Review Article

Effects of Health Literacy Intervention on Health Literacy Level and Glucolipid Metabolism of Diabetic Patients in Mainland China: A Systematic Review and Meta-Analysis

Table 1

General characteristics of included studies.

First author, year (reference no.)Study typeSample size ()Man/woman ()Age (, year)MeasureIntervention time
T/CTCTCTC

Bao JL, 2019 [33]RCT50/5035/1538/12Teach-back health educationRoutine health education3 months
Cao YF, 2020 [23]RCT60/6036/2439/21WeChat health educationRoutine health education3 months
Cheng L, 2017 [34]RCT121/12193/2886/35Empowerment-based interventionHealth education3 months
Chen YY, 2020 [22]RCT83/4444/3946/38Teach-back method interventionTraditional diabetes health education3 months
Hao ML, 2019 [31]RCT44/4424/2026/18Teach-back health educationRoutine health educationUntil discharge
Li CF, 2017 [43]RCT80/8035/4539/41≥45Self-management and routine community health servicesRoutine community health services3 months
Li L, 2020 [21]RCT42/4122/2018/23Teach-back method combined with telephone follow-up interventionRoutine health service6 months
Li L, 2020 [20]RCT40/4021/1923/17Teach-back method combined with family involvedRoutine health education6 months
Liu QH, 2020 [19]RCT50/5028/2229/21Five-full nursing modes as primary medical and nursing interventionTraditional nursing careNot reported
Liu QN, 2018 [40]RCT534/534234/300308/226Health educationTraditional servicesNot reported
Li YF, 2015 [52]RCT126/13469/5763/71Teach-back and peer educationPeer education4 months
Ma GZ, 2019 [29]RCT25/2513/1214/11Five-full nursing modes as primary medical and nursing interventionRoutine nursing care6 months
Peng Y, 2021 [15]RCT54/4862/4036~68Internet-based health educationOrdinary health education6 months
Tu Y, 2018 [39]RCT54/5426/2825/29Integrated intervention of family doctor based on health literacyRoutine community health services1 year
Wang L, 2019 [24]RCT200/20089/11186/114Health literacy educationRoutine community health services1 year
Wang Q, 2018 [38]RCT57/5772/42Teach-back health education and routine nursing careRoutine nursing care6 months
Wu P, 2019 [28]RCT55/5529/2630/2528~7727~75Micro lecture of health literacyRoutine health educationNot reported
Xu YL, 2020 [10]RCT60/6031/2933/27Community–hospital–family interventionRoutine nursing intervention12 months
Yao XQ, 2019 [27]RCT191/188130/61126/62Structured health educationRoutine health care services6 months
You HQ, 2020 [18]RCT35/3520/1519/16Structured health educationRoutine nursing careNot reported
Yu F, 2020 [17]RCT60/6025/3521/39Insulin interview tool interventionRoutine health education3 months
Zhang JB, 2019 [26]RCT62/62Not reportedNot reportedPersonalized diabetes self-managementRoutine health educationNot reported
Zhang N, 2018 [37]RCT60/6034/2632/28Micro lecture of health literacyRoutine health educationUntil discharge
Zhang RT, 2016 [47]RCT80/8087/73Mental intervention and health knowledge guidanceHealth knowledge guidance6 months
Zhang XH, 2019 [25]RCT98/9863/3565/33Health education and exercise interventionRoutine discharge guidance3 months
Zhang Y, 2018 [36]RCT38/3822/1623/15Comprehensive health literacy managementRoutine community health servicesNot reported
Zhao FY, 2018 [35]RCT45/4525/2024/21Teach-back health educationRoutine health education6 weeks
Cheng LL, 2019 [32]Non-RCT50/5025/2525/25Strengthen self-efficacy management and routine diabetes treatmentRoutine diabetes treatmentNot reported
Li YJ, 2019 [30]Non-RCT40/4021/1921/19Dietary intervention and routine community health servicesRoutine community health services6 months
Ouyang HG, 2019 [9]Non-RCT791/1335386/405684/651Personalized health educationRoutine community health services6 months
Pan JY, 2015 [51]Non-RCT38/3820/1820/18Dietary intervention and routine community health servicesRoutine community health services6 months
Qiao W, 2014 [53]Non-RCT100/100Not reportedTraditional Chinese medicine health management and drug therapyDrug therapy1 year
Shi M, 2016 [45]Non-RCT60/6032/2826/34Family involved in the whole health educationSingle involved the whole health education2 years
Wang N, 2021 [14]Non-RCT31/2918/1317/12Teach-back method combined with video and health educationTeach-back method combined with health education3 months
Yang FH, 2017 [41]Non-RCT555/502219/336225/277Comprehensive health literacy managementRoutine community health services6 months
Zhang Y, 2016 [46]Non-RCT27/2711/1614/13Micro lecture of health literacyRoutine nursing careNot reported
Zhong Y, 2020 [16]Non-RCT33/3319/1418/15Health promotion managementRoutine outpatient management3 months
Chen GM, 2013 [54]CBA215/—114/104Community nursing intervention1 year
Gao YY, 2017 [44]CBA110/—58/52Diabetes self-management education7 months
Hu GS, 2016 [49]CBA210/—90/12045~75Health literacy education6 months
Li SF, 2010 [55]CBA121/—64/57A nurse-led clinic on health literacy1 month
Liu XM, 2016 [48]CBA68/—31/3748~75Health education8 months
Su QX, 2017 [42]CBA286/—152/134Comprehensive intervention measures of health literacyNot reported
Wen XQ, 2015 [50]CBA413/—198/215Team-based individualized health management interventionNot reported

CBA: controlled before-and-after trial; non-RCT: nonrandomized controlled trial; RCT: randomized controlled trial; T means intervention group; C means control group; SD: standard deviation; age range was reported if was not available.