Comprehensibility of Health-Related Documents for Older Adults with Different Levels of Health Literacy: A Systematic ReviewKoops van 't Jagt, R., Hoeks, J. C. J., Jansen, C. J. M., de Winter, A. F. & Reijneveld, S. A., 1-Feb-2016, In : Journal of Health Communication. 21, 2, p. 159-177 19 p.
Research output: Contribution to journal › Article › Academic › peer-review
A systematic review was conducted to assess the available evidence for the effectiveness of interventions aiming to improve the comprehensibility of health-related documents in older adults (≥50) with different levels of health literacy. Seven databases were searched (2005 forward), and references in relevant reviews were checked. The selection procedure was conducted by 2 independent reviewers. Data extraction and assessment of the quality of the resulting studies were conducted by 1 reviewer and checked for accuracy by a 2nd reviewer. A total of 38 intervention studies had a study population of older adults (n = 35) or made an explicit comparison between age groups, including older adults (n = 3). Inconsistent evidence was found for the importance of design features to enhance the comprehensibility of health-related documents. Only for narratives and multiple-feature revisions (e.g., combining revisions in textual and visual characteristics) did the included studies provide evidence that they may be effective for older adults. Using narrative formats and/or multiple-feature revisions of health-related documents seem to be promising strategies for enhancing the comprehensibility of health-related documents for older adults. The lack of consistent evidence for effective interventions stresses the importance of (a) replication and (b) the use of standardized research methodologies.
|Number of pages||19|
|Journal||Journal of Health Communication|
|Early online date||23-Nov-2015|
|Publication status||Published - 1-Feb-2016|
- RANDOMIZED CONTROLLED-TRIAL, PATIENT EDUCATION, CANCER INFORMATION, INFORMED-CONSENT, HEART-FAILURE, DECISION AIDS, PRIMARY-CARE, RISK, MEDICATION, WRITTEN