The role of health literacy in cancer care: A mixed studies systematic review

<h4>Background</h4> 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 p...

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Autores principales:	Chloe E. Holden, Sally Wheelwright, Amélie Harle, Richard Wagland
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1088097256044a4993985821037a2bc6
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spelling	oai:doaj.org-article:1088097256044a4993985821037a2bc62021-11-25T06:11:00ZThe role of health literacy in cancer care: A mixed studies systematic review1932-6203https://doaj.org/article/1088097256044a4993985821037a2bc62021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589210/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> 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. <h4>Methods</h4> 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. <h4>Results</h4> 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. <h4>Conclusion</h4> 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.Chloe E. HoldenSally WheelwrightAmélie HarleRichard WaglandPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chloe E. Holden Sally Wheelwright Amélie Harle Richard Wagland The role of health literacy in cancer care: A mixed studies systematic review
description	<h4>Background</h4> 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. <h4>Methods</h4> 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. <h4>Results</h4> 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. <h4>Conclusion</h4> 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.
format	article
author	Chloe E. Holden Sally Wheelwright Amélie Harle Richard Wagland
author_facet	Chloe E. Holden Sally Wheelwright Amélie Harle Richard Wagland
author_sort	Chloe E. Holden
title	The role of health literacy in cancer care: A mixed studies systematic review
title_short	The role of health literacy in cancer care: A mixed studies systematic review
title_full	The role of health literacy in cancer care: A mixed studies systematic review
title_fullStr	The role of health literacy in cancer care: A mixed studies systematic review
title_full_unstemmed	The role of health literacy in cancer care: A mixed studies systematic review
title_sort	role of health literacy in cancer care: a mixed studies systematic review
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/1088097256044a4993985821037a2bc6
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The role of health literacy in cancer care: A mixed studies systematic review

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