Impact of Health Literacy on Medication Engagement Among Adults With Diabetes in the United States: A Systematic Review
Impact of Health Literacy on Medication Engagement Among Adults With Diabetes in the United States: A Systematic Review
复制标题
健康素养对美国成人糖尿病患者服药的影响：系统评价
DOI：
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
B. Beech
中科院分区：
文献类型：
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作者：
Charles C. Chima;Aya Abdelaziz;Chisom Asuzu;B. Beech
目的：本系统综述的目的是评估美国成年糖尿病患者健康素养和药物参与（以前称为药物依从性）之间关系的证据。方法在PubMed、奥维德Medline、CINAHL、Embase、PsycInfo和Scopus中进行文献检索，从每个数据库成立到2020年4月。如果研究符合以下所有标准，则纳入研究：（1）在美国进行，（2）关注人群为诊断为1型或2型糖尿病的≥18岁成人，（3）药物参与是一个结局变量，（4）评估了健康素养和药物参与之间的直接而非中介关系，（5）报告了可量化的相关性测量，（6）可获得期刊文章或论文全文。根据Joanna Briggs研究所的关键评价检查表对已发表证据的质量进行分级，该检查表适用于所确定的相应研究设计。结果11项独特研究的13篇文章被保留在综述中，其中大多数采用横断面设计。11项研究中有4项发现健康素养和药物参与之间存在直接的正相关。4项研究中有2项具有积极结果，但存在显著的方法学缺陷。结论：有证据表明，健康素养与美国成年糖尿病患者的药物参与有关。需要适当设计和执行的纵向研究，以更好地阐明健康素养和成人糖尿病患者的药物参与之间的关系。
Purpose The purpose of this systematic review is to assess evidence of a relationship between health literacy and medication engagement (formerly referred to as medication adherence) among adults with diabetes mellitus in the United States. Methods Literature searches were conducted in PubMed, Ovid Medline, CINAHL, Embase, PsycInfo, and Scopus from the inception of each database to April 2020. Studies were included if they met all of the following criteria: (1) conducted in the United States, (2) the population of interest was adults ≥18 years with a diagnosis of type 1 or type 2 diabetes, (3) medication engagement was an outcome variable, (4) a direct and not a mediating relationship between health literacy and medication engagement was assessed, (5) a quantifiable measure of association was reported, and (6) a full-text journal article or dissertation was available. Quality of published evidence was graded according to Joanna Briggs Institute Critical Appraisal Checklists appropriate for the respective study designs identified. Results Thirteen articles from 11 unique studies were retained in the review, most of which used a cross-sectional design. Four out of 11 studies found a direct positive association between health literacy and medication engagement. Two of the 4 studies with positive findings had significant methodological shortcomings. Conclusions There is some evidence that health literacy is associated with medication engagement among adults with diabetes in the United States. Properly designed and executed longitudinal studies are needed to better elucidate the relationship between health literacy and medication engagement among adults with diabetes.
DOI：
10.1001/jama.2016.16885
发表时间：
2016-12-27
期刊：
JAMA
影响因子：
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作者：
Dieleman JL;Baral R;Birger M;Bui AL;Bulchis A;Chapin A;Hamavid H;Horst C;Johnson EK;Joseph J;Lavado R;Lomsadze L;Reynolds A;Squires E;Campbell M;DeCenso B;Dicker D;Flaxman AD;Gabert R;Highfill T;Naghavi M;Nightingale N;Templin T;Tobias MI;Vos T;Murray CJ
通讯作者：
Murray CJ