Efficacy of Health Literacy Interventions for Caregivers of Individuals with Neurodevelopmental and Chronic Conditions: A Rapid Review

Background/Objectives: Caregivers of individuals with neurodevelopmental and chronic health conditions require health literacy (HL) skills for the long-term management of these conditions. The aim of this rapid review was to investigate the efficacy of HL interventions for these caregivers. Methods:...

Full description

Saved in:
Bibliographic Details
Main Authors: Thom Nevill, Jessica Keeley, Susan Hunt, Rachel Skoss, Olivia Lindly, Jenny Downs, Amanda Marie Blackmore
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/12/1/9
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832588842751754240
author Thom Nevill
Jessica Keeley
Susan Hunt
Rachel Skoss
Olivia Lindly
Jenny Downs
Amanda Marie Blackmore
author_facet Thom Nevill
Jessica Keeley
Susan Hunt
Rachel Skoss
Olivia Lindly
Jenny Downs
Amanda Marie Blackmore
author_sort Thom Nevill
collection DOAJ
description Background/Objectives: Caregivers of individuals with neurodevelopmental and chronic health conditions require health literacy (HL) skills for the long-term management of these conditions. The aim of this rapid review was to investigate the efficacy of HL interventions for these caregivers. Methods: Five databases (Cochrane Central, PubMed, Embase, CINAHL, and PsycINFO) were searched. Studies were eligible for inclusion if they reported the efficacy of any intervention aimed at improving the HL of caregivers of individuals with a neurodevelopmental disorder or chronic condition and assessed caregiver HL. All original intervention study designs were eligible, as were systematic reviews. Studies had to be published in English since 2000; grey literature was excluded. The review was registered before commencement with PROSPERO (CRD42023471833). Results: There were 3389 unique records, of which 28 papers (reporting 26 studies) were included. In these studies, 2232 caregivers received interventions through a wide range of media (online, group, written materials, one-to-one, video, phone, and text messages). Research designs were classified as Levels I (<i>n</i> = 8), II (<i>n</i> = 5), III (<i>n</i> = 2), and IV (<i>n</i> = 11), and the quality of evidence ranged from high to very low. Half (<i>n</i> = 7) of the trials with moderate to high evidence levels reported significant between-group differences in caregiver HL outcomes and/or individuals’ health-related outcomes. Effective interventions occurred across a wide range of conditions, ages, and carer education levels and using a diversity of intervention media. Conclusions: HL interventions for caregivers of individuals with neurodevelopmental and chronic conditions can improve health-related outcomes and caregivers’ HL. Longer and more intensive HL programs may be more likely to be effective, but attention must be paid to participant retention.
format Article
id doaj-art-7351781b03114eafb9ae9e8d904475af
institution Kabale University
issn 2227-9067
language English
publishDate 2024-12-01
publisher MDPI AG
record_format Article
series Children
spelling doaj-art-7351781b03114eafb9ae9e8d904475af2025-01-24T13:26:58ZengMDPI AGChildren2227-90672024-12-01121910.3390/children12010009Efficacy of Health Literacy Interventions for Caregivers of Individuals with Neurodevelopmental and Chronic Conditions: A Rapid ReviewThom Nevill0Jessica Keeley1Susan Hunt2Rachel Skoss3Olivia Lindly4Jenny Downs5Amanda Marie Blackmore6The Kids Research Institute Australia, 15 Hospital Ave, Nedlands, WA 6009, AustraliaThe Kids Research Institute Australia, 15 Hospital Ave, Nedlands, WA 6009, AustraliaThe Kids Research Institute Australia, 15 Hospital Ave, Nedlands, WA 6009, AustraliaThe Kids Research Institute Australia, 15 Hospital Ave, Nedlands, WA 6009, AustraliaDepartment of Health Sciences, Northern Arizona University, 1100 S Beaver St., Flagstaff, AZ 86011, USAThe Kids Research Institute Australia, 15 Hospital Ave, Nedlands, WA 6009, AustraliaThe Kids Research Institute Australia, 15 Hospital Ave, Nedlands, WA 6009, AustraliaBackground/Objectives: Caregivers of individuals with neurodevelopmental and chronic health conditions require health literacy (HL) skills for the long-term management of these conditions. The aim of this rapid review was to investigate the efficacy of HL interventions for these caregivers. Methods: Five databases (Cochrane Central, PubMed, Embase, CINAHL, and PsycINFO) were searched. Studies were eligible for inclusion if they reported the efficacy of any intervention aimed at improving the HL of caregivers of individuals with a neurodevelopmental disorder or chronic condition and assessed caregiver HL. All original intervention study designs were eligible, as were systematic reviews. Studies had to be published in English since 2000; grey literature was excluded. The review was registered before commencement with PROSPERO (CRD42023471833). Results: There were 3389 unique records, of which 28 papers (reporting 26 studies) were included. In these studies, 2232 caregivers received interventions through a wide range of media (online, group, written materials, one-to-one, video, phone, and text messages). Research designs were classified as Levels I (<i>n</i> = 8), II (<i>n</i> = 5), III (<i>n</i> = 2), and IV (<i>n</i> = 11), and the quality of evidence ranged from high to very low. Half (<i>n</i> = 7) of the trials with moderate to high evidence levels reported significant between-group differences in caregiver HL outcomes and/or individuals’ health-related outcomes. Effective interventions occurred across a wide range of conditions, ages, and carer education levels and using a diversity of intervention media. Conclusions: HL interventions for caregivers of individuals with neurodevelopmental and chronic conditions can improve health-related outcomes and caregivers’ HL. Longer and more intensive HL programs may be more likely to be effective, but attention must be paid to participant retention.https://www.mdpi.com/2227-9067/12/1/9health literacyhealth educationcaregiverschildhealth knowledgerapid review
spellingShingle Thom Nevill
Jessica Keeley
Susan Hunt
Rachel Skoss
Olivia Lindly
Jenny Downs
Amanda Marie Blackmore
Efficacy of Health Literacy Interventions for Caregivers of Individuals with Neurodevelopmental and Chronic Conditions: A Rapid Review
Children
health literacy
health education
caregivers
child
health knowledge
rapid review
title Efficacy of Health Literacy Interventions for Caregivers of Individuals with Neurodevelopmental and Chronic Conditions: A Rapid Review
title_full Efficacy of Health Literacy Interventions for Caregivers of Individuals with Neurodevelopmental and Chronic Conditions: A Rapid Review
title_fullStr Efficacy of Health Literacy Interventions for Caregivers of Individuals with Neurodevelopmental and Chronic Conditions: A Rapid Review
title_full_unstemmed Efficacy of Health Literacy Interventions for Caregivers of Individuals with Neurodevelopmental and Chronic Conditions: A Rapid Review
title_short Efficacy of Health Literacy Interventions for Caregivers of Individuals with Neurodevelopmental and Chronic Conditions: A Rapid Review
title_sort efficacy of health literacy interventions for caregivers of individuals with neurodevelopmental and chronic conditions a rapid review
topic health literacy
health education
caregivers
child
health knowledge
rapid review
url https://www.mdpi.com/2227-9067/12/1/9
work_keys_str_mv AT thomnevill efficacyofhealthliteracyinterventionsforcaregiversofindividualswithneurodevelopmentalandchronicconditionsarapidreview
AT jessicakeeley efficacyofhealthliteracyinterventionsforcaregiversofindividualswithneurodevelopmentalandchronicconditionsarapidreview
AT susanhunt efficacyofhealthliteracyinterventionsforcaregiversofindividualswithneurodevelopmentalandchronicconditionsarapidreview
AT rachelskoss efficacyofhealthliteracyinterventionsforcaregiversofindividualswithneurodevelopmentalandchronicconditionsarapidreview
AT olivialindly efficacyofhealthliteracyinterventionsforcaregiversofindividualswithneurodevelopmentalandchronicconditionsarapidreview
AT jennydowns efficacyofhealthliteracyinterventionsforcaregiversofindividualswithneurodevelopmentalandchronicconditionsarapidreview
AT amandamarieblackmore efficacyofhealthliteracyinterventionsforcaregiversofindividualswithneurodevelopmentalandchronicconditionsarapidreview