A community-based randomised controlled trial of three different educational resources for men about prostate cancer screening. Patient Education and Counseling, 57(2), 168–182. doi:10.1016/j.pec.2004.05.011
  • Graesser, A. C. & Ottati, V. (1996). Why stories? Some evidence, questions, and challenges. In R. S. Wyer (Ed.), Knowledge and memory: The real story (pp. 121–132). Hillsdale, NJ: Erlbaum.
  • Griffin, J., McKenna, K. & Tooth, L. (2006). Discrepancy between older clients' ability to read and comprehend and the reading level of written educational materials used by occupational therapists. American Journal of Occupational Therapy, 60, 70–80.
  • Henkemans, O. A. B, Rogers, W. A., Fisk, A. D., Neerincx, M. A., Lindenberg, J. & van der Mast, C. A. P. G. (2008). Usability of an adaptive computer assistant that improves self-care and health literacy of older adults. Methods of Information in Medicine, 47(1), 82–87. doi:10.3414/me9105
  • Hinyard, L. J. & Kreuter, M. W. (2007). Using narrative communication as a tool for health behavior change: A conceptual, theoretical, and empirical overview. Health Education and Behavior, 34(5), 777–792. doi:10.1177/1090198106291963
  • HLS-EU Consortium. (2012). Comparative report on health literacy in eight EU member states. The European Health Literacy Survey (HLS-EU). Retrieved from http://www.maastrichtuniversity.nl/web/Institutes/FHML/CAPHRI/DepartmentsCAPHRI/InternationalHealth/ResearchINTHEALTH/Projects/HealthLiteracyHLSEU/MeasuringHealthLiteracyInEurope.htm
  • Ilic, D., Egberts, K., McKenzie, J. E., Risbridger, G. & Green, S. (2008). Informing men about prostate cancer screening: A randomized controlled trial of patient education materials. Journal of General Internal Medicine, 23(4), 466–471. doi:10.1007/s11606-007-0466-z
  • Johnson, R. E. (2003). Aging and the remembering of text. Developmental Review, 23(3), 261–346. doi:10.1016/s0273-2297(03)00009-1
  • Jovic-Vranes, A. & Bjegovic-Mikanovic, V. (2012). Which women patients have better health literacy in Serbia? Patient Education and Counseling, 89, 209–212. doi:10.1016/j.pec.2012.06.001
  • Kim, S. H. (2009). Health literacy and functional health status in Korean older adults. Journal of Clinical Nursing, 18, 2337–2343. doi:10.1111/j.1365-2702.2008.02739.x
  • Kincaid, J. P., Fishburne, R. P., Rogers, R. L. & Chissom, B. S. (1975). Derivation of new readability formulas (Automated Readability Index, Fog Count and Flesch Reading Ease Formula) for Navy enlisted personnel. Research Branch Report 8–75. Millington, TN: Naval Technical Training, U. S. Naval Air Station, Memphis, TN.
  • Knapp, P., Raynor, D. K., Jebar, A. H. & Price, S. J. (2005). Interpretation of medication pictograms by adults in the UK. Annals of Pharmacotherapy, 39, 1227–1233. doi:10.1345/aph.1e483
  • Kreuter, M. W., Holmes, K., Alcaraz, K., Kalesan, B., Rath, S., Richert, M. & Clark, E. M. (2010). Comparing narrative and informational videos to increase mammography in low-income African American women. Patient Education and Counseling, 81(Suppl. 1), S6–S14. doi:10.1016/j.pec.2010.09.008
  • Krieger, J. L., Parrott, R. L. & Nussbaum, J. F. (2010). Metaphor use and health literacy: A pilot study of strategies to explain randomization in cancer clinical trials. Journal of Health Communication, 16(1), 3–16. doi:10.1080/10810730.2010.529494
  • Kwan, B., Frankish, J., Rootman, I., Zumbo, B., Kelly, K., Begoray, D. & Hayes, M. (2006). The development and validation of measures of “health literacy” in different populations. Vancouver, British Columbia, Canada: University of British Columbia, Institute of Health Promotion Research, and University of Victoria Centre for Community Health Promotion Research.
  • LaVallie, D. L., Wolf, F. M., Jacobsen, C., Sprague, D. & Buchwald, D. S. (2012). Health numeracy and understanding of risk among older American Indians and Alaska natives. Journal of Health Communication: International Perspectives, 17(3), 294–302. doi:10.1080/10810730.2011.626497
  • Liu, C., Kemper, S. & Bovaird, J. A. (2009). Comprehension of health-related written materials by older adults. Educational Gerontology, 35(7), 653–668. doi:10.1080/03601270902885504
  • Liu, C., Kemper, S. & McDowd, J. (2009). The use of illustration to improve older adults’ comprehension of health-related information: Is it helpful? Patient Education and Counseling, 76(2), 283–288. doi:10.1016/j.pec.2009.01.013
  • Makoul, G., Cameron, K. A., Baker, D. W., Francis, L., Scholtens, D. & Wolf, M. S. (2009). A multimedia patient education program on colorectal cancer screening increases knowledge and willingness to consider screening among Hispanic/Latino patients. Patient Education and Counseling, 76(2), 220–226. doi:10.1016/j.pec.2009.01.006
  • Mayer, R. E. (2005). Cognitive theory of multimedia learning: The Cambridge handbook of multimedia learning. New York, NY: Cambridge University Press.
  • Mazor, K. M., Baril, J., Dugan, E., Spencer, F., Burgwinkle, P. & Gurwitz, J. H. (2007). Patient education about anticoagulant medication: Is narrative evidence or statistical evidence more effective? Patient Education and Counseling, 69, 145–157. doi:10.1016/j.pec.2007.08.010
  • McKenna, K. & Scott, J. (2007). Do written education materials that use content and design principles improve older people's knowledge? Australian Occupational Therapy Journal, 54(2), 103–112. doi:10.1111/j.1440–1630.2006.00583.x
  • Mittal, D., Palmer, B. W., Dunn, L. B., Landes, R., Ghormley, C., Beck, C. & Jeste, D. V. (2007). Comparison of two enhanced consent procedures for patients with mild Alzheimer disease or mild cognitive impairment. American Journal of Geriatric Psychiatry, 15(2), 163–167. doi:10.1097/jgp.0b013e31802dd379
  • Morrow, D., Clark, D., Tu, W., Wu, J., Weiner, M., Steinley, D. & Murray, M. D. (2006). Correlates of health literacy in patients with chronic heart failure. The Gerontologist, 46(5), 669–676. doi:10.1093/geront/46.5.669
  • Morrow, D., Raquel, L., Schriver, A., Redenbo, S., Rozovski, D. & Weiss, G. (2008). External support for collaborative problem solving in a simulated provider/patient medication scheduling task. Journal of Experimental Psychology: Applied, 14(3), 288–297. doi:10.1037/a0012809
  • Morrow, D. G., Weiner, M., Young, J., Steinley, D., Deer, M. & Murray, M. D. (2005). Improving medication knowledge among older adults with heart failure: A patient-centered approach to instruction design. The Gerontologist, 45(4), 545–552. doi:10.1093/geront/45.4.545
  • Mõttus, R., Johnson, W., Murray, C., Wolf, M. S., Starr, J. M. & Deary, I. J. (2014). Towards understanding the links between health literacy and physical health. Health Psychology, 33, 164–173. doi:10.1037/a0031439
  • Omachi, T. A., Sarkar, U., Yelin, E. H., Blanc, P. & Katz, P. (2013). Lower health literacy is associated with poorer health status and outcomes in chronic obstructive pulmonary disease. Journal of General Internal Medicine, 28, 74–81. doi:10.1007/s11606-012-2177-3
  • Ownby, R. L., Waldrop-Valverde, D. & Taha, J. (2012). Why Is health literacy related to health? An exploration among U. S. national assessment of adult literacy participants 40 years of age and older. Educational Gerontology, 38, 776–787. doi:10.1080/03601277.2011.645441
  • Paas, F., Van Gerven, P. W. M. & Tabbers, H. K. (2005). The cognitive aging principle in multimedia learning. In R. E. Mayer (Ed.), The Cambridge handbook of multimedia learning (pp. 339–354). New York, NY: Cambridge University Press.
  • Paris, A., Brandt, C., Cornu, C., Maison, P., Thalamas, C. & Cracowski, J. (2010). Informed consent document improvement does not increase patients’ comprehension in biomedical research. British Journal of Clinical Pharmacology, 69(3), 231–237. doi:10.1111/j.1365-2125.2009.03565.x
  • Popay, J., Roberts, H., Sowden, A., Petticrew, M., Arai, L., Rodgers, M. & Britten, N. (2006). Guidance on the conduct of narrative synthesis in systematic reviews. A product from the ESRC Research Methods Programme. Version 1. Swindon, UK: Economic and Social Research Council.
  • Ruiz, J. G., Andrade, A. D., Garcia-Retamero, R., Anam, R., Rodriguez, R. & Sharit, J. (2013). Communicating global cardiovascular risk: Are icon arrays better than numerical estimates in improving understanding, recall and perception of risk? Patient Education and Counseling, 93, 394–402. doi:10.1016/j.pec.2013.06.026
  • Sheridan, S. L., Halpern, D. J., Viera, A. J., Berkman, N. D., Donahue, K. E. & Crotty, K. (2011). Interventions for individuals with low health literacy: A systematic review. Journal of Health Communication, 16(Suppl. 3), 30–54. doi:10.1080/10810730.2011.604391
  • Shukla, A. N., Daly, M. K. & Legutko, P. (2012). Informed consent for cataract surgery: Patient understanding of verbal, written, and videotaped information. Journal of Cataract & Refractive Surgery, 38(1), 80–84. doi:10.1016/j.jcrs.2011.07.030
  • Smart, K. A., Parker, R. S., Lampert, J. & Sulo, S. (2012). Speaking up: Teens voice their health information needs. Journal of School Nursing, 28(5), 379–388. doi:10.1177/1059840512450916
  • Sudore, R. L., Landefeld, C. S., Barnes, D. E., Lindquist, K., Williams, B. A., Brody, R. & Schillinger, D. (2007). An advance directive redesigned to meet the literacy level of most adults: A randomized trial. Patient Education and Counseling, 69, 165–195. doi:10.1016/j.pec.2007.08.015
  • Thompson, T. & Kreuter, M. W. (2013). Narrative-based health communication interventions: Using survivor stories to increase breast cancer knowledge and promote mammography. In D. K. Kim A. Singhal & G. L. Kreps (Eds.), Health communication: Vol. 5. Global health communication strategies in the 21st century: Design, implementation, and evaluation (pp. 118–133). New York, NY: Peter Lang.
  • Todd, L. & Hoffman-Goetz, L. (2011). Predicting health literacy among English-as-a-second-language older Chinese immigrant women to Canada: Comprehension of colon cancer prevention information. Journal of Cancer Education, 26(2), 326–332. doi:10.1007/s13187-010-0162-2
  • Ubel, P. A., Smith, D. M., Zikmund-Fisher, B. J., Derry, H. A., McClure, J., Stark, A. & Fagerlin, A. (2010). Testing whether decision aids introduce cognitive biases: Results of a randomized trial. Patient Education and Counseling, 80(2), 158–163. doi:10.1016/j.pec.2009.10.021
  • Van Gerven, P. W. M., Paas, F. & Tabbers, H. K. (2006). Cognitive aging and computer-based instructional design: Where do we go from here? Educational Psychology Review, 18, 141–157. doi:10.1007/s10648-006-9005-4
  • Van Tulder, M., Furlan, A., Bombardier, C. & Bouter, L. (2003). Updated method guidelines for systematic reviews in the Cochrane collaboration back review group. Spine, 28, 1290–1299. doi:10.1097/01.brs.0000065484.95996.af
  • Van Weert, J. C. M., Van Noort, G., Bol, N., Van Dijk, L., Tates, K. & Jansen, J. (2011). Tailored information for cancer patients on the Internet: Effects of visual cues and language complexity on information recall and satisfaction. Patient Education and Counseling, 84(3), 368–378. doi:10.1016/j.pec.2011.04.006
  • Volk, R. J., Jibaja-Weiss, M. L., Hawley, S. T., Kneuper, S., Spann, S. J., Miles, B. J. & Hyman, D. J. (2008). Entertainment education for prostate cancer screening: A randomized trial among primary care patients with low health literacy. Patient Education and Counseling, 73(3), 482–489. doi:10.1016/j.pec.2008.07.033
  • Walker, D., Adebajo, A., Heslop, P., Hill, J., Firth, J., Bishop, P. & Helliwell, P. S. (2007). Patient education in rheumatoid arthritis: The effectiveness of the ARC booklet and the mind map. Rheumatology, 46(10), 1593–1596. doi:10.1093/rheumatology/kem171
  • Watkins, I. & Xie, B. (2014). eHealth literacy interventions for older adults: A systematic review of the literature. Journal of Medical Internet Research, 16(11), e225. doi:10.2196/jmir.3318
  • Wilson, E. A. H. & Park, D. C. (2008). A case for clarity in the writing of health statements. Patient Education and Counseling, 72(2), 330–335. doi:10.1016/j.pec.2008.02.008
  • Wolf, M. S., Gazmarian, J. A. & Baker, D. W. (2005). Health literacy and functional health status among older adults. Archives of Internal Medicine, 165(17), 1946–1952. doi:10.1001/archinte.165.17.1946
  • Wolfson, N. E. & Kraiger, K. (2014). Cognitive aging and training: The role of instructional coherence and advance organizers. Experimental Aging Research, 40(2), 164–186. doi:10.1080/0361073x.2014.882206
  • Xie, B. (2011). Experimenting on the impact of learning methods and information presentation channels on older adults’ e-health literacy. Journal of the American Society for Information Science and Technology, 62(9), 1797–1807. doi:10.1002/asi.2157510.1002/asi.21575
  • Zamarian, L., Benke, T., Buchler, M., Wenter, J. & Delazer, M. (2010). Information about medications may cause misunderstanding in older adults with cognitive impairment. Journal of the Neurological Sciences, 298, 46–51. doi:10.1016/j.jns.2010.08.061
  • Zamora, H. & Clingerman, E. M. (2011). Health literacy among older adults: A systematic literature review. Journal of Gerontological Nursing, 37(10), 41–51.
  • Zikmund-Fisher, B. J., Fagerlin, A., Roberts, T. R., Derry, H. A. & Ubel, P. A. (2008). Alternate methods of framing information about medication side effects: Incremental risk versus total risk of occurrence. Journal of Health Communication, 13(2), 107–124. doi:10.1080/10810730701854011

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.