SynthesisAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2025
The Effect of Health Literacy Interventions on Self-management in Chronic Diseases: A Systematic Review.
Synthesis in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The relationship between health literacy, food literacy, and dietary choices-a systematic review.Frontiers in public health · 2026Pooled it
- Association Between Stroke-Related Knowledge and Self-Management Behaviours in Patients With Ischemic Stroke: Serial Mediation by Health Beliefs and Depression.Nursing open · 2026Article
- Current status and global trends in self-care among patients with heart failure: challenges and opportunities.The journal of cardiovascular aging · 2026Article
- Family Health Literacy, Family Functioning, and Type 2 Diabetes Self-Management in the Context of Informal Caregiving: An Embedded Mixed-Methods Multiple-Case Study.Healthcare (Basel, Switzerland) · 2026Article
- Changes in Patient-Reported Symptoms Across Chemotherapy Cycles: A Prospective Cohort Study in an Outpatient Chemotherapy Clinic.Nursing reports (Pavia, Italy) · 2026Article
- Health Literacy and Chronic Disease Self-Efficacy Among Older Adults with Multimorbidity: Evidence from Low-Resource Context.Healthcare (Basel, Switzerland) · 2026Article
- Factors associated with fall prevention-related health literacy practices among community-dwelling older adults in Northern Thailand: a cross-sectional study.BMC geriatrics · 2026Article
- Factors associated with self-care engagement among oesophageal and gastric cancer survivors: a population-based cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Article
- Pathways associated with hypertension self-management behaviors among older adults: a PRECEDE-PROCEED theory-guided path analysis.BMC geriatrics · 2026Article
- Health Literacy is a Rising Star in Policy and Research, also in Slovenia.Zdravstveno varstvo · 2026Article
- Establishing Consensus on the Appropriate Tool for Measuring Adherence to Glaucoma Medication in a Sub-Saharan African Population: A Multidisciplinary Delphi-Based Study.Public health challenges · 2026Article
- Effects of teach-back method-based continuing nursing on self-management behavior and quality of life in patients after aortic dissection surgery.Journal of cardiothoracic surgery · 2026Article
- Patient- and provider-level determinants of self-assessed health and well-being among adults with chronic conditions in Slovenian primary care.Health and quality of life outcomes · 2026Article
- Beyond prescriptions: an analysis of patient journey, self-management adherence, and unmet needs in type 2 diabetes.BMC health services research · 2026Article
- Self-efficacy, health literacy, and chronic disease self-management among South-South adult migrants.BMC psychology · 2026Article
- Supporting people with type 2 diabetes mellitus through the REDE D+ social prescribing program: feasibility of a non-randomized pilot study.Frontiers in public health · 2026Article
- The role of China's acute seizure action plan in the management of out-of-hospital seizures in children with epilepsy: a pilot study.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundPatients need cognitive and social skills in order to be able to make informed healthcare decisions. Health literacy (HL) encompasses these skills, enabling individuals to manage their conditions and adapt to challenges. HL interventions in patients could be a powerful way of optimizing self-management (SM) in individuals with chronic diseases. PURPOSE: To examine the efficacy of HL interventions on the medical, emotional, and role management domains of SM, theoretical foundations, conceptualizations of HL and SM, and intervention components.
methodsHealth literacy interventions aimed at increasing SM in adults (≥18 years) with chronic diseases were considered. A database search was conducted in PubMed, Scopus, SciELO (Scientific Electronic Library Online), and Web of Science from 2014 to 2024. Results were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses. Risk of bias was assessed using the Joanna Briggs Institute Checklist.
resultsFourteen studies were included. Interventions improved 3 components of medical management: medication adherence, disease knowledge, and self-efficacy. However, the effects on adherence to diet and exercise regimens, also part of medical management, were inconclusive. Emotional and role management received limited attention. There was inconsistency between HL definitions and instruments. Most interventions were delivered through in-person sessions. Overall, studies showed moderate risk of bias, which may have influenced the results.
conclusionsTheory-based interventions, methodological consistency, and comprehensive HL and SM measures are needed to understand interventions' effectiveness. To support behavioral change, HL interventions must address emotional and role management. Future high-quality research is required to determine optimal strategies for strengthening SM through HL interventions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.