Educational actions based on health literacy in insulin therapy guidance: strategies and impacts
DOI:
https://doi.org/10.53660/CLM-4335-24V22Palavras-chave:
Diabetes Mellitus, Insulin Therapy, Health LiteracyResumo
The use of insulin is a therapeutic modality that can occur in Type 2 Diabetes Mellitus (T2DM), although it may be difficult for individuals with T2DM to understand. Objective: To analyze which educational actions based on health literacy (HL) are used for guidance and management of insulin therapy in T2DM. Method: An integrative review guided by the question: "What educational actions based on health literacy are applied in insulin therapy guidance?" The databases used for data collection were SciELO, LILACS, Web of Science, Scopus, and PubMed. Results: Nine articles were included. An improvement in glycemic control was observed, but aspects related to insulin therapy were not addressed in detail, nor were the HL principles applied. Conclusion: There is a scarcity of studies addressing insulin therapy in people with T2DM from the HL perspective, and the lack of details makes it difficult to identify the principles applied. Although HL seems to favor educational actions, its specific impact on insulin therapy is unclear.
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ABRAMS, M. A. et al. Building Health Literate Organizations: A Guidebook to Achieving Organizational Change. 2014. Disponível em https://dfwhcfoundation.org/wp-content/uploads/2018/10/Building-Health-Literate-Organizations.pdf Acessado em 08/08/2024.
BAHIA, L.; ALMEIDA-PITITTO, L. Tratamento do DM2 no SUS. Diretriz Oficial da Sociedade Brasileira de Diabetes (2024). DOI: 00.00000/00000000.0000-0, ISBN: 000-00-0000-000-0.
BRACH, C. (ed). AHRQ Health Literacy Universal Precautions Toolkit, 3rd Edition. Rockville, MD. Agency for Healthcare Research and Quality. AHRQ Publication No. 23-0075, 2023. Disponível em https://www.ahrq.gov/sites/default/files/publications2/files/health-literacy-universal-precautions-toolkit-3rd-edition.pdf Acessado em 30-03-2024.
BRACH, C. et al. Ten Attributes of Health Literate Health Care Organizations. National Academy of Sciences. 2012. Disponível em http://nam.edu/wpcontent/uploads/2015/06/BPH_Ten_HLit_Attributes.pdf.
BRASIL. Ministério da Saúde. Relatório de Recomendação: Protocolo Clínico e Diretrizes Terapêuticas Diabetes Melito Tipo 2. Brasília, DF, dezembro de 2023. Disponível em: https://www.gov.br/conitec/pt-br/midias/relatorios/2024/RRPCDTDM2_Final.pdf. Acesso em: 3 ago. 2024.
BRODERICK, J.; DEVINE, T.; LANGHANS, E.; LEMERISE, A. J.; LIER, S.; HARRIS, L. Designing Health Literate Mobile Apps. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC, 2014. https://doi.org/10.31478/201401a
BUKI, L. P.; QUINTERO JOHNSON, J. M.; KNIGHT, K.; WALTON, A. "Cultural and conceptual knowledge": Reformulation and conceptual analysis of a key component of the health literacy model. Social Science & Medicine, v. 356, p. 117150, 16 jul. 2024. DOI: 10.1016/j.socscimed.2024.117150. Epub ahead of print.
DUBE, D. S.; HOPEWELL, S.; MAHONEY, M. J.; THOMPSON, J.; LEE, J. H.; KIM, H. S. Type 2 Diabetes Self-management Education Programs in High and Low Mortality Developing Countries: A Systematic Review. Journal of Diabetes Research, v. 2015, p. 1-12, 2015.
EICHNER, J.; DULLABH, P. Accessible health information technology (Health IT) for Populations. with limited literacy: a guide for developers and purchasers of health it. Rockville, MD: Agency for Healthcare Research and Quality, 2007. Disponível em: https://digital.ahrq.gov/sites/default/files/docs/page/LiteracyGuide_0.pdf. Acessado em 27/09/2024.
FINIGAN, M.; WILLIAMS, J.; REYNOLDS, D.; PARKER, T.; BENNETT, S. The "A to Z" of Managing Type 2 Diabetes in Culturally Diverse Populations. Diabetes Care, v. 41, n. 5, p. 1021-1028, 2018.
HEISLER, M., et al. Comparison of community health worker-led decision support for diabetes medications for low-income Latino and African American adults using e-health tools versus printed materials: a randomized controlled trial. Annals of Internal Medicine, v.161, Suppl. 10, S13-S22. doi:10.7326/M13-3012. 2014.
HOFER, S.; BROWN, A. D.; GARCÍA, M.; MURPHY, J.; ROBERTS, T.; CLARK, E. Mediators and Moderators of Improvements in Medication Adherence: Secondary Analysis of a Community Health Worker–Led Diabetes Medication Self-Management Support Program. American Journal of Preventive Medicine, v. 51, n. 6, p. 903-911, 2016.
INTERNATIONAL DIABETES FEDERATION. IDF Diabetes Atlas, 10th edn. Brussels, Belgium: International Diabetes Federation, 2021. Disponível em: https://diabetesatlas.org/atlas/tenth-edition/
KNUPPEL, M.A. C. Webséries como objetos educacionais na cultura digital: multimodalidade e multiletramentos. Em Rede – Revista de Educação a Distância, v.6, p. 86-102 n.1, 2019.
MIZOKAMI-STOUT, K.; GARCIA, J.; MARTIN, M.; EVANS, K.; LEE, R. Diabetes distress and glycemic control in type 2 diabetes: mediator and moderator analysis of a peer support intervention. Diabetes Care, v. 44, n. 6, p. 1240-1248, 2021.
MOURA, A. C.; SILVA, T. S.; SOUZA, R. L. Letramento em saúde e autocuidado em pessoas com diabetes mellitus tipo 2. Revista Brasileira de Epidemiologia, v. 21, n. 2, p. 256-267, 2018.
PARAGUASSU, L. B.; COSTA, V. M. Guia de linguagem simples do ICICT. Rio de Janeiro: ICICT/Fiocruz, 2023.
PAGE, Matthew J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, v. 372, n. 71, p. 1-9, 2021. Disponível em: https://doi.org/10.1136/bmj.n71. Acesso em: 28 de setembro de 2024.
REAGAN, P.; WHITE, K.; JAMES, B.; FLETCHER, R.; COWELL, J. The Feasibility and Acceptability of a Diabetes Survival Skills Intervention for Persons Transitioning from Prison to the Community. Journal of Correctional Health Care, v. 30, n. 1, p. 25-34, 2024.
SALTON, B.; AGNOL, A. D.; TURCATTI, A. Manual de acessibilidade em documentos digitais. Bento Gonçalves, RS: Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Sul, 2017.
SCHILLINGER, D.; MANHEIM, L.; ALI, K.; DAVIS, J.; BAKKER, A.; DUNLOP, J. The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging. Journal of Health Communication, v. 22, n. 4, p. 312-320, 2017.
SIMONDS, S. K. Health education as social policy. Health Education Monograph. v. 2, p. 1-25, 1974
SIMONS, T.; VAN DER MEER, K.; JANSEN, W.; MOELOEN, S.; VANDEWIELE, N. E-health relationships diabetes: 50 weeks evaluation. Journal of Medical Internet Research, v. 24, n. 2, p. e153, 2022.
SORENSEN K, VAN DEN BROUCKE S, FULLAM J, DOYLE G, PELIKAN J, SLONSKA Z et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health, v. 12, n. 1, p. 1-13, 2012.
SOUZA, M. R.; SILVA, D. R.; PEREIRA, M. G. Revisão integrativa: o que é e como fazer. Journal of Nursing, v. 10, n. 2, p. 14-25, 2010.
VASCONCELOS, C. M. C. S.; PARENTE, N. A.; SAMPAIO, H. A. C. A relevância da comunicação oral, escrita e digital: usuário-profissional de saúde-SUS. In: PASSAMAI, M. P. B.; SAMPAIO, H.A.C.; HENRIQUES, E. M. V. Letramento Funcional em Saúde: as habilidades do usuário e o Sistema Único de Saúde. Curitiba: CRV, 2019. 128p.
VASCONCELOS, C.M.C.S; SAMPAIO, H. A. C.; VERGARA, C. M. A. C. Materiais educativos para prevenção e controle de doenças crônicas: uma avaliação à luz dos pressupostos do letramento em saúde. Curitiba: CRV, 2018. 196p.
WEI, J.; ZHANG, L.; LI, C.; HU, J.; YANG, R. Health literacy and exercise interventions on clinical outcomes in Chinese patients with diabetes: a propensity score-matched comparison. Journal of Diabetes Research, v. 2020, p. 1-10, 2020.
WHO. Health promotion glossary of terms 2021. Geneva: World Health Organization, 2021. Licence: CC BY-NC-SA 3.0 IGO.
