The role of health literacy in cancer care: A mixed studies systematic review.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
11
05
2021
accepted:
26
10
2021
entrez:
12
11
2021
pubmed:
13
11
2021
medline:
30
12
2021
Statut:
epublish
Résumé
Patients diagnosed with cancer face many challenges and need a good understanding of their diagnosis and proposed treatments to make informed decisions about their care. Health literacy plays an important role in this and low health literacy has been associated with poorer outcomes. The aims of this review are to identify which outcomes relate to health literacy in patients with cancer, and to combine this through a mixed studies approach with the patient experience as described through qualitative studies. Four electronic databases were searched in January 2021 to identify records relating to health literacy and patients with cancer. Records were independently screened then assessed for inclusion by two reviewers according to the following criteria: patients aged ≥18 years with cancer, English language publication AND health literacy measured with validated tool and measured outcome associated with health literacy OR qualitative study exploring the role of health literacy as patients make decisions about health. Quality was independently assessed by two reviewers. A narrative synthesis was performed, and findings integrated through concept mapping. This systematic review was registered with PROSPERO, entry CRD42020166454. 4441 records were retrieved. Following de-duplication, 2496 titles and abstracts were screened and full texts of 405 papers were reviewed for eligibility. 66 papers relating to 60 studies met the eligibility criteria. Lower health literacy was associated with greater difficulties understanding and processing cancer related information, poorer quality of life and poorer experience of care. Personal and situational influences contributed to how participants processed information and reached decisions about their care. This review highlights the important role of health literacy for patients with cancer. Outcomes are poorer for those who experience difficulties with health literacy. Further efforts should be made to facilitate understanding, develop health literacy and support patients to become more involved in their care.
Sections du résumé
BACKGROUND
Patients diagnosed with cancer face many challenges and need a good understanding of their diagnosis and proposed treatments to make informed decisions about their care. Health literacy plays an important role in this and low health literacy has been associated with poorer outcomes. The aims of this review are to identify which outcomes relate to health literacy in patients with cancer, and to combine this through a mixed studies approach with the patient experience as described through qualitative studies.
METHODS
Four electronic databases were searched in January 2021 to identify records relating to health literacy and patients with cancer. Records were independently screened then assessed for inclusion by two reviewers according to the following criteria: patients aged ≥18 years with cancer, English language publication AND health literacy measured with validated tool and measured outcome associated with health literacy OR qualitative study exploring the role of health literacy as patients make decisions about health. Quality was independently assessed by two reviewers. A narrative synthesis was performed, and findings integrated through concept mapping. This systematic review was registered with PROSPERO, entry CRD42020166454.
RESULTS
4441 records were retrieved. Following de-duplication, 2496 titles and abstracts were screened and full texts of 405 papers were reviewed for eligibility. 66 papers relating to 60 studies met the eligibility criteria. Lower health literacy was associated with greater difficulties understanding and processing cancer related information, poorer quality of life and poorer experience of care. Personal and situational influences contributed to how participants processed information and reached decisions about their care.
CONCLUSION
This review highlights the important role of health literacy for patients with cancer. Outcomes are poorer for those who experience difficulties with health literacy. Further efforts should be made to facilitate understanding, develop health literacy and support patients to become more involved in their care.
Identifiants
pubmed: 34767562
doi: 10.1371/journal.pone.0259815
pii: PONE-D-21-15551
pmc: PMC8589210
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0259815Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Patient Rep Outcomes. 2021 Jan 7;5(1):2
pubmed: 33411204
Cancer. 2019 Jun 15;125(12):2066-2075
pubmed: 30811591
Patient Educ Couns. 2020 Nov;103(11):2235-2243
pubmed: 32782181
Urol Oncol. 2020 Aug;38(8):682.e11-682.e19
pubmed: 32448502
Psychol Health Med. 2021 Aug;26(7):818-831
pubmed: 32484756
Asia Pac J Clin Oncol. 2020 Oct;16(5):e242-e251
pubmed: 32779349
Asia Pac J Oncol Nurs. 2020 Sep 14;7(4):365-369
pubmed: 33062832
Int J Nurs Pract. 2018 Dec;24(6):e12691
pubmed: 30101486
J Gen Intern Med. 2006 Aug;21(8):874-7
pubmed: 16881950
Soc Work Health Care. 2011;50(9):739-61
pubmed: 21985113
J Am Board Fam Med. 2009 May-Jun;22(3):247-56
pubmed: 19429730
Cancer Epidemiol Biomarkers Prev. 2018 Nov;27(11):1275-1282
pubmed: 29593011
Oncol Nurs Forum. 2013 Sep;40(5):508-15
pubmed: 23989024
Health Lit Res Pract. 2017 Oct 10;1(4):e153-e162
pubmed: 31294261
Int J Clin Pharm. 2020 Aug;42(4):1168-1174
pubmed: 32472326
BMC Public Health. 2018 Dec 29;18(1):1414
pubmed: 30594180
Patient Educ Couns. 2020 Aug;103(8):1601-1605
pubmed: 32143985
Int J Nurs Stud. 2007 Aug;44(6):961-72
pubmed: 16730729
Patient Prefer Adherence. 2019 Nov 27;13:1995-2005
pubmed: 31819381
J Natl Med Assoc. 2011 Aug;103(8):701-10
pubmed: 22046847
J Cancer Surviv. 2019 Jun;13(3):459-467
pubmed: 31111302
Laryngoscope. 2020 Oct;130(10):2354-2359
pubmed: 31800111
Patient Relat Outcome Meas. 2010 Jul;1:19-27
pubmed: 22915949
Oncol Nurs Forum. 2020 Jan 1;47(1):18-32
pubmed: 31845912
Patient Educ Couns. 2016 Sep;99(9):1511-8
pubmed: 27378079
Ann Intern Med. 2011 Jul 19;155(2):97-107
pubmed: 21768583
Psychooncology. 2017 Oct;26(10):1478-1483
pubmed: 27859877
Breast Cancer Res Treat. 2019 Jun;175(3):675-689
pubmed: 30852760
Cancer Nurs. 2021 Sep-Oct 01;44(5):E296-E302
pubmed: 32657899
Med Decis Making. 2009 Mar-Apr;29(2):157-66
pubmed: 19050227
Oncol Nurs Forum. 2020 May 1;47(3):E73-E85
pubmed: 32301929
Breast Cancer Res Treat. 2017 Feb;161(3):525-535
pubmed: 27943007
J Cancer Surviv. 2021 Feb;15(1):110-118
pubmed: 32681305
JBI Evid Synth. 2020 Jul;18(7):1389-1469
pubmed: 32813388
J Gen Intern Med. 2008 May;23(5):561-6
pubmed: 18335281
Patient Educ Couns. 2016 May;99(5):855-62
pubmed: 26742608
Cancer Med. 2020 Jun;9(12):4185-4196
pubmed: 32329183
Cancer Invest. 2001;19(7):684-91
pubmed: 11577809
Obstet Gynecol. 2020 Dec;136(6):1145-1153
pubmed: 33156183
Psychooncology. 2019 May;28(5):1048-1055
pubmed: 30828923
Surgery. 2016 Feb;159(2):580-90
pubmed: 26444326
BMJ Open. 2019 Dec 31;9(12):e028458
pubmed: 31892642
J Health Commun. 2016;21(sup2):99-104
pubmed: 27661137
J Pak Med Assoc. 2019 Jul;69(7):995-999
pubmed: 31308570
Cancer Epidemiol Biomarkers Prev. 2007 Feb;16(2):249-55
pubmed: 17267389
Ann Oncol. 2015 Jul;26(7):1390-5
pubmed: 25926039
Breast Cancer Res Treat. 2012 Jun;133(2):553-61
pubmed: 21964579
Cancer Control. 2015 Jan;22(1):95-101
pubmed: 25504283
Cancer. 2018 Nov 1;124(21):4202-4210
pubmed: 30264856
Health Soc Care Community. 2013 Nov;21(6):655-64
pubmed: 23692557
Patient Relat Outcome Meas. 2019 Mar 21;10:89-99
pubmed: 30962731
Soc Sci Med. 2008 Dec;67(12):2072-8
pubmed: 18952344
Soc Work Health Care. 2015;54(1):33-46
pubmed: 25588095
Support Care Cancer. 2013 Aug;21(8):2237-45
pubmed: 23508893
J Urol. 2017 Sep;198(3):560-566
pubmed: 28396183
Health (London). 2011 Nov;15(6):555-70
pubmed: 21177714
JCO Oncol Pract. 2020 Aug;16(8):e741-e750
pubmed: 32216715
BMC Cancer. 2019 Apr 8;19(1):330
pubmed: 30961598
J Cancer Surviv. 2021 Dec;15(6):855-865
pubmed: 33420906
Oral Oncol. 2016 Dec;63:23-29
pubmed: 27938996
BMC Public Health. 2015 Aug 01;15:741
pubmed: 26231177
BMC Public Health. 2012 Feb 14;12:130
pubmed: 22332990
Comput Inform Nurs. 2016 Jul;34(7):288-96
pubmed: 27081755
Ecancermedicalscience. 2019 Oct 10;13:966
pubmed: 31921337
Aging Male. 2019 Dec;22(4):266-271
pubmed: 29513058
Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S19-26
pubmed: 17931132
Patient Prefer Adherence. 2019 Dec 31;13:2243-2252
pubmed: 32099335
Appl Nurs Res. 2020 Dec;56:151335
pubmed: 32739071
Patient Educ Couns. 2011 Dec;85(3):e229-36
pubmed: 21543182
Psychooncology. 2018 Oct;27(10):2374-2381
pubmed: 29959807
Oncol Nurs Forum. 2020 May 1;47(3):273-280
pubmed: 32301926
Psychooncology. 2020 Oct;29(10):1549-1556
pubmed: 32602575
J Cancer Educ. 2013 Sep;28(3):573-81
pubmed: 23813542
Support Care Cancer. 2012 Sep;20(9):2167-76
pubmed: 22081119
BMC Public Health. 2012 Jan 25;12:80
pubmed: 22276600
J Health Commun. 2018;23(1):9-19
pubmed: 29227736
Cancer. 2012 Aug 1;118(15):3842-51
pubmed: 22180041
Psychooncology. 2015 Apr;24(4):478-86
pubmed: 25241852
J Health Commun. 2012;17 Suppl 3:30-54
pubmed: 23030560