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Interventions to Improve Health among Reproductive-Age Women of Low Health Literacy: A Systematic Review

Author

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  • Rafael Vila-Candel

    (Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, 46600 Valencia, Spain
    Department of Nursing and Podiatry, Faculty of Nursing and Podiatry, Universitat de València, 46010 Valencia, Spain)

  • Francisco Miguel Martínez-Arnau

    (Department of Physiotherapy, Universitat de València, 46010 Valencia, Spain)

  • Juan María de la Cámara-de las Heras

    (Library Department, Hospital Universitario de la Ribera, FISABIO. Crta. Corbera km 1, 46600 Valencia, Spain)

  • Enrique Castro-Sánchez

    (School of Health Sciences, University of London, London EC1V, UK)

  • Pilar Pérez-Ros

    (Department of Nursing and Podiatry, Faculty of Nursing and Podiatry, Universitat de València, 46010 Valencia, Spain)

Abstract

Background : Limited or low health literacy (HL) has been associated with poor health outcomes, including inadequate self-caring and preventive behaviors. A few studies have systematically summarized the effect of interventions to improve reproductive health and care in women with insufficient HL. The main objective of the study was to investigate health care promotion interventions and examine their effectiveness on women with inadequate HL through a systematic review of randomized controlled trials (RCT). Methods : RCTs and quasi-experimental studies that assessed HL interventions to improve reproductive health of women with low HL were included. The study protocol was registered with PROSPERO (CRD42020137059). Results: Of the 292 records initially identified, a total of 6 articles were included for review. Five different HL screening tools were used. Four different interventions were included: educational intervention, communication skills, a multimedia interactive tool, and text adaptation to enhance reading comprehension. Not enough research practice has been conducted on the influence of interventions on HL, and thus, it is difficult to implement evidence-based interventions. Conclusions : Interventions aiming to benefit and improve HL should consider the complex web of intersectional determinants that end up shaping the opportunities of women to make optimal decisions regarding their health and care, and which may require attention to much more than clinical or service delivery factors.

Suggested Citation

  • Rafael Vila-Candel & Francisco Miguel Martínez-Arnau & Juan María de la Cámara-de las Heras & Enrique Castro-Sánchez & Pilar Pérez-Ros, 2020. "Interventions to Improve Health among Reproductive-Age Women of Low Health Literacy: A Systematic Review," IJERPH, MDPI, vol. 17(20), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7405-:d:426409
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    References listed on IDEAS

    as
    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    3. Rafael Vila-Candel & Esther Navarro-Illana & Desirée Mena-Tudela & Pilar Pérez-Ros & Enrique Castro-Sánchez & Francisco Javier Soriano-Vidal & Jose Antonio Quesada, 2020. "Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study," IJERPH, MDPI, vol. 17(8), pages 1-12, April.
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    1. María Jesús Valero-Chillerón & Desirée Mena-Tudela & Águeda Cervera-Gasch & Víctor Manuel González-Chordá & Francisco Javier Soriano-Vidal & José Antonio Quesada & Enrique Castro-Sánchez & Rafael Vila, 2022. "Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study," IJERPH, MDPI, vol. 19(9), pages 1-13, April.

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