PMID- 29129000 OWN - NLM STAT- MEDLINE DCOM- 20180521 LR - 20181202 IS - 1432-5233 (Electronic) IS - 0940-5429 (Linking) VI - 55 IP - 1 DP - 2018 Jan TI - Health literacy in type 2 diabetes patients: a systematic review of systematic reviews. PG - 1-12 LID - 10.1007/s00592-017-1071-1 [doi] AB - Aim To summarize, critically review, and interpret the evidence related to the systematic reviews on health literacy (HL) amongst type 2 diabetes mellitus (T2DM). Methods The methodology for this study consisted of a systematic review of systematic reviews, using the PRISMA statement and flowchart to select studies, and searching on PubMed, CINAHL, Scopus, and Cochrane. The search covered the period between January 2006 and June 2016. Results From the 115 identified record by the queries, only six systematic reviews were included, following a quality evaluation using AMSTAR. The included systematic reviews content was analyzed by the independent work of two authors, using a narrative synthesis approach. The findings of this study (i.e., main themes) are areas of consensus and gaps in knowledge. Areas of consensus are HL definition, HL measurement tools, and the relationship between T2DM patient knowledge (or literacy) and his/her HL. The gaps in knowledge were the assessment of the relations between HL and health outcomes and self-efficacy, the gender differences, the effectiveness of interventions to improve HL, the cost-effectiveness study of interventions to improve HL, and the understanding of the influence of organizational environment on HL. Conclusion This review provides a current state of knowledge to address clinical practice and research proposals. HL could be useful to personalize patients' follow-up and it should be routinely assessed in its three dimensions (i.e. functional, interactive and critical) to enhance patients' ability to cope with clinical recommendations. Future research should be mainly aimed to test the effectiveness of evidence-based interventions to improve HL amongst T2DM patients. FAU - Caruso, Rosario AU - Caruso R AD - Health Professions Research and Development Unit, IRCCS Policlinico San Donato University Hospital, San Donato Milanese, MI, Italy. FAU - Magon, Arianna AU - Magon A AD - Health Professions Research and Development Unit, IRCCS Policlinico San Donato University Hospital, San Donato Milanese, MI, Italy. FAU - Baroni, Irene AU - Baroni I AD - Health Professions Research and Development Unit, IRCCS Policlinico San Donato University Hospital, San Donato Milanese, MI, Italy. FAU - Dellafiore, Federica AU - Dellafiore F AD - Health Professions Research and Development Unit, IRCCS Policlinico San Donato University Hospital, San Donato Milanese, MI, Italy. FAU - Arrigoni, Cristina AU - Arrigoni C AD - Hygiene Section, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy. FAU - Pittella, Francesco AU - Pittella F AD - Nursing Degree Course, University of Milan, Section of IRCCS Policlinico San Donato University Hospital, San Donato Milanese, MI, Italy. FAU - Ausili, Davide AU - Ausili D AUID- ORCID: 0000-0001-5212-6463 AD - Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900, Monza, Italy. davide.ausili@unimib.it. LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20171111 PL - Germany TA - Acta Diabetol JT - Acta diabetologica JID - 9200299 SB - IM MH - Cost-Benefit Analysis MH - *Diabetes Mellitus, Type 2/diagnosis/epidemiology/etiology/psychology MH - Female MH - *Health Literacy/standards/statistics & numerical data MH - Humans MH - Knowledge MH - Meta-Analysis as Topic MH - Prognosis MH - Review Literature as Topic MH - Sex Factors OTO - NOTNLM OT - Diabetes knowledge OT - Diabetes mellitus OT - Health literacy OT - Health outcomes OT - Systematic review OT - Type 2 diabetes mellitus EDAT- 2017/11/13 06:00 MHDA- 2018/05/22 06:00 CRDT- 2017/11/13 06:00 PHST- 2017/10/04 00:00 [received] PHST- 2017/11/03 00:00 [accepted] PHST- 2017/11/13 06:00 [pubmed] PHST- 2018/05/22 06:00 [medline] PHST- 2017/11/13 06:00 [entrez] AID - 10.1007/s00592-017-1071-1 [pii] AID - 10.1007/s00592-017-1071-1 [doi] PST - ppublish SO - Acta Diabetol. 2018 Jan;55(1):1-12. doi: 10.1007/s00592-017-1071-1. Epub 2017 Nov 11.