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Table 3 Correlates of lower health literacy on outcomes of CSHCN

From: Parent/caregiver health literacy among children with special health care needs: a systematic review of the literature

Factor type Factors Association (# of studies) Strength of finding
Utilization ED visits Positive (1) Inconclusive
Hospitalization Neutral/non-significant (1)
Days missed from school
Disease management Medication adherence Negative (5) Mediocre
Adherence to treatment recommendations Neutral/non-significant (2)
Clinical labs (HbA1c control)
Symptom control
HRQoL
Communication and knowledge transfer Shared decision making Negative (2) Inconclusive
Quality of how instructions delivered
Patient-physician interaction
Information appraisal Accuracy of medical report/history Negative (2) Inconclusive
Ability to read forms