Health literacy interventions in adult speech and language therapy: A scoping review

Reduced health literacy can negatively impact care seeking, satisfaction with care and overall health outcomes. These issues are particularly common among people living with communication difficulties who are seeking care from speech and language therapists (SLTs). As such, the SLT must be aware of and sensitive to health literacy needs within their clinical practice, proactively adapting materials and resources to the health literacy needs of their patients. Despite this required core competency, little is known about the health literacy interventions used by SLTs when working with adult patients, and as such, there is limited and unclear guidance for the practicing clinician, leading to potentially suboptimal care delivery.

[1]  10.L. Round table: Health literacy in health professionals – conceptualising and piloting a new measuring instrument , 2022, The European Journal of Public Health.

[2]  F. Clement,et al.  Co-designing strategies to support patient partners during a scoping review and reflections on the process: a commentary , 2021, Research Involvement and Engagement.

[3]  R. Zraick,et al.  Patient-Reported Outcome Measures in Voice: An Updated Readability Analysis. , 2021, Journal of voice : official journal of the Voice Foundation.

[4]  S. Franklin,et al.  Supporting people with post-stroke aphasia to live well: A cross-sectional survey of Speech & Language Therapists in Ireland. , 2020, Health & social care in the community.

[5]  C. Tufanaru,et al.  Methodological quality of case series studies: an introduction to the JBI critical appraisal tool , 2019, JBI database of systematic reviews and implementation reports.

[6]  Monica L. Bellon-Harn,et al.  Quality and readability of English-language internet information for aphasia , 2019, International journal of speech-language pathology.

[7]  J. McGowan,et al.  PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation , 2018, Annals of Internal Medicine.

[8]  Vinaya Manchaiah,et al.  Quality and Readability of English-Language Internet Information for Voice Disorders. , 2017, Journal of voice : official journal of the Voice Foundation.

[9]  Alexa McArthur,et al.  Innovations in the systematic review of text and opinion , 2015, International journal of evidence-based healthcare.

[10]  Hanan Khalil,et al.  Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach , 2015, International journal of evidence-based healthcare.

[11]  Zachary Munn,et al.  Qualitative research synthesis: methodological guidance for systematic reviewers utilizing meta-aggregation , 2015, International journal of evidence-based healthcare.

[12]  Bronwyn Hemsley,et al.  A Metasynthesis of Patient-Provider Communication in Hospital for Patients with Severe Communication Disabilities: Informing New Translational Research , 2014, Augmentative and alternative communication.

[13]  A. Rajić,et al.  A scoping review of scoping reviews: advancing the approach and enhancing the consistency , 2014, Research synthesis methods.

[14]  Rebecca J. Kelly-Campbell,et al.  A Computer-Based Readability Analysis of Consumer Materials on the American Speech-Language-Hearing Association Website , 2014 .

[15]  R. Zraick,et al.  Readability of patient-reported outcome questionnaires for use with persons with dysphonia. , 2012, Journal of voice : official journal of the Voice Foundation.

[16]  R. Zraick,et al.  Readability of Patient-Reported Outcome Questionnaires for Use with Persons with Swallowing Disorders , 2012, Dysphagia.

[17]  R. Zraick,et al.  Readability of patient-reported outcome questionnaires for use with persons who stutter. , 2012, Journal of fluency disorders.

[18]  Rebekah George Benjamin.  Reconstructing Readability: Recent Developments and Recommendations in the Analysis of Text Difficulty , 2012 .

[19]  Stacey L. Sheridan,et al.  Low Health Literacy and Health Outcomes: An Updated Systematic Review , 2011, Annals of Internal Medicine.

[20]  Christina L. Clarke,et al.  Health literacy and outcomes among patients with heart failure. , 2011, JAMA.

[21]  M. Pascoe,et al.  Maximising health literacy and client recall of clinical information: an exploratory study of clients and speech-language pathologists. , 2010, The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings.

[22]  A. Booth,et al.  A typology of reviews: an analysis of 14 review types and associated methodologies. , 2009, Health information and libraries journal.

[23]  E. J. Hester,et al.  Health literacy and the role of the speech-language pathologist. , 2009, American journal of speech-language pathology.

[24]  D. Pothier,et al.  Readability statistics of patient information leaflets in a Speech and Language Therapy Department. , 2008, International journal of language & communication disorders.

[25]  M. Wolf,et al.  Health literacy: an overlooked factor in understanding HIV health disparities. , 2007, American journal of preventive medicine.

[26]  P. Rao.  Health Literacy: The Cornerstone of Patient Safety , 2007 .

[27]  E. J. Hester,et al.  Health Literacy: Research Directions for Speech-Language Pathology and Audiology , 2006 .

[28]  Margaret Comerford Freda,et al.  The readability of American Academy of Pediatrics patient education brochures. , 2005, Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners.

[29]  H. Arksey,et al.  Scoping studies: towards a methodological framework , 2005 .

[30]  K. McKenna,et al.  The Suitability of Written Education Materials for Stroke Survivors and Their Carers , 2003, Topics in stroke rehabilitation.

[31]  Junling Ren,et al.  Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. , 2002, American journal of public health.

[32]  D. Nutbeam.  Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century , 2000 .

[33]  D. Baker,et al.  Development of a brief test to measure functional health literacy. , 1999, Patient education and counseling.

[34]  D Charnock,et al.  DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. , 1999, Journal of epidemiology and community health.

[35]  C Boyer,et al.  The Health On the Net Code of Conduct for medical and health Websites , 1998, Comput. Biol. Medicine.

[36]  J. Nurss,et al.  The test of functional health literacy in adults , 1995, Journal of General Internal Medicine.

[37]  Jonathan Anderson.  Lix and Rix: Variations on a Little-Known Readability Index. , 1983 .

[38]  Bertram C. Bruce,et al.  Why readability formulas fail , 1981, IEEE Transactions on Professional Communication.

[39]  M. Coleman,et al.  A computer readability formula designed for machine scoring. , 1975 .

[40]  R. P. Fishburne,et al.  Derivation of New Readability Formulas (Automated Readability Index, Fog Count and Flesch Reading Ease Formula) for Navy Enlisted Personnel , 1975 .

[41]  R. Gunning.  The Fog Index After Twenty Years , 1969 .

[42]  R. Flesch.  A new readability yardstick. , 1948, The Journal of applied psychology.

[43]  C. Tufanaru,et al.  Chapter 7: Systematic Reviews of Etiology and Risk , 2020, JBI Manual for Evidence Synthesis.

[44]  G. Waverijn,et al.  Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. , 2015, Patient education and counseling.

[45]  Amy Hasselkus.  Health Literacy in Clinical Practice , 2009 .

[46]  Jennie Popay,et al.  Guidance on the conduct of narrative synthesis in systematic Reviews. A Product from the ESRC Methods Programme. Version 1 , 2006 .

[47]  Stacey L. Sheridan,et al.  Literacy and Health Outcomes: Summary , 2004 .

[48]  S. Oliver,et al.  Systematic reviews of effectiveness , 2001 .

[49]  J. Nurss,et al.  The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. , 1995, Journal of general internal medicine.

[50]  Peggy W. Murphy,et al.  Rapid Estimate of Adult Literacy in Medicine (REALM): A Quick Reading Test for Patients. , 1993 .

[51]  L. G. Doak,et al.  Teaching Patients With Low Literacy Skills , 1985 .

[52]  G. Harry McLaughlin,et al.  SMOG Grading - A New Readability Formula. , 1969 .