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The association of health literacy with adherence in older adults, and its role in interventions: a systematic meta-review

Overview of attention for article published in BMC Public Health, September 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (83rd percentile)
  • Good Attention Score compared to outputs of the same age and source (75th percentile)

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16 X users
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Citations

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60 Dimensions

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212 Mendeley
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Title
The association of health literacy with adherence in older adults, and its role in interventions: a systematic meta-review
Published in
BMC Public Health, September 2015
DOI 10.1186/s12889-015-2251-y
Pubmed ID
Authors

Bas Geboers, Julii S. Brainard, Yoon K. Loke, Carel J. M. Jansen, Charlotte Salter, Sijmen A. Reijneveld, Andrea F. de Winter

Abstract

Low health literacy is a common problem among older adults. It is often suggested to be associated with poor adherence. This suggested association implies a need for effective adherence interventions in low health literate people. However, previous reviews show mixed results on the association between low health literacy and poor adherence. A systematic meta-review of systematic reviews was conducted to study the association between health literacy and adherence in adults above the age of 50. Evidence for the effectiveness of adherence interventions among adults in this age group with low health literacy was also explored. Eight electronic databases (MEDLINE, ERIC, EMBASE, PsycINFO, CINAHL, DARE, the Cochrane Library, and Web of Knowledge) were searched using a variety of keywords regarding health literacy and adherence. Additionally, references of identified articles were checked. Systematic reviews were included if they assessed the association between health literacy and adherence or evaluated the effectiveness of interventions to improve adherence in older adults with low health literacy. The AMSTAR tool was used to assess the quality of the included reviews. The selection procedure, data-extraction, and quality assessment were performed by two independent reviewers. Seventeen reviews were selected for inclusion. Reviews varied widely in quality. Both reviews of high and low quality found only weak or mixed associations between health literacy and adherence among older adults. Reviews report on seven studies that assess the effectiveness of adherence interventions among low health literate older adults. The results suggest that some adherence interventions are effective for this group. The interventions described in the reviews focused mainly on education and on lowering the health literacy demands of adherence instructions. No conclusions could be drawn about which type of intervention could be most beneficial for this population. Evidence on the association between health literacy and adherence in older adults is relatively weak. Adherence interventions are potentially effective for the vulnerable population of older adults with low levels of health literacy, but the evidence on this topic is limited. Further research is needed on the association between health literacy and general health behavior, and on the effectiveness of interventions.

X Demographics

X Demographics

The data shown below were collected from the profiles of 16 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 212 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 <1%
Denmark 1 <1%
Switzerland 1 <1%
Canada 1 <1%
Unknown 208 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 39 18%
Researcher 26 12%
Student > Ph. D. Student 25 12%
Student > Doctoral Student 19 9%
Student > Bachelor 17 8%
Other 47 22%
Unknown 39 18%
Readers by discipline Count As %
Medicine and Dentistry 66 31%
Nursing and Health Professions 48 23%
Social Sciences 16 8%
Pharmacology, Toxicology and Pharmaceutical Science 10 5%
Psychology 8 4%
Other 18 8%
Unknown 46 22%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 July 2016.
All research outputs
#3,116,046
of 22,828,180 outputs
Outputs from BMC Public Health
#3,579
of 14,871 outputs
Outputs of similar age
#44,057
of 272,396 outputs
Outputs of similar age from BMC Public Health
#69
of 286 outputs
Altmetric has tracked 22,828,180 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 14,871 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one has done well, scoring higher than 75% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 272,396 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 83% of its contemporaries.
We're also able to compare this research output to 286 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 75% of its contemporaries.