Association of health literacy and diabetes self-management: a systematic review

The purpose of this review is to summarise the existing evidence about the association of health literacy (HL) with type 2 diabetes mellitus self-management. The PubMed, Medline, CINHAL, Scopus and Web of Science databases were searched for randomised control trials of type 2 diabetes mellitus (T2DM...

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Bibliographic Details
Published in:Australian journal of primary health 2019, Vol.25 (6), p.526
Main Authors: Dahal, Padam K., Hosseinzadeh, Hassan
Format: Article
Language:English
Subjects:
Activities of daily living
Associations
Behavior
Blood
Chronic obstructive pulmonary disease
Clinical medicine
Clinical trials
Community-based programs
Diabetes
Disease prevention
Drugs
Endocrinology
Glucose
Glycemic control
Health education
Health literacy
Intervention
Low income groups
Patient compliance
Physical activity
Quality of life
Respiratory diseases
Self-efficacy
Selfmanagement
Selfmonitoring
Systematic review
Type 2 diabetes mellitus
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Summary:The purpose of this review is to summarise the existing evidence about the association of health literacy (HL) with type 2 diabetes mellitus self-management. The PubMed, Medline, CINHAL, Scopus and Web of Science databases were searched for randomised control trials of type 2 diabetes mellitus (T2DM) self-management and HL published between 2009 and 2018. Fourteen randomised control trials were included in this review. Our findings showed that HL was instrumental in improving diabetes knowledge, physical activity, self-efficacy and quality of life; however, its associations with glycaemic control, self-monitoring of blood glucose, foot care and medication adherence was inconclusive. Customized and community-based HL interventions were more efficient compared to patient-focused HL interventions. This review concludes that HL is key for T2DM self-management, but customised, structured and community-based interventions are more likely to yield better outcomes.
ISSN:1448-7527
1836-7399
DOI:10.1071/PY19007